The Teaching Point

Ureteroarterial fistula is rare, potentially life-threatening condition and should be considered in the differential diagnosis in patients presenting with intermittent gross hematuria with a prior history of pelvic surgery/radiation, ureteral manipulation and chronic cannulation. Although currently no standard of care exists, endovascular fistula exclusion utilizing stent graft offers a reasonable treatment option.






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From the manuscript

Endovascular Management of Ureteroarterial Fistula: A Rare Potentially Life Threatening Cause of Hematuria

Free full text article: Endovascular Management of Ureteroarterial Fistula: A Rare Potentially Life Threatening Cause of Hematuria

Abstract
Ureteroarterial fistula is a rare, potentially life-threatening cause of hematuria characterized by an abnormal channel between a ureter and artery. The rarity of this condition, complexity of predisposing risk factors and intermittence of symptoms may delay or obscure its diagnosis. With a high index of suspicion and careful angiographic evaluation, embarking on this condition is not only possible but sets the stage for curative intervention. We report a case of a ureteroarterial fistula presenting with intermittent hematuria, successfully diagnosed at angiography and managed with endovascular stent graft placement.






References



1. Quillin SP, Darcy MD, Picus D. Angiographic evaluation and therapy of ureteroarterial fistulas. AJR 1994; 162:873-878 (
Get full text
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2. Giordanengo F, Vandone PL, Trimarchi S, Zaniboni N, Miani S. Ruptured aneurysm of the internal iliac artery. Panminerva Med 1995; 37:150-154 (
Get full text
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3. Inoue T, Hioki T, Arai Y, Inaba Y, Sugimura Y. Ureteroarterial fistula controlled by intraluminal ureteral occlusion. Int J Urol 2002; 9:120 -121 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Bergqvist D, Parsson H, Sherif A. Arterio-ureteral fistula: a systematic review. Eur J Vasc Endovasc Surg 2001; 22:191-196 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Krambeck AE, DiMarco DS, Gettman MT, Segura JW. Ureteroiliac artery fistula: diagnosis and treatment algorithm. Urology 2005; 66(5):990-994 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Keller FS, Barton RB, Routh WD, Gross GM. Gross hematuria in two patients with ureteral-ileal conduits and double-J stents. J VascIntervRadiol 1990; 1:69-77 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Vandersteen DR, Saxon RR, Fuchs E, Keller FS, Taylor LM Jr, Barry JM. Diagnosis and management of ureteroiliac artery fistula: value of provocative arteriography followed by common iliac artery embolization and extraanatomic arterial bypass grafting. J Urol 1997; 158:754-758 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Grime PD, Wilmshurst CC, Clyne CA. Spontaneous iliac artery aneurysm-ureteric fistula. Eur J VascSurg 1989; 3:455-456 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Kerns DB, Darcy MD, Baumann DS, Allen BT. Autologous vein-covered stent for the endovascular management of an iliac artery-ureteral fistula: case report and review of the literature. J VascSurg 1996; 24:680-686 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Akaba N, Ujiie H, Umezawa K. A case of sudden gross hematuria caused by an iliac arteryureteral fistula. Nippon GekaGakkaiZasshi 1983; 84:648 -653 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Sherif A, Karacagil S, Magnusson A, Nyman R, Norlen BJ, Bergqvist D. Endovascular approach to treating secondary arterioureteral fistula. Scand J UrolNephrol 2002; 36:80-82 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


12. Mariani AJ, Mariani MC, Macchioni C. The significance of adult hematuria: 1,000 hematuria evaluations including a risk-benefit cost-effective analysis. J Urol 1989; 141:350 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Jones GR, Newhouse I. Sports-related hematuria: a review. Clin J Sport Med 1997;7(2):119 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. D`Amico G. The commonest glomerulonephritis in the world: IgA nephropathy. Q J Med1987; 64(245):709-27 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


15. Loo RK, Lieberman SF, Slezak JM. Stratifying risk of urinary tract malignant tumors in patients with asymptomatic microscopic hematuria. Mayo Clinic Proc 2013; 88:129 (
Get full text
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Crotty KL, Orihuela E, Warren MM. Recent advances in the diagnosis and treatment of renal arteriovenous malformations and fistulas. J Urol 1993; 150:1355 (
Get full text
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17. Russo D, Minutolo R, Iaccarino V. Gross hematuria of uncommon origin: the nutcracker syndrome. Am J Kidney Dis 1998; 32:E3 (
Get full text
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