RENAL ARTERIOVENOUS FISTULA (ANEURYSMAL TYPE) TREATED BY NEPHRECTOMY UNDER BALLOON CATHETER OCCLUSION OF RENAL ARTERY: A CASE REPORT

A 60-year-old man presented with leg edema and shortness of breath. He was being treated with medication for chronic heart failure for the past 3 years and had been in a traffic accident when he was 13 years old. Computed tomography showed a huge right renal arteriovenous fistula (AVF). The right re...

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Veröffentlicht in:	Nihon Hinyokika Gakkai zasshi. The japanese journal of urology 2018/04/20, Vol.109(2), pp.116-121
Hauptverfasser:	Ohashi, Tomoyoshi, Nishikimi, Toshinori, Hattori, Kyosuke, Yamauchi, Yushi, Ishida, Ryo, Yamada, Hiroshi, Yokoi, Keisuke, Kobayashi, Hiroaki
Format:	Artikel
Sprache:	eng ; jpn
Schlagworte:	Arteriovenous Fistula - complications Arteriovenous Fistula - diagnostic imaging Arteriovenous Fistula - surgery Balloon Embolectomy - methods Balloon Occlusion - methods Chronic Disease heart failure Heart Failure - etiology Humans Male Middle Aged nephrectomy Nephrectomy - methods renal arteriovenous fistula Renal Artery - abnormalities Renal Artery - surgery Renal Veins - abnormalities Tomography, X-Ray Computed Treatment Outcome
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Zusammenfassung:	A 60-year-old man presented with leg edema and shortness of breath. He was being treated with medication for chronic heart failure for the past 3 years and had been in a traffic accident when he was 13 years old. Computed tomography showed a huge right renal arteriovenous fistula (AVF). The right renal artery measured 16 mm in diameter, the renal aneurysm was observed to be 60 mm, renal vein 87 mm, and the inferior vena cava 60 mm in diameter. His high-output heart failure was attributed to his right renal AVF, for which treatment was deemed necessary. Due to the risk of pulmonary embolism associated with transcatheter arterial embolization, we performed a nephrectomy with temporary interruption of renal blood flow using a balloon catheter. He was observed to be asymptomatic immediately after surgery.
ISSN:	0021-5287 1884-7110
DOI:	10.5980/jpnjurol.109.116