Long-term outcome following endovascular repair of complex aortocaval fistula after nephrectomy

A 65-year-old male with a history of right nephrectomy after a gunshot wound during childhood presented with an aortocaval fistula and fistula between the right renal artery stump and inferior vena cava. Given the risk of high-output heart failure, the patient was offered intervention. The fistula was repaired with a combination of coil embolization, placement of an Amplatzer plug, and a Palmaz stent. Surveillance imaging for 9 years following his operation demonstrated continued exclusion of the fistula with no opacification of the venous system.

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Publication Details

Journal
Journal of Vascular Surgery Cases and Innovative Techniques
Published
2025-11-05
DOI
https://doi.org/10.1016/j.jvscit.2025.102043
Primary Topic
Aortic aneurysm repair treatments
Type
article
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article

Long-term outcome following endovascular repair of complex aortocaval fistula after nephrectomy

Tara Zielke, Hanaa Dakour Aridi, Raghu L. Motaganahalli, Mackenzie Madison et al.
Journal of Vascular Surgery Cases and Innovative Techniques
Aortic aneurysm repair treatments
article

Long-term outcome following endovascular repair of complex aortocaval fistula after nephrectomy

Tara Zielke, Hanaa Dakour Aridi, Raghu L. Motaganahalli, Mackenzie Madison, Jack Sansone, Alok Gupta
article en

Abstract

A 65-year-old male with a history of right nephrectomy after a gunshot wound during childhood presented with an aortocaval fistula and fistula between the right renal artery stump and inferior vena cava. Given the risk of high-output heart failure, the patient was offered intervention. The fistula was repaired with a combination of coil embolization, placement of an Amplatzer plug, and a Palmaz stent. Surveillance imaging for 9 years following his operation demonstrated continued exclusion of the fistula with no opacification of the venous system.

Journal of Vascular Surgery Cases and Innovative TechniquesVol. 12(1)
Indiana University School of Medicine, Indiana University – Purdue University Indianapolis (US)
Openalex Percentile: Top 53%
Aortic aneurysm repair treatments
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