Balloon-Expandable Stent Graft for Treating Uretero-Iliac Artery Fistula

Journal Article · Thu Jun 15 04:00:00 EDT 2017 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-017-1586-4· OSTI ID:22645173

Guntau, Moritz ^[1]; Hegele, Axel ^[2]; Rheinheimer, Stephan ^[1]; Hofmann, Rainer ^[2]; Mahnken, Andreas H. ^[1]

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1. Philipps University, Department of Diagnostic and Interventional Radiology, Marburg University Hospital (Germany)
2. Philipps University, Department of Urology and Pediatric Urology, Marburg University Hospital (Germany)

PurposeTo evaluate the safety, efficacy and outcome of percutaneous balloon-expandable covered stent graft placement for uretero-iliac artery fistula (UAF) treatment.MethodsThis retrospective study evaluated the single-center experience of percutaneous balloon-expandable covered stent graft placement (ADVANTA™, Atrium Hudson, NH, USA) in UAF. Data were obtained from a prospective institutional database. Patient follow-up included complications, symptoms recurrence and mortality rate.ResultsTen UAFs in eight patients (3 males; 5 females) with a mean age of 64.5 (35–77) years were identified. All patients had a history pelvic malignancy, extirpative surgery (n = 6), long-term ureteral stenting (n = 7) and pelvic radiation (n = 5). All procedures were completed successfully without complications. Thirty-day mortality rate was zero. At a median follow-up of 6 (1–60) months, one patient suffered recurrent hematuria requiring a secondary stent graft placement 26 months after the initial treatment. During follow-up, five patients died of the underlying disease (43, 66, 105, and 183 and 274 days after the last procedure).ConclusionPercutaneous balloon-expandable stent graft placement in UAF is a safe and effective treatment option. Implantation of stent grafts should be considered as treatment of choice in UAF.

• OSTI ID: 22645173
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 6 Vol. 40; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
ATRIA
BALLOONS
GRAFTS
MORTALITY
NEOPLASMS
PATIENTS
SAFETY
SURGERY
SYMPTOMS