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Mansueto, Giancarlo; D'Onofrio, Mirko; Minniti, Salvatore; Ferrara, Rosa Maria; Procacci, Carlo

Therapeutic Embolization of Idiopathic Renal Arteriovenous Fistula Using the “Stop-Flow” Technique

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  • Media type: E-Article
  • Title: Therapeutic Embolization of Idiopathic Renal Arteriovenous Fistula Using the “Stop-Flow” Technique
  • Contributor: Mansueto, Giancarlo; D'Onofrio, Mirko; Minniti, Salvatore; Ferrara, Rosa Maria; Procacci, Carlo
  • Published: SAGE Publications, 2001
  • Published in: Journal of Endovascular Therapy, 8 (2001) 2, Seite 210-215
  • Language: English
  • DOI: 10.1177/152660280100800218
  • ISSN: 1526-6028; 1545-1550
  • Origination:
  • Footnote:
  • Description: Purpose: To present a case of massive idiopathic arteriovenous fistula (AVF) successfully treated with an endovascular procedure. Case Report: A 42-year-old woman with microscopic hematuria was found to have a massive idiopathic renal AVF. Percutaneous embolization was undertaken using a dual approach to deliver an occluding balloon through the draining vein and an arterial access to selectively catheterize the aneurysmal afferent artery. With the balloon inflated to interrupt flow (“stop-flow” technique), acrylic glue was delivered precisely to occlude the lesion. Duplex scans at 12 months have documented continued complete occlusion of the anomalous communication. Conclusions: The dual arterial and venous approach with the “stop-flow” technique makes it possible to successfully treat idiopathic AVFs that have constant high-flow connections.