Surgical Treatment of Renal Arteriovenous Fistulas: Report of 5 Cases

Tynes, William V.; Devine, Charles J.; Devine, Patrick C.; Poutasse, Eugene F.

doi:10.1016/s0022-5347(17)62029-9

Cited by 40 publications

(4 citation statements)

References 6 publications

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“…Jr. et al, 1968;Tynes, Devine Jr., Devine & POUtasse, 1970). In spite of the peripheral location of the fistula, we found that the blood flow through it was considerable (60-82% of the total blood flow in the main trunk of the renal artery passed through the arteriovenous communication in our 4 cases).…”

Section: Scand J Urol Nephrol5mentioning

confidence: 40%

“…These are more or less pronounced depending on the size of the fistula (Ried, 1925;Adams, 1951). The peripheral effect has previously been studied in detail both experimentally (Robertson, Dennis & Elkin, 1950;Holman & Taylor, 1952;Schenk Jr, Martin, Leslie & Portin, 1960;Johnson Jr., Dart Jr., Peters & Steele, 1966) and clinically (Pemberton & Waugh, 1939;Epstein, Post & McDowell, 1953;Wood, Swan & Helmholz Jr, 1957) in cases of arteriovenous fistula in the extremities. Although increased blood flow in the neighbourhood of the shunt, due to increased collateral blood supply, can often be demonstrated, the main effect is a reduction of blood flow in the tissues distal to {he fistula.…”

Section: Scand J Urol Nephrol5mentioning

confidence: 99%

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Renal Arteriovenous Fistula Following Puncture Biopsy: A Hemodynamic and Functional Study in Four Cases

Lingårdh

Lindqvist

Lundström

1971

Scandinavian Journal of Urology and Nephrology

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Abstracr. Four cases of arteriovenous fistula in ths renal parenchyma following percutaneous renal biopsy in uremic patients are described. The effect cn ths renal blood flow was studied with a dye-dilution technique. Although in all cases the fistulas were located peripherally in ihkidney, a considerable redistribution of ths blood flow could be demonstrated, resulting in decreased flow through the renal parenchyma. The diminished blood flow gave rise to decrtastd function of the affected kidney.

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Section: Scand J Urol Nephrol5mentioning

confidence: 40%

Section: Scand J Urol Nephrol5mentioning

confidence: 99%

Renal Arteriovenous Fistula Following Puncture Biopsy: A Hemodynamic and Functional Study in Four Cases

Lingårdh

Lindqvist

Lundström

1971

Scandinavian Journal of Urology and Nephrology

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“…Before the recent advancements in endovascular treatment, surgery used to be the standard therapy. [10] Feeding artery ligation with or without renal function preserving partial nephrectomy was performed. Endovascular embolization has now become the preferred option for management due to less incidence of complications and ability to preserve the renal function.…”

Section: Discussionmentioning

confidence: 99%

Endovascular embolization of idiopathic renal arteriovenous fistula – A case report and literature review

Vignesh

Madhumitha

Mukuntharajan

2023

CRCR

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Idiopathic renal arteriovenous fistulas (RAVFs) are rare vascular anomalies with no identifiable etiology. We present a case of 65-year-female who was being evaluated for complaints of the right flank pain and dysuria with no past history of trauma or surgery. Computed tomography showed arteriovenous fistula in lower pole of the right kidney with dilated branch of the right renal artery and dilated venous sacs. The patient was planned for endovascular embolization. Right renal angiogram showed dilated lower polar artery with a single-hole arteriovenous fistula. Selective coil embolization of the arterial channel was done. Post-deployment angiogram showed complete occlusion of the fistula and normal opacification of remaining segmental branches. On follow-up 1-month later, the patient was in good general condition. With advancements in endovascular techniques, transcatheter embolization has become initial treatment of choice for managing RAVF due to its less incidence for complications and preservation of renal function.

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“…It often presents with cardiovascular symptoms such as hypertension or heart failure. It is hypothesized that idiopathic RAVF is caused by the erosion of an aneurysm of an intraparenchymal renal artery into an adjacent vein [8] . In idiopathic RAVF, the right kidney is more likely to be involved, and females are affected twice as compared to males, similar to the presented case [9] .…”

Section: Discussionmentioning

confidence: 99%

Large renal arteriovenous fistula treated by embolization: a case report

Duc

Duong

Phong

et al. 2021

Radiology Case Reports

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Renal arteriovenous fistula (RAVF) is an uncommon vascular malformation of the kidney, which can be congenital, acquired or idiopathic. Although most patients are asymptomatic, RAVF can lead to hypertension, heart failure, renal insufficiency, hematuria, and progressive increase in size of renal vessels. Diagnosis is aided by radiological studies, with digital subtraction angiography as a gold standard. Besides, ultrasound with color Doppler and computed tomography angiography are noninvasive imaging techniques and can be useful for planning the treatment. A large fistula are generally treated by nephrectomy. Intervention can ameliorate the hemodynamic effects of high flow and to preserve the renal parenchymal function. Although endovascular therapy may be challenging due to the large size and high flow of fistula, this report describes a case of huge RAVF was successfully treated by embolization instead of surgery.

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Surgical Treatment of Renal Arteriovenous Fistulas: Report of 5 Cases

Cited by 40 publications

References 6 publications

Renal Arteriovenous Fistula Following Puncture Biopsy: A Hemodynamic and Functional Study in Four Cases

Renal Arteriovenous Fistula Following Puncture Biopsy: A Hemodynamic and Functional Study in Four Cases

Endovascular embolization of idiopathic renal arteriovenous fistula – A case report and literature review

Large renal arteriovenous fistula treated by embolization: a case report

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