外傷性腎動静脈瘻に対してコイル塞栓術を施行した1例

中村 政宏; 内山 英俊; 岸野 充浩; 中村 浩志; 西澤 真人; 猪狩 公宏; 小泉 伸也; 米倉 孝治; 豊福 崇浩; 工藤 敏文; 地引 政利; 菅野 範英; 井上 芳徳

doi:10.7133/jca.52.163

Case Report

A Case of Renal Arteriovenous Fistula Due to Blunt Trauma Treated with Coil Embolization

Masahiro Nakamura, Hidetoshi Uchiyama, Mitsuhiro Kishino, Hiroshi Nakamura, Masato Nishizawa, Kimihiro Igari ^†, Shinya Koizumi ^†, Koji Yonekura ^†, Takahiro Toyofuku ^†, Toshifumi Kudo ^†, Norihide Sugano, Yoshinori Inoue, [in Japanese]

Author information

Masahiro Nakamura
Department of Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Hidetoshi Uchiyama
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Mitsuhiro Kishino
Department of Radiology, Tokyo Medical and Dental University, Tokyo, Japan
Hiroshi Nakamura
Department of Surgery, SHUWA General Hospital, Saitama, Japan
Masato Nishizawa
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Kimihiro Igari ^†
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Shinya Koizumi ^†
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Koji Yonekura ^†
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Takahiro Toyofuku ^†
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Toshifumi Kudo ^†
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Norihide Sugano
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Yoshinori Inoue
Department of Surgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ohkubo Hospital, Tokyo, Japan
[in Japanese]
Department of Vascular and Endovascular Surgery, Tokyo Medical and Dental University, Tokyo, Japan
Author contributions

†These authors contributed equally: Kimihiro Igari, Shinya Koizumi, Koji Yonekura, Takahiro Toyofuku, Toshifumi Kudo

Keywords: renal arteriovenous fistula, arterial embolization, blunt trauma

JOURNAL OPEN ACCESS

2012 Volume 52 Issue March Pages 163-167

DOI https://doi.org/10.7133/jca.52.163

Details

Abstract

We herein report a case of a renal arteriovenous fistula arising due to blunt trauma. A 61-year-old female was suspected of having a renal artery aneurysm based on a computed tomography (CT) scan performed at the referring hospital. She had hit the right side of her back after slipping from a stage as a child. An abdominal bruit was heard on the right umbilical point, and mild urinary occult blood was observed. Right renal arteriography revealed two consecutive aneurysms from the upper branch, and the inferior vena cava was early enhanced. A renal arteriovenous fistula (AVF) with aneurysmal formation was diagnosed. Coil embolization with balloon occlusion for the AVF was successfully performed without any complications, including fever and renal dysfunction. Coil embolization is therefore considered to be a safe and effective method for treating a renal arteriovenous fistula with aneurysmal formation.

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