ARTERIO-URETERAL FISTULA: UROLOGICAL COMPLICATION IN A PATIENT WITH ILIAC ARTERY ANEURYSM
Clinical case
Published March 13, 2020
Keywords
haematuria
аrterio-ureteral fistula
stent-graft
аrterio-ureteral fistula
stent-graft
How to Cite
Zaytsev N. V., Sachkov D. V., MatskoА. Е., StrizhovaМ. А., Surovova D. A., Petov V. S. ARTERIO-URETERAL FISTULA: UROLOGICAL COMPLICATION IN A PATIENT WITH ILIAC ARTERY ANEURYSM // Kremlin Medicine Journal. 2020. VOL. № 1. С. 153-159.
Abstract
In elderly patients with aortic aneurysm and its large branches who underwent radiation therapy, surgical interventions on the pelvic organs or requiring drainage by the ureteric stent have a high risk of arterio-ureteral fistula formation. Arterio-ureteral fistula is an extremely rare, but hazardous complication, accompanied by massive hematuria. Modern diagnostic methods, such as angiography, CT angiography and ureterography, do not always reveal this complication. Survival of patients directly depends on timely diagnosis and the coordination between urologists and vascular surgeons. Given the life-threatening nature of the complication, ballooning occlusion of the ureter and nephrostomy can be performed urgently on such patients, followed by the installation of a stent-graft. The article presents its own clinical experience in the surgical treatment of a patient with arterio-ureteral fistula.References
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2. Drach G.W., Forciea M.A. Geriatric Urology and Aging Societies. In: Geriatric Urology. Griebling T., editor. New York: Springer; 2014. p. 1-11.
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4. Anikeeva O.B., Pavlenko O.V., Titov S.N., Faleckaja E.A. On the actual problems of combating cardiovascular diseases. Analytical Bulletin. 2015; 44(597): 1-106. In Russian.
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6. Howell C.M., Rabener M.J. Abdominal aortic aneurysm: A ticking time bomb. JAAPA. 2016; 29(3): 32-6. doi: 10.1097/01.JAA.0000480855.07045.50.
7. Young R, Ostertag H. Incidence, etiology and risk of rupture of aortic aneurysm. An autopsy study. Dtsch Med Wochenschr. 1987; 112(33): 1253-1256. doi:10.1055/s-2008-1068231
8. Kunz R. Aneurysms in 35,380 autopsies. Schweiz Med Wochenschr. 1980; 110(5): 142-8.
9. Singh K., Bonaa K.H., Jacobsen B.K., Bjork L., Solberg S. Prevalence of and risk factors for abdominal aortic aneurysms in a population-based study : The Tromso Study. Am J Epidemiol. 2001; 154: 236-44. doi:10.1093/aje/154.3.236
10. Sweeting M.J., Thompson S.G., Brown L.C., Powell J.T. Meta-analysis of individual patient data to examine factors affecting growth and rupture of small abdominal aortic aneurysms. Br J Surg. 2012; 99: 655-665. doi: 10.1002/bjs.8707.
11. Lowry W.F., Kraft R.O. Isolated aneurysms of the iliac system. Arch Surg. 1978; 113: 1289-1293. doi: 10.1001/archsurg.1978.01370230079009.
12. Adams P.S. Iliac artery-ureteral fistula developing after dilatation and stent placement. Radiology. 1984; 153: 647–648, doi: 10.1148/radiology.153.3.6238346.
13. Rennick J.M., Link D.P., Palmer J.M. Spontaneous rupture of an iliac artery aneurysm into a ureter: a case report and review of the literature. J Urol. 1976; 116(1): 111-113. doi: 10.1016/s0022-5347(17)58704-2.
14. Palacios A., Massó P., Osorio L., Oliveira A., Soares J., Marcelo F. Hematuria after ureteral-iliac aneurysm rupture. Arch Esp Urol. 2006; 59(3):287-9. doi: 10.4321/s0004-06142006000300011.
15. Honma I., Takagi Y., Shigyo M., Sunaoshi K., Inaoka M., Miyao N. Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm. Int J Urol. 2002; 9(7): 407-409. doi: 10.1046/j.1442-2042.2002.00485.x.
16. Van den Bergh R.C., Moll F.L., de Vries J.P., Yeung K.K., Lock T.M. Arterio-ureteral fistula: 11 new cases of a wolf in sheep's clothing. J Urol. 2008; 179(2): 578-581. doi: 10.1016/j.juro.2007.09.087.
17. Bergqvist D., Parsson H. Sherif A. Arterio-ureteral fistula - a systematic review. Eur J Vasc Endovasc Surg. 2001; 22: 191-196. doi:10.1053/ejvs.2001.1432.
