Delayed presentation of arteriovenous fistula 20 years after blunt renal trauma

Aulakh, Tajeshwar S.; Hayne, Dickon; Hinwood, David

doi:10.1007/s11255-006-9068-7

Cited by 12 publications

(6 citation statements)

References 13 publications

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“…Pseudo‐aneurysms and arteriovenous fistulae are the commonest causes of secondary haemorrhage , and occur almost exclusively in injuries of grade ≥III . Patients usually present with haematuria , often within 2 weeks of the injury ; however, reports of detection up to 20 years after renal trauma suggests they can progress asymptomatically . Although commonly diagnosed on CT, Doppler US has successfully detected both .…”

Section: Resultsmentioning

confidence: 99%

The conservative management of renal trauma: a literature review and practical clinical guideline from Australia and New Zealand

et al. 2014

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Objective• To review the literature and make practical recommendations regarding the conservative management of renal trauma. Patients and Methods• Relevant articles and guidelines published between 1980 and 2014 were reviewed.• Graded recommendations were constructed by a multi-disciplinary panel consisting of urologists, radiologists, and infectious disease physicians. • These recommendations underwent formal review and debate at the Western Australian USANZ 2013 state conference, and were presented at the USANZ 2014 annual scientific meeting.

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Section: Resultsmentioning

confidence: 99%

The conservative management of renal trauma: a literature review and practical clinical guideline from Australia and New Zealand

et al. 2014

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“…Erosion of arterial wall into the adjacent vein leading to the fusion of the vessel walls is considered the underlying pathophysiological mechanism [13,14]. Acquired RAVF is the most common sub-type and is considered a sequel of iatrogenic, blunt or even penetrating renal trauma [15][16][17][18][19][20]. Less frequent pathologies causing RAVF development include malignancy with tumor neovascularity [14] and/or focal inflammation of the vessel wall [2].…”

Section: Discussionmentioning

confidence: 99%

Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention

Rhee

Busch²,

Sansone³

et al. 2019

Case Reports in Vascular Medicine

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Purpose. To report the effectiveness of left renal artery (LRA) occlusion using Amplatzer Vascular Plug (AVP) II as treatment for a high-flow renal arteriovenous fistula (RAVF) with multiple renal vein aneurysms (RVA) to prevent aneurysm rupture and cardiac decompensation. Case Report. A 59-year-old female suffering from a post-traumatic RAVF presented with tachycardia and increased cardiac output (CO). Doppler ultrasonography and computed tomography (CT) scan revealed a high-flow RAVF with multiple RVAs and unilateral critically reduced kidney function. Appreciating recent interventional therapeutic advances, the patient was treated with endovascular placement of AVP II into the left renal artery (LRA) resulting in complete occlusion of the RAVF to effectively reduce the risk of RVA rupture and cardiac decompensation. No anti-platelet medication was administrated after the occlusion of the LRA. The patient’s physical capacity improved since right heart volume strain was normalized, and CO was reduced. Conclusion. Transbrachial AVP II occlusion of the LRA is effective to occlude high-flow RAVFs to prevent risk of life-threatening RVA rupture. Additional follow-up is warranted to verify long-term effectiveness of this approach.

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“…Potential complications include hematuria, secondary hypertension, and high output heart failure. 56 Treatment is similar to other vascular abnormalities, where identification and embolization of the offending vessel are key.…”

Section: Renal Arteriovenous Fistulamentioning

confidence: 99%

Delayed and Chronic Sequelae of Trauma and the Role of the Interventional Radiologist

Wolf

Smolinski-Zhao

2021

Semin intervent Radiol

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In addition to acute injury requiring interventional radiologic treatments, patients with traumatic injuries can develop delayed or chronic complications. These injuries can involve nearly all solid organs in the abdomen. Coupled with significant improvements in visualizing these injuries with advanced imaging techniques such as minimally invasive procedures, nonoperative management of both acute traumatic injuries and their longer term sequelae has become the norm. This article reviews frequently seen complications of traumatic injury and their management by interventional radiologists.

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Delayed presentation of arteriovenous fistula 20 years after blunt renal trauma

Cited by 12 publications

References 13 publications

The conservative management of renal trauma: a literature review and practical clinical guideline from Australia and New Zealand

The conservative management of renal trauma: a literature review and practical clinical guideline from Australia and New Zealand

Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention

Delayed and Chronic Sequelae of Trauma and the Role of the Interventional Radiologist

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