Postnephrectomy fistula between the renal artery stump and inferior vena cava treated with Amplatzer

May 1st, 2008 | by admin |

Postnephrectomy fistula between the renal artery stump and inferior vena cava treated with Amplatzer vascular plug: Gray-scale and Doppler sonographic findings.

Fistulous communication between the renal artery stump and the inferior vena cava is a rare complication of nephrectomy. We report a case of an adult male in whom a fistula was detected on investigation for persistent postoperative anemia. The fistula was initially identified with Doppler sonography and subsequently confirmed on a catheter angiogram. It was successfully occluded percutaneously with an Amplatzer vascular plug. The plug had a distinctive appearance on subsequent sonographic studies that was useful for follow-up evaluation. (c) 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008.

Taneja M, Metupalle V, Hiong TK, Soo TB, Htoo A.

Department of Diagnostic and Vascular Interventional Radiology, Outram Road, Singapore General Hospital, Singapore 169608.

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