18. Krambeck A.E., DiMarco D.S., Gettman M.T., Segura J.W. Ureteroiliac artery fistula: diagnosis and treatment algorithm. Urology. 2005; 66: 990. doi:10.1016/j.urology.2005.05.036.
19. Darcy M. Uretro-arterial fistulas. Tech Vasc Intervent Radiol. 2009; 12: 216–221. doi: 10.1053/j.tvir.2009.09.005.
20. Kerns D.B., Darcy M.D., Baumann D.S., Allen B.T. Autologous vein-covered stent for the endovascular management of an iliac artery-ureteral fistula: case report and review of the literature. J Vasc Surg. 1996; 24: 680–686. doi: 10.1016/s0741-5214(96)70084-8
21. Uberoi R., Tsetis D., Shrivastava V., Morgan R., Belli A.M. Standard of practice for the interventional management of isolated iliac artery aneurysms. Cardio vasc Intervent Radiol. 2011; 34: 3-13. doi:10.1007/s00270-010-0055-0.
22. Guru K.A., Sarle R.C., Reddy D., Peabody J.O. Iliac artery aneurysm: a fatal cause of urinary retention. J Endourol. 2003; 17: 221-222. doi: 10.1089/089277903765444348.
23. Metcalfe M.J., Hanna M.S., Gill S., Burfitt N.J., Mitchell A.W., Franklin I.J. Hydronephrosis after embolization of internal iliac artery aneurysms. J Vasc Interv Radiol. 2010; 21: 571-573. doi: 10.1016/j.jvir.2009.11.019.
24. Okada T., Yamaguchi M., Muradi A., Nomura Y., Uotani K., Idoguchi K. et al. Long-term results of endovascular stent graft placement of ureteroarterial fistula. Cardiovasc Intervent Radiol. 2013; 36(4): 950-6. doi: 10.1007/s00270-012-0534-6.
25. Van den Bergh R.C., Moll F.L., de Vries J.P. et al. Arterioureteral fistulas: unusual suspects—systematic review of 139 cases. Urology. 2009; 74: 251–255. doi: 10.1016/j.urology.2008.12.011.
26. Patel D., Kumar A., Ranganath P., Contractor S. Endovascular treatment of arterio-ureteral fistulae with covered stents: Case series and review of the literature. SAGE Open Med Case Rep. 2014. doi: 10.1177/2050313X14548094.
27. Adams P.S. Iliac artery-ureteral fistula developing after dilatation and stent placement. Radiology. 1984; 153: 647–648, doi: 10.1148/radiology.153.3.6238346.
28. Zafar S., Jafri H., Farah J., Diokno A.C. Urographic and computed tomographic demonstration of ureteroarterial fistula. Urol Radiol. 1987; 9: 47–49. doi: 10.1007/bf02932629.
29. Rozenblit A.M., Cynamon J., Maddineni S., Marin M.L., Sanchez L.A., Yuan J. et al. Value of CT angiography for postoperative assessment of patients with iliac artery aneurysms who have received endovascular grafts. AJR Am J Roentgenol. 1998; 170: 913-917. doi: 10.2214/ajr.170.4.9530033.
30. Hong S.Y., Noh M., Ko G.Y., Han Y., Kwon H., Kwon T.W. et al. Management Strategy for Ureteral-Iliac Artery Fistula. Ann Vasc Surg. 2016; 36: 22-27. doi: 10.1016/j.avsg.2016.02.033.
31. Fox J.A., Krambeck A., McPhail E.F., Lightner D. Ureteroarterial fistula treatment with open surgery versus endovascular management: long-term outcomes. J Urol. 2011; 185: 945–950 doi: 10.1016/j.juro.2010.10.062.
32. Malgor R.D., Oderich G.S., Andrews J.C., McKusick M., Kalra M., Misra S. et al. Evolution from open surgical to endovascular treatment of ureteral-iliac artery fistula. J Vasc Surg. 2012; 55(4): 1072-1080. doi: 10.1016/j.jvs.2011.11.043.
33. Shukuzawa K., Ohki T., Maeda K., Kanaoka Y. Risk factors and treatment outcomes for stent graft infection after endovascular aortic aneurysm repair. J Vasc Surg. 2019; 70(1): 181-192. doi: 10.1016/j.jvs.2018.10.062.
34. Ducasse E., Calisti A., Speziale F., Rizzo L., Misuraca M., Fiorani P. Aorto-iliac stent graft infection: current problems and management. Ann Vasc Surg. 2004; 18: 521-526. doi: 10.1007/s10016-004-0075-9.
35. Sharif M.A., Lee B., Lau L.L., Ellis P.K., Collins A.J., Blair P.H. et al. Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2007; 46:442-8. doi: 10.1016/j.jvs.2007.05.027
36. Heyer K.S., Modi P., Morasch M.D., Matsumura J.S., Kibbe M.R., Pearce W.H. et al. Secondary infections of thoracic and abdominal aortic endografts. J Vasc IntervRadiol 2009; 20: 173-179. doi: 10.1016/j.jvir.2008.10.032.
