Two Stage Complex Embolization of an Arteriovenous Fistula between the Right Common Iliac Artery and the Inferior Vena Cava

Authors

  • Marc Gingell Littlejohn
  • Nile Allaf
  • Stephen Butterfield

DOI:

https://doi.org/10.3941/jrcr.v3i1.57

Keywords:

Arteriovenous fistula, endovascular embolisation, transvenous embolisation, accessory renal artery

Abstract

We  present an interesting case of a symptomatic high flow AV fistula between the right common iliac artery (CIA) and the inferior vena cava (IVC), successfully treated by endovascular coil embolization. The patient was found to have a right lower polar renal artery crossing the ipsilateral ureter arising from the CIA, causing pelvi-ureteric junction (PUJ) obstruction and recurrent pyelonephritis.  It is hypothesized that this fistula arising from the lower polar renal artery and entering the IVC, may have occurred as a result of trauma during a previous pyeloplasty, or a pathologically induced process of angiogenesis stemming from recurrent pyelonephritis.

Author Biographies

Marc Gingell Littlejohn

ST2FT General Surgery

Western Infirmary, Glasgow, UK

Nile Allaf

SpR Vascular Surgery

Manchester Royal Infirmary

Manchester, UK

Stephen Butterfield

Consultant Radiologist

Wythenshawe Hospital

Manchester, UK

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Published

2009-01-04

Issue

Section

Interventional Radiology