Arterio-ureteral Fistula: Endovascular Management of Fistula Between Vascular Graft and Ureter
Osceola Regional Medical Center
arterio-ureteral fistula, fistula, hematuria, vascular surgery
Female Urogenital Diseases and Pregnancy Complications | Medicine and Health Sciences | Surgery
Arterio-ureteral fistula is an abnormal connection between a ureter and an artery. Patients present with hematuria that can progress to life-threatening hemorrhage. Diagnosis requires a high degree of clinical suspicion. We present the case of a 60 y/o female who presented with gross hematuria secondary to a fistula between the right limb of an aorta-bifemoral graft and ureter. The patient was managed via an endovascular approach with complete resolution of her symptoms. Endovascular management of arterio-ureteral fistula is safe and effective. An open approach may offer better long-term outcomes and indicated in patients who fail endovascular management.
Publisher or Conference
Annals of Vascular Surgery - Brief Reports and Innovations
Torres-Aguiar RM, Calderín J. Arterio-ureteral fistula; endovascular management of fistula between vascular graft and ureter. Annals of Vascular Surgery - Brief Reports and Innovations. 2023;3(3):100216. doi:10.1016/j.avsurg.2023.100216.