Techniques in Vascular & Interventional Radiology
Volume 12, Issue 3 , Pages 216-221, September 2009

Uretro-Arterial Fistulas

  • Michael Darcy, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Michael Darcy, MD, Department of Radiology, Mallinckrodt Institute of Radiology, Washington University in St Louis, 510 South Kingshighway Blvd, St Louis, MO 63110

Department of Radiology, Mallinckrodt Institute of Radiology, Washington University in St Louis, St Louis, MO

Ureteral arterial fistula (UAF) is an uncommon condition but one that has been increasing with over 100 cases reported. The presentation is gross hematuria in a patient with predisposing factors, such as prior pelvic surgery, past radiation therapy, and chronic ureteral stenting. When not correctly diagnosed, the associated mortality is significant. Diagnosis is best accomplished by careful angiography with frequent use of provocative maneuvers. The current best therapeutic option is sealing off the UAF by deploying a stent graft in the artery.

Keywords: hemorrhage, ureter iliac artery, fistula

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PII: S1089-2516(09)00053-5

doi:10.1053/j.tvir.2009.09.005

Techniques in Vascular & Interventional Radiology
Volume 12, Issue 3 , Pages 216-221, September 2009

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