Giant idiopathic renal arteriovenous fistula managed by coils and amplatzer device: Case report and literature review

Prashant Nagpal; Girish Bathla; Sachin S Saboo; Ashish Khandelwal; Abhishek Goyal; Frank J Rybicki; Michael L Steigner

doi:10.12998/wjcc.v4.i11.364

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Giant idiopathic renal arteriovenous fistula managed by coils and amplatzer device: Case report and literature review

Journal article

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Giant idiopathic renal arteriovenous fistula managed by coils and amplatzer device: Case report and literature review

Prashant Nagpal, Girish Bathla, Sachin S Saboo, Ashish Khandelwal, Abhishek Goyal, Frank J Rybicki and Michael L Steigner

World journal of clinical cases, Vol.4(11), pp.364-368

11/16/2016

DOI: 10.12998/wjcc.v4.i11.364

PMCID: PMC5112356

PMID: 27900325

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Abstract

An idiopathic renal arteriovenous (AV) fistula is a rare malformation of the kidney that may present insidiously with heart failure or hematuria. The treatment may be challenging due to large fistula size that may limit endovascular management. The authors report a case of an 85-year-old Caucasian woman who presented with acute heart failure and was found to have a right renal AV fistula. Since she had no prior history of renal intervention or trauma, a diagnosis of idiopathic renal AV fistula was made. She was managed by endoluminal occlusion using multiple stainless steel coils and Amplatzer vascular plug II device. The follow-up computed tomography showed complete occlusion of the fistula. This report highlights the late presentation of this rare disease and presents the utility of the combination of coils and Amplatzer device for management of a large fistula. It also reiterates that even if large, these fistulas can be managed by endovascular occlusion.

Heart failure

Arteriovenous fistula

Endovascular management

Amplatzer device

Idiopathic

Details

Title: Subtitle: Giant idiopathic renal arteriovenous fistula managed by coils and amplatzer device: Case report and literature review
Creators: Prashant Nagpal - Prashant Nagpal, Girish Bathla, Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, United States
Girish Bathla - Prashant Nagpal, Girish Bathla, Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, United States
Sachin S Saboo - Prashant Nagpal, Girish Bathla, Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, United States
Ashish Khandelwal - Prashant Nagpal, Girish Bathla, Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, United States
Abhishek Goyal - Prashant Nagpal, Girish Bathla, Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, United States
Frank J Rybicki - Prashant Nagpal, Girish Bathla, Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, United States
Michael L Steigner - Prashant Nagpal, Girish Bathla, Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, United States
Resource Type: Journal article
Publication Details: World journal of clinical cases, Vol.4(11), pp.364-368
DOI: 10.12998/wjcc.v4.i11.364
PMID: 27900325
PMCID: PMC5112356
NLM abbreviation: World J Clin Cases
ISSN: 2307-8960
eISSN: 2307-8960
Publisher: United States
Language: English
Date published: 11/16/2016
Academic Unit: Radiology
Record Identifier: 9984051580602771

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