Simultaneous transarterial and transvenous coil embolization for a large aneurysmal-type renal arteriovenous fistula

Keita Nakayama, MD; Masashi Shimohira, MD; Kengo Ohta, MD; Kazushi Suzuki, MD; Taeko Goto, MD; Yusuke Sawada, MD; Yuta Shibamoto, MD

Radiology Case Reports (Apr 2018)

Simultaneous transarterial and transvenous coil embolization for a large aneurysmal-type renal arteriovenous fistula

Keita Nakayama, MD,
Masashi Shimohira, MD,
Kengo Ohta, MD,
Kazushi Suzuki, MD,
Taeko Goto, MD,
Yusuke Sawada, MD,
Yuta Shibamoto, MD

Affiliations

Keita Nakayama, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Masashi Shimohira, MD: Corresponding author.; Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Kengo Ohta, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Kazushi Suzuki, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Taeko Goto, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Yusuke Sawada, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan
Yuta Shibamoto, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan

Journal volume & issue: Vol. 13, no. 2
pp. 507 – 509

Abstract

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A 74-year-old woman underwent abdominal computed tomography for screening, and a right large aneurysmal-type renal arteriovenous fistula (AVF) was found incidentally. The venous sac of the renal arteriovenous fistula was enlarged, and coil embolization was considered. To prevent severe complications such as coil migration, pulmonary embolism, and rupture during procedure, coil embolization was approached via both the feeding artery and the draining vein simultaneously, with balloon occlusion of the feeding artery. It was accomplished successfully, and the patient could discharge without complication. Keywords: Renal arteriovenous fistula, Embolization

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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