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Endovascular treatment of ureteroarterial fistulas with stent-grafts

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Abstract

Ureteroarterial fistula is a rare condition with life-threatening hematuria that should be diagnosed and treated immediately. We reported two patients of ureteroarterial fistula who underwent successful endovascular treatment by stent-grafts. They had undergone pelvic surgery followed by placement of an indwelling ureteral stent for stricture of the ureter before sudden hematuria occurred. Routine contrast-enhanced computed tomography did not reveal extravasation or a pseudo-aneurysm. Angiograms with multiple oblique views demonstrated small pseudoaneurysms of the iliac artery overriding the ipsilateral ureter. The endovascular treatment of ureteroarterial fistula using stent-grafts was successful, and the hematuria disappeared immediately after stent-graft deployment. The hematuria did not recur up to the last follow-up visits of 3 and 19 months, respectively.

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Authors and Affiliations

  1. Department of Radiology, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, 409-3898, Japan

    Takuji Araki, Motonori Nagata & Tsutomu Araki

  2. Department of Urology, Faculty of Medicine, University of Yamanashi, Chuo, Japan

    Yoshio Takihana & Masayuki Takeda

Authors
  1. Takuji Araki
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  2. Motonori Nagata
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  3. Tsutomu Araki
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  4. Yoshio Takihana
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  5. Masayuki Takeda
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Correspondence to Takuji Araki.

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Araki, T., Nagata, M., Araki, T. et al. Endovascular treatment of ureteroarterial fistulas with stent-grafts. Radiat Med 26, 372–375 (2008). https://doi.org/10.1007/s11604-008-0235-x

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  • DOI: https://doi.org/10.1007/s11604-008-0235-x

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