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1. Endovascular treatment of a giant renal artery aneurysm associated with an arteriovenous fistula: Report of a case and review of the literature.

Author

Pappas GM, Sfyroeras GS, Krinos NT, Theodosopoulos IT, Spiliopoulos S, Brountzos EN, and Geroulakos G

Subjects
Male, Humans, Adult, Renal Artery diagnostic imaging, Renal Artery surgery, Treatment Outcome, Arteriovenous Fistula complications, Arteriovenous Fistula diagnostic imaging, Aneurysm complications, Aneurysm diagnostic imaging, Embolization, Therapeutic methods, Endovascular Procedures
Abstract

Renal artery aneurysm (RAA) concomitant with a renal arteriovenous fistula (RAVF) has been infrequently reported in the literature. We report a case of a 42-year-old man suffering from a giant RAA combined with a congenital high-flow RAVF. The contrast-enhanced CTA showed a 12.7-cm RAA synchronous with an RAVF between the right renal artery and a draining vein. After a comprehensive preoperative assessment, an endovascular approach was decided. Successful embolization was performed using an Amplatzer vascular Plug, and multiple coils. Completion angiogram demonstrated no flow into the RAA. The results of longterm follow-up demonstrate that endovascular techniques are safe and effective for the management of RAAs combined with high-flow RAVF.

Published
2022
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