37. Cernohorsky P., Reijnen M.M., Tielliu I.F.J, van Sterkenburg S.M., van den Dungen J.J., Zeebregts C.J. The relevance of aortic endograft prosthetic infection. J Vasc Surg. 2011; 54: 327-333. doi: 10.1016/j.jvs.2010.12.067.
2. Drach G.W., Forciea M.A. Geriatric Urology and Aging Societies. In: Geriatric Urology. Griebling T., editor. New York: Springer; 2014. p. 1-11.
3. Guzzo T.J., Drach G.W. Major urologic problems in geriatrics: assessment and management. Med Clin North Am. 2011; 95: 253-264. doi:10.1016/j.mcna.2010.08.026.
4. Anikeeva O.B., Pavlenko O.V., Titov S.N., Faleckaja E.A. On the actual problems of combating cardiovascular diseases. Analytical Bulletin. 2015; 44(597): 1-106. In Russian.
5. Cardiology. National manual. Ed. Shlyakhto E.V., editor. Moscow: GEOTAR-Media; 2019. p. 800. In Russian.
6. Howell C.M., Rabener M.J. Abdominal aortic aneurysm: A ticking time bomb. JAAPA. 2016; 29(3): 32-6. doi: 10.1097/01.JAA.0000480855.07045.50.
7. Young R, Ostertag H. Incidence, etiology and risk of rupture of aortic aneurysm. An autopsy study. Dtsch Med Wochenschr. 1987; 112(33): 1253-1256. doi:10.1055/s-2008-1068231
8. Kunz R. Aneurysms in 35,380 autopsies. Schweiz Med Wochenschr. 1980; 110(5): 142-8.
9. Singh K., Bonaa K.H., Jacobsen B.K., Bjork L., Solberg S. Prevalence of and risk factors for abdominal aortic aneurysms in a population-based study : The Tromso Study. Am J Epidemiol. 2001; 154: 236-44. doi:10.1093/aje/154.3.236
10. Sweeting M.J., Thompson S.G., Brown L.C., Powell J.T. Meta-analysis of individual patient data to examine factors affecting growth and rupture of small abdominal aortic aneurysms. Br J Surg. 2012; 99: 655-665. doi: 10.1002/bjs.8707.
11. Lowry W.F., Kraft R.O. Isolated aneurysms of the iliac system. Arch Surg. 1978; 113: 1289-1293. doi: 10.1001/archsurg.1978.01370230079009.
12. Adams P.S. Iliac artery-ureteral fistula developing after dilatation and stent placement. Radiology. 1984; 153: 647–648, doi: 10.1148/radiology.153.3.6238346.
13. Rennick J.M., Link D.P., Palmer J.M. Spontaneous rupture of an iliac artery aneurysm into a ureter: a case report and review of the literature. J Urol. 1976; 116(1): 111-113. doi: 10.1016/s0022-5347(17)58704-2.
14. Palacios A., Massó P., Osorio L., Oliveira A., Soares J., Marcelo F. Hematuria after ureteral-iliac aneurysm rupture. Arch Esp Urol. 2006; 59(3):287-9. doi: 10.4321/s0004-06142006000300011.
15. Honma I., Takagi Y., Shigyo M., Sunaoshi K., Inaoka M., Miyao N. Massive hematuria after cystoscopy in a patient with an internal iliac artery aneurysm. Int J Urol. 2002; 9(7): 407-409. doi: 10.1046/j.1442-2042.2002.00485.x.
16. Van den Bergh R.C., Moll F.L., de Vries J.P., Yeung K.K., Lock T.M. Arterio-ureteral fistula: 11 new cases of a wolf in sheep's clothing. J Urol. 2008; 179(2): 578-581. doi: 10.1016/j.juro.2007.09.087.
17. Bergqvist D., Parsson H. Sherif A. Arterio-ureteral fistula - a systematic review. Eur J Vasc Endovasc Surg. 2001; 22: 191-196. doi:10.1053/ejvs.2001.1432.
18. Krambeck A.E., DiMarco D.S., Gettman M.T., Segura J.W. Ureteroiliac artery fistula: diagnosis and treatment algorithm. Urology. 2005; 66: 990. doi:10.1016/j.urology.2005.05.036.
19. Darcy M. Uretro-arterial fistulas. Tech Vasc Intervent Radiol. 2009; 12: 216–221. doi: 10.1053/j.tvir.2009.09.005.
20. Kerns D.B., Darcy M.D., Baumann D.S., Allen B.T. Autologous vein-covered stent for the endovascular management of an iliac artery-ureteral fistula: case report and review of the literature. J Vasc Surg. 1996; 24: 680–686. doi: 10.1016/s0741-5214(96)70084-8
21. Uberoi R., Tsetis D., Shrivastava V., Morgan R., Belli A.M. Standard of practice for the interventional management of isolated iliac artery aneurysms. Cardio vasc Intervent Radiol. 2011; 34: 3-13. doi:10.1007/s00270-010-0055-0.
