Percutaneous Treatment of an Intraoperative Arterial Injury as a Result of Endoureterotomy

Cases were managed percutaneously with a combination of the deployment of a covered prosthesis and, when needed, with mechanical occlusion of the ureter. Hematuria stopped in all the patients with no evidence of immediate rebleeding. One patient presented a new episode of vaginal bleeding 13 months after endograft placement and ureteral embolization. Arteriography showed the presence of a hypogastric artery pseudoaneurysm that was occluded using coils. No new bleeding has occurred in this patient 12 months after the second embolization. At present all 4 patients are alive with follow-up periods of 5, 9, 11 and 25 months since the first procedure.

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Treatment of Ureteroarterial Fistulae with Covered Vascular Endoprostheses and Ureteral Occlusion

Bilbao

Cosín

Bastarrika

et al. 2005

Cardiovasc Intervent Radiol

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Arterioureteral Fistulas: Unusual Suspects—Systematic Review of 139 Cases

Bergh¹,

Moll²,

Vries³

et al. 2009

Urology

118

160

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Hypogastric Arterial-Ureteral Fistula

et al. 1998

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Percutaneous Treatment of an Intraoperative Arterial Injury as a Result of Endoureterotomy

Cited by 6 publications

References 5 publications

Treatment of Ureteroarterial Fistulae with Covered Vascular Endoprostheses and Ureteral Occlusion

Treatment of Ureteroarterial Fistulae with Covered Vascular Endoprostheses and Ureteral Occlusion

Arterioureteral Fistulas: Unusual Suspects—Systematic Review of 139 Cases

Hypogastric Arterial-Ureteral Fistula

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