Presentation
Entire Body System
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Congestive Heart Failure
High-output congestive heart failure successfully treated with transcatheter coil embolization of a large renal arteriovenous fistula. Catheter Cardiovasc Interv. 2004;63(3):373-6. . PMid:15505842. Abassi ZA, Winaver J, Hoffman A. [jvascbras.org]
High-output congestive heart failure successfully treated with transcatheter coil embolization of a large renal arteriovenous fistula. Catheter Cardiovasc Interv. 2004;63(3):373–376. doi: 10.1002/ccd.20181. [PubMed] [CrossRef] [Google Scholar] 9. [ncbi.nlm.nih.gov]
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Pain
Signs and symptoms include microscopic and macroscopic hematuria, arterial hypertension refractory to medical treatment, flank pain, and audible sounds in the renal arteries caused by turbulent blood flow. 19, 20 The objective of treatment of fistulae [ncbi.nlm.nih.gov]
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Surgical Procedure
[…] the first-line treatment for these fistulas, achieving success in 70 to 100% of cases. 15, 19, 23 It is a widely adopted treatment option that can be used as definitive treatment or in an attempt to reduce fistula throughput, and is a less invasive surgical [ncbi.nlm.nih.gov]
Cardiovascular
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Heart Failure
High-output congestive heart failure successfully treated with transcatheter coil embolization of a large renal arteriovenous fistula. Catheter Cardiovasc Interv. 2004;63(3):373-6. . PMid:15505842. Abassi ZA, Winaver J, Hoffman A. [jvascbras.org]
Maldonado JE, Sheps SG, Bernatz PE, Deweerd JH, Harrison EG., Jr Renal arteriovenous fistula: a reversible cause of hypertension and heart failure. Am J Med. 1964;37(4):499–513. doi: 10.1016/0002-9343(64)90064-6. [ncbi.nlm.nih.gov]
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Hypertension
Idiopathic renal arteriovenous fistula causing renovascular hypertension and cardiac failure. Braz J Nephrol. 2002;24(2):110-4. Bates MC, Almehmi A. [jvascbras.org]
Idiopathic renal arteriovenous fistula causing renovascular hypertension and cardiac failure. Braz J Nephrol. 2002;24(2):110–114. [Google Scholar] 8. Bates MC, Almehmi A. [ncbi.nlm.nih.gov]
Urogenital
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Hematuria
The hematuria resolved soon after the procedure, and the patient recovered with no further intercurrent conditions and no additional blood transfusions. [ncbi.nlm.nih.gov]
Secondary hematuria from traumatic renal artery pseudo aneurysm with arteriovenous fistula treated by successful stenting. Kerala Med J. 2017;10(1):44-8. Sezer R, Uslu N, Akdur A, Haberal M. [jvascbras.org]
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Macroscopic Hematuria
Signs and symptoms include microscopic and macroscopic hematuria, arterial hypertension refractory to medical treatment, flank pain, and audible sounds in the renal arteries caused by turbulent blood flow. 19, 20 The objective of treatment of fistulae [ncbi.nlm.nih.gov]
Treatment
Control angiography showing treatment of the arteriovenous fistula. DISCUSSION Renal biopsy is a very useful tool for diagnosis, to determine prognosis, and to guide treatment. [ncbi.nlm.nih.gov]
Idiopathic renal arteriovenous fistula: treatment with embolization. Ann Vasc Surg. 1998;12(1):75-7. . PMid:9452001. Grocela JA, Dretler SP. Intracorporeal lithotripsy. Instrumentation and development. [jvascbras.org]
Prognosis
DISCUSSION Renal biopsy is a very useful tool for diagnosis, to determine prognosis, and to guide treatment. Although it is considered safe, since it is an invasive procedure, it is not free from complications, one of which is AVF. [ncbi.nlm.nih.gov]
Etiology
17 Of these, the most common are AVFs associated with percutaneous renal biopsy, those caused by traumas, and those secondary to percutaneous renal surgery. 13 An idiopathic AVF is one that is acquired at some point during life, but has no definite etiologic [ncbi.nlm.nih.gov]
Pathophysiology
Large A-V fistula: pathophysiological consequences and therapeutic perspectives. Curr Vasc Pharmacol. 2003;1(3):347-54. . PMid:15320481. Fogazzi GB, Moriggi M, Fontanella U. Spontaneous renal arteriovenous fistula as a cause of haematuria. [jvascbras.org]
Large A-V fistula: pathophysiological consequences and therapeutic perspectives. Curr Vasc Pharmacol. 2003;1(3):347–354. doi: 10.2174/1570161033476619. [PubMed] [CrossRef] [Google Scholar] 10. Fogazzi GB, Moriggi M, Fontanella U. [ncbi.nlm.nih.gov]