Section 11
Chapter 10,177

Angiographic arterial occlusion and extra-anatomical vascular bypass for the management of a ureteral-iliac fistula: case report and review of the literature

Gheiler, E.L.; Tefilli, M.V.; Tiguert, R.; Friedland, M.S.; Frontera, R.C.; Pontes, J.E.

Urologia Internationalis 61(1): 62-66


ISSN/ISBN: 0042-1138
PMID: 9792989
DOI: 10.1159/000030290
Accession: 010176510

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Ureteroarterial fistulas related to nonvascular etiology are rare clinical entities that are difficult to diagnose and manage. Diagnosis is best made by a combination of studies, including digital subtraction angiography. Low morbidity and mortality rates have been described with either percutaneous thrombosis of the iliac artery and extra-anatomic bypass, or by placement of a stented graft in the involved artery. We report on a well-documented case of a ureteroarterial fistula managed successfully with interventional radiologic embolization of the common iliac artery and immediate femoral-femoral arterial bypass. A review of the literature supports this approach.

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