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Updated: Nov 29, 2025

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Embolization of Urinary Tract Fistulae Using an AMPLATZER Vascular Plug and Glue
Cheng Shi Chen1, Alrashidi Ibrahim2, Ji Hoon Shin3
1Department of Radiology, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou, Chin.
Abstract:
Six patients (mean age, 57.7 y ± 19.7) with persistent urinary fistulae underwent 7 urinary tract embolizations with AMPLATZER Vascular Plugs (AVPs) and glue: 5 with concomitant cavity obliteration with glue and 2 without. A single procedure was successful in resolving urinary leakage in 5 patients (71%) at a mean follow-up of 27.3 wk ± 31.5 (median, 9.7 wk; range, 4.9-80 wk). Repeat cavity embolization was required in 2 instances to achieve clinical success. Mean survival was 42.3 wk (median, 16.4 wk; range, 11.7-104 wk). Combined AVP and glue embolization may prove to be a primary approach in the control of persistent fistulae.
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