Arterioureteral Fistula Research Articles

How Far could a Ureteral Stent become a Cardiovascular Danger?

Introduction: Vascular complications involving the ureter are rare and usually present as an arterio-ureteral fistula. They can arise in several situations including degenerative iliac artery disease [1], previous vascular reconstruction procedures [2], extirpative surgery for pelvic or abdominal malignant disease [3], pelvic irradiation urolithiasis, urinary diversion procedure [4], extensive ureteral mobilization and prolonged indwelling ureteral stent [5]. Venous complications during the installation of the ureteral endoprosthesis are uncommon than arterial complications. We report a very rare case of simultaneous ureter and iliac vein perforation with intravenous migration of a ureteral stent through the inferior vena cava till the right atrium.

Ureteroarterial Fistula Following Laser Endopyelotomy

No AccessJournal of UrologyRadiology Page1 Mar 2009Ureteroarterial Fistula Following Laser Endopyelotomy Erik P. Castle, Rafael Nunez, Premal J. Desai, Mitchell R. Humphreys, Paul E. Andrews, and William Eversman Erik P. CastleErik P. Castle Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author , Rafael NunezRafael Nunez Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author , Premal J. DesaiPremal J. Desai Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author , Mitchell R. HumphreysMitchell R. Humphreys Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author , Paul E. AndrewsPaul E. Andrews Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author , and William EversmanWilliam Eversman Department of Radiology, Mayo Clinic, Phoenix, Arizona More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2008.11.074AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Ureteroarterial Fistula Following Laser Endopyelotomy." The Journal of Urology, 181(3), pp. 1343–1344 References 1 : Radial dilation of ureteral balloons: comparative in vitro analysis. J Endourol2005; 19: 575. Google Scholar 2 : The effects of ureteral mobilization and transection on ureteral oxygenation. Urology2008; 71: 1035. Google Scholar © 2009 by American Urological AssociationFiguresReferencesRelatedDetailsCited byKamphorst K, Lock T, van den Bergh R, Moll F, de Vries J, Lo R, de Kort G, Bruijnen R, Dik P, Horenblas S and de Kort L (2021) Arterio-Ureteral Fistula: Systematic Review of 445 PatientsJournal of Urology, VOL. 207, NO. 1, (35-43), Online publication date: 1-Jan-2022. Volume 181Issue 3March 2009Page: 1343-1344 Advertisement Copyright & Permissions© 2009 by American Urological AssociationMetricsAuthor Information Erik P. Castle Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author Rafael Nunez Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author Premal J. Desai Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author Mitchell R. Humphreys Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author Paul E. Andrews Department of Urology, Mayo Clinic, Phoenix, Arizona More articles by this author William Eversman Department of Radiology, Mayo Clinic, Phoenix, Arizona More articles by this author Expand All Advertisement PDF downloadLoading ...

Fistule ilio-urétérale : complication redoutable d’un faux anévrisme iliaque infecté àCandida. À propos d’un cas

Arterio-ureteral fistula is a rare condition difficult to diagnose. The usual presentation associates acute paroxysmal hematuria with well-identified history and risk factors. We report the case of an 84-year-old man with a life-threatening complication of an ilio-ureteral fistula complicating an anastomotic iliac pseudoaneurysm after prothetic iliofemoral surgery, due to a fungic infection by Candida. After reporting the clinical case and the emergency surgical treatment, we present a review of the literature.

Arterio-Ureteral Fistula: 11 New Cases of a Wolf in Sheep’s Clothing

We provide insight into the presentation, diagnostics, treatment, and accompanying clinical difficulties and complications of an arterio-ureteral fistula and add 11 patients with arterio-ureteral fistula to the 90 described in the literature. A retrospective search was done for confirmed cases of arterio-ureteral fistula that were treated at 3 medical centers. A total of 11 cases of arterio-ureteral fistula were reviewed from 1980 to 2006. A history of major abdominal surgery had an essential role in 10 of the 11 cases, especially vascular intervention in 8. All patients presented with varying manifestations of hematuria. Ureteral contrast studies and nonprovocative angiography provided the most valuable diagnostic information with all 5 and 3 of 5 showing positive results, respectively. In 4 of 11 patients (36%) the diagnosis of arterio-ureteral fistula was only made during laparotomy. Ten patients were treated with a classic open surgical approach (vascular and urological) and in 1 endovascular stents were inserted. Two of 11 patients (18%) needed acute surgical intervention because of hemodynamic instability. The in hospital mortality rate was 9%. At a mean followup of 17 months 3 other patients (27%) had died of causes unrelated to the arterio-ureteral fistula. The diagnosis of arterio-ureteral fistula should be considered in patients with persistent hematuria who have a history of major abdominal vascular surgery even when diagnostic test results are negative for a fistula, because in 36% of our patients the diagnosis could only be made at operation. The in hospital morbidity and mortality rates are considerable and, therefore, a timely diagnosis and elective multidisciplinary treatment are preferred.

Arterioureteral Fistula

Arterioureteral fistula is a rare clinical entity that has been reported more frequently over the past decade. The risk factors for arterioureteral fistula include previous pelvic or urologic surgery, ureteral stenting, pelvic irradiation, and previous vascular pathology. All patients who present with this clinical entity have at least one of these risk factors, and the majority of patients have more than one risk factor. Radiographic demonstration of an arterioureteral fistula may be difficult and often requires more than one diagnostic modality. Angiography and retrograde ureterography appear to be the most helpful in establishing a diagnosis. The literature suggests that patients with a diagnosis of arterioureteral fistula before surgery have an increased incidence of renal salvage and decreased mortality. Methods of repair have been varied, but in the past several years, endovascular approaches to this problem have become more common. The authors report two cases of arterioureteral fistulae, one managed operatively, and one managed by endovascular placement of a covered stent. The literature is reviewed, and etiology, diagnosis, surgical therapy, and endovascular therapy are discussed.

Intraoperative Transvascular Balloon Catheter Management for Arterioureteral Fistula

An arterioureteral fistula is a rare but intriguing anomaly. Fewer than two dozen cases have been recorded, and all have relayed the extreme diagnostic and therapeutic challenges that this entity presents to the clinician. Factors contributing to the development of such a fistula include prolonged ureteral catheterization, prior pelvic vascular or urologic surgery, cancer or radiation. These patients are severely debilitated, and repair has a mortality rate in excess of 15%. Experience with such a patient is reported, as well as use of a minimally invasive approach to repair the abnormality. By using transvascular balloon occlusion of the involved iliac vessel and extra-anatomic vascular reconstruction, the significant morbidity and mortality associated with this disorder were avoided. Suspicion of an arterioureteral fistula should be increased in those at risk and treatment can be effected with this minimally invasive method.

Arterioureteral Fistula After Extended Resection of Pelvic Tumors: Report of Three Cases and Review of the Literature

Arterioureteral fistulas are rare. Three patients with arterioureteral fistulas complicating extended resection of pelvic tumors associated with bilateral cutaneous ureterostomy in the right lower quadrant are reported. In one case, the fistula involved the left ureter, the right common iliac artery, and the inferior mesenteric artery. Pathological iliac artery, pelvic cancer, or operated ureteral stones are often incriminated in the genesis of ureteroarterial fistulas. Insertion of a ureteral catheter has been found to be the main promoting factor. The common iliac artery is involved frequently. Clinical presentation is often limited to gross hematuria, whereas complementary investigations have not proved to be sensitive. Surgical treatment is often complex, but must be undertaken early, even in the absence of absolute proof of diagnosis, in order to preclude uncontrollable massive hemorrhage.