Two Stage Complex Embolization of an Arteriovenous Fistula between the Right Common Iliac Artery and the Inferior Vena Cava

<p>We  present an interesting case of a symptomatic high flow AV fistula between the right common iliac artery (CIA) and the inferior vena cava (IVC), successfully treated by endovascular coil embolization. The patient was found to have a right lower polar renal artery crossing the ips...

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Bibliographic Details
Main Authors: Marc Gingell Littlejohn, Nile Allaf, Stephen Butterfield
Format: Article
Language:English
Published: EduRad Publishing 2009-01-01
Series:Journal of Radiology Case Reports
Subjects:
Online Access:http://www.radiologycases.com/index.php/radiologycases/article/view/57
Description
Summary:<p>We  present an interesting case of a symptomatic high flow AV fistula between the right common iliac artery (CIA) and the inferior vena cava (IVC), successfully treated by endovascular coil embolization. The patient was found to have a right lower polar renal artery crossing the ipsilateral ureter arising from the CIA, causing pelvi-ureteric junction (PUJ) obstruction and recurrent pyelonephritis.  It is hypothesized that this fistula arising from the lower polar renal artery and entering the IVC, may have occurred as a result of trauma during a previous pyeloplasty, or a pathologically induced process of angiogenesis stemming from recurrent pyelonephritis.</p>
ISSN:1943-0922