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Published on: February 10, 2023
Percutaneous intervention for giant renal extrarenal aneurysm and arteriovenous fistula
Nguyen The Huy1, Phan Thao Nguyen1, Nguyen-Thi Tuyen Tran2
1Cardiovascular Center, E Hospital, Hanoi, Vietnam.
Abstract:
Arteriovenous fistula is a high-flow vascular malformation characterized by a direct connection between an artery and a vein without the presence of a nidus (a network of arterial and venous channels). Renal artery aneurysm concomitant with a renal arteriovenous fistula (RAVF) is extremely rare. We report the case of a 45-year-old woman with a giant renal artery aneurysm combined with RAVF who presented with gross hematuria. The patient was successfully treated by embolization of a giant extrarenal aneurism and RAVF using coils and a plug device. RAVF can lead to harmful complications, and treatment is necessary upon diagnosis. Endovascular embolization is a feasible, efficient, and safe method able to retain maximal normal renal function.
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