Transarterial Embolization of a Large High-flow Right Renal Arteriovenous Fistula Using Stents and an Across-stent Wire-trapping Technique

Overview

Journal J Vasc Surg Cases Innov Tech

Date 2019 Jun 14

PMID 31193393

Authors

Ren-Fu Shie

Ta-Wei Su

Ming-Yi Hsu

Sung-Yu Chu

Po-Jen Ko

Affiliations

Soon will be listed here.

Abstract

Renal arteriovenous fistulas (AVFs) are rare vascular abnormalities. Their high-flow nature may result in increased cardiac output and lead to heart failure. Transcatheter endovascular management of renal AVFs with various embolization materials has been the treatment of choice in recent years. Embolization of large renal AVFs poses a risk of embolization through the AVF to the pulmonary circulation. Herein, we present the case of a patient whose large high-flow renal AVF was treated by a novel method involving the use of a bare stent and detachable metallic coils-called a wire-trapping technique-as well as compare this method with vascular plugs.

References

Hirai S, Hamanaka Y, Mitsui N, Kumagai H, Nakamae N . High-output heart failure caused by a huge renal arteriovenous fistula after nephrectomy: report of a case. Surg Today. 2001; 31(5):468-70. DOI: 10.1007/s005950170144. View

Khawaja A, McLean G, Srinivasan V . Successful intervention for high-output cardiac failure caused by massive renal arteriovenous fistula-a case report. Angiology. 2004; 55(2):205-8. DOI: 10.1177/000331970405500213. View

Bates M, Almehmi A . High-output congestive heart failure successfully treated with transcatheter coil embolization of a large renal arteriovenous fistula. Catheter Cardiovasc Interv. 2004; 63(3):373-6. DOI: 10.1002/ccd.20181. View

Ozaki K, Kubo T, Hanayama N, Hatada K, Shinagawa H, Maeba S . High-output heart failure caused by arteriovenous fistula long after nephrectomy. Heart Vessels. 2005; 20(5):236-8. DOI: 10.1007/s00380-004-0814-4. View

Resnick S, Chiang A . Transcatheter embolization of a high-flow renal arteriovenous fistula with use of a constrained wallstent to prevent coil migration. J Vasc Interv Radiol. 2006; 17(2 Pt 1):363-7. DOI: 10.1097/01.RVI.0000194866.31834.E4. View

Idowu O, Barodawala F, Nemeth A, Trerotola S . Dual use of an amplatzer device in the transcatheter embolization of a large high-flow renal arteriovenous fistula. J Vasc Interv Radiol. 2007; 18(5):671-6. DOI: 10.1016/j.jvir.2007.02.008. View

Bozgeyik Z, Ozdemir H, Orhan I, Cihangiroglu M, Cetinkaya Z . Pseudoaneurysm and renal arteriovenous fistula after nephrectomy: two cases treated by transcatheter coil embolization. Emerg Radiol. 2007; 15(2):119-22. DOI: 10.1007/s10140-007-0646-5. View

Brountzos E, Ptohis N, Grammenou-Pomoni M, Panagiotou I, Kelekis D, Gouliamos A . High-flow renal arteriovenous fistula treated with the Amplatzer vascular plug: implementation of an arterial and venous approach. Cardiovasc Intervent Radiol. 2008; 32(3):543-7. DOI: 10.1007/s00270-008-9383-8. View

Campbell J, Davis C, Defade B, Tierney J, Stone P . Use of an amplatzer vascular plug for transcatheter embolization of a renal arteriovenous fistula. Vascular. 2009; 17(1):40-3. DOI: 10.2310/6670.2008.00071. View

10.

Ginat D, Saad W, Turba U . Transcatheter renal artery embolization: clinical applications and techniques. Tech Vasc Interv Radiol. 2009; 12(4):224-39. DOI: 10.1053/j.tvir.2009.09.007. View

11.

Shih C, Liang P, Chiang F, Tseng C, Tseng Y, Hsu K . Transcatheter embolization of a huge renal arteriovenous fistula with Amplatzer Vascular Plug. Heart Vessels. 2010; 25(4):356-8. DOI: 10.1007/s00380-009-1210-x. View

12.

Hyams E, Pierorazio P, Proteek O, Sukumar S, Wagner A, Mechaber J . Iatrogenic vascular lesions after minimally invasive partial nephrectomy: a multi-institutional study of clinical and renal functional outcomes. Urology. 2011; 78(4):820-6. DOI: 10.1016/j.urology.2011.04.063. View

13.

Sundarakumar D, Kroma G, Smith C, Lopera J, Suri R . Embolization of a large high-flow renal arteriovenous fistula using 035″ and 018″ detachable coils. Indian J Radiol Imaging. 2013; 23(2):151-4. PMC: 3777326. DOI: 10.4103/0971-3026.116574. View

14.

Abdel-Aal A, Elsabbagh A, Soliman H, Hamed M, Underwood E, Saddekni S . Percutaneous embolization of a postnephrectomy arteriovenous fistula with intervening pseudoaneurysm using the Amplatzer vascular plug 2. Vasc Endovascular Surg. 2014; 48(7-8):516-21. DOI: 10.1177/1538574414561230. View

15.

Morin R, Dunn E, Wright C . Renal arteriovenous fistulas: a review of etiology, diagnosis, and management. Surgery. 1986; 99(1):114-8. View

16.

Kearse Jr W, Joseph A, Sabanegh Jr E . Transcatheter embolization of large idiopathic renal arteriovenous fistula. J Urol. 1994; 151(4):967-9. DOI: 10.1016/s0022-5347(17)35136-4. View

17.

Korn T, THURSTON J, Sherry C, Kawalsky D . High-output heart failure due to a renal arteriovenous fistula in a pregnant woman with suspected preeclampsia. Mayo Clin Proc. 1998; 73(9):888-92. DOI: 10.4065/73.9.888. View