Arterio-ureteral fistula; endovascular management of fistula between vascular graft and ureter
Arterio-ureteral fistula is an abnormal connection between a ureter and an artery. Patients present with hematuria that can progress to life-threatening hemorrhage. Diagnosis requires a high degree of clinical suspicion. We present the case of a 60 y/o female who presented with gross hematuria secon...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
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| Series: | Annals of Vascular Surgery - Brief Reports and Innovations |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772687823000582 |
| Summary: | Arterio-ureteral fistula is an abnormal connection between a ureter and an artery. Patients present with hematuria that can progress to life-threatening hemorrhage. Diagnosis requires a high degree of clinical suspicion. We present the case of a 60 y/o female who presented with gross hematuria secondary to a fistula between the right limb of an aorta-bifemoral graft and ureter. The patient was managed via an endovascular approach with complete resolution of her symptoms. Endovascular management of arterio-ureteral fistula is safe and effective. An open approach may offer better long-term outcomes and indicated in patients who fail endovascular management. |
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| ISSN: | 2772-6878 |