22. Guru K.A., Sarle R.C., Reddy D., Peabody J.O. Iliac artery aneurysm: a fatal cause of urinary retention. J Endourol. 2003; 17: 221-222. doi: 10.1089/089277903765444348.
23. Metcalfe M.J., Hanna M.S., Gill S., Burfitt N.J., Mitchell A.W., Franklin I.J. Hydronephrosis after embolization of internal iliac artery aneurysms. J Vasc Interv Radiol. 2010; 21: 571-573. doi: 10.1016/j.jvir.2009.11.019.
24. Okada T., Yamaguchi M., Muradi A., Nomura Y., Uotani K., Idoguchi K. et al. Long-term results of endovascular stent graft placement of ureteroarterial fistula. Cardiovasc Intervent Radiol. 2013; 36(4): 950-6. doi: 10.1007/s00270-012-0534-6.
25. Van den Bergh R.C., Moll F.L., de Vries J.P. et al. Arterioureteral fistulas: unusual suspects—systematic review of 139 cases. Urology. 2009; 74: 251–255. doi: 10.1016/j.urology.2008.12.011.
26. Patel D., Kumar A., Ranganath P., Contractor S. Endovascular treatment of arterio-ureteral fistulae with covered stents: Case series and review of the literature. SAGE Open Med Case Rep. 2014. doi: 10.1177/2050313X14548094.
27. Adams P.S. Iliac artery-ureteral fistula developing after dilatation and stent placement. Radiology. 1984; 153: 647–648, doi: 10.1148/radiology.153.3.6238346.
28. Zafar S., Jafri H., Farah J., Diokno A.C. Urographic and computed tomographic demonstration of ureteroarterial fistula. Urol Radiol. 1987; 9: 47–49. doi: 10.1007/bf02932629.
29. Rozenblit A.M., Cynamon J., Maddineni S., Marin M.L., Sanchez L.A., Yuan J. et al. Value of CT angiography for postoperative assessment of patients with iliac artery aneurysms who have received endovascular grafts. AJR Am J Roentgenol. 1998; 170: 913-917. doi: 10.2214/ajr.170.4.9530033.
30. Hong S.Y., Noh M., Ko G.Y., Han Y., Kwon H., Kwon T.W. et al. Management Strategy for Ureteral-Iliac Artery Fistula. Ann Vasc Surg. 2016; 36: 22-27. doi: 10.1016/j.avsg.2016.02.033.
31. Fox J.A., Krambeck A., McPhail E.F., Lightner D. Ureteroarterial fistula treatment with open surgery versus endovascular management: long-term outcomes. J Urol. 2011; 185: 945–950 doi: 10.1016/j.juro.2010.10.062.
32. Malgor R.D., Oderich G.S., Andrews J.C., McKusick M., Kalra M., Misra S. et al. Evolution from open surgical to endovascular treatment of ureteral-iliac artery fistula. J Vasc Surg. 2012; 55(4): 1072-1080. doi: 10.1016/j.jvs.2011.11.043.
33. Shukuzawa K., Ohki T., Maeda K., Kanaoka Y. Risk factors and treatment outcomes for stent graft infection after endovascular aortic aneurysm repair. J Vasc Surg. 2019; 70(1): 181-192. doi: 10.1016/j.jvs.2018.10.062.
34. Ducasse E., Calisti A., Speziale F., Rizzo L., Misuraca M., Fiorani P. Aorto-iliac stent graft infection: current problems and management. Ann Vasc Surg. 2004; 18: 521-526. doi: 10.1007/s10016-004-0075-9.
35. Sharif M.A., Lee B., Lau L.L., Ellis P.K., Collins A.J., Blair P.H. et al. Prosthetic stent graft infection after endovascular abdominal aortic aneurysm repair. J Vasc Surg. 2007; 46:442-8. doi: 10.1016/j.jvs.2007.05.027
36. Heyer K.S., Modi P., Morasch M.D., Matsumura J.S., Kibbe M.R., Pearce W.H. et al. Secondary infections of thoracic and abdominal aortic endografts. J Vasc IntervRadiol 2009; 20: 173-179. doi: 10.1016/j.jvir.2008.10.032.
37. Cernohorsky P., Reijnen M.M., Tielliu I.F.J, van Sterkenburg S.M., van den Dungen J.J., Zeebregts C.J. The relevance of aortic endograft prosthetic infection. J Vasc Surg. 2011; 54: 327-333. doi: 10.1016/j.jvs.2010.12.067.