CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2013; 23(02): 151-154
DOI: 10.4103/0971-3026.116574
ORIGINAL ARTICLE

Embolization of a large high-flow renal arteriovenous fistula using 035″ and 018″ detachable coils

Dinesh K Sundarakumar
Department of Radiology, The University of Texas Health Science Center at San Antonio, 7703, Floyd Curl Drive, MC 7800, San Antonio, Texas 78229
,
Ghazwan M Kroma
Department of Radiology, The University of Texas Health Science Center at San Antonio, 7703, Floyd Curl Drive, MC 7800, San Antonio, Texas 78229
,
Crysela M Smith
Department of Radiology, The University of Texas Health Science Center at San Antonio, 7703, Floyd Curl Drive, MC 7800, San Antonio, Texas 78229
,
Jorge E Lopera
Department of Radiology, The University of Texas Health Science Center at San Antonio, 7703, Floyd Curl Drive, MC 7800, San Antonio, Texas 78229
,
Rajeev Suri
Department of Radiology, The University of Texas Health Science Center at San Antonio, 7703, Floyd Curl Drive, MC 7800, San Antonio, Texas 78229
› Author Affiliations
Source of Support: Nill.

Abstract

Transcatheter embolization of renal arteriovenous fistula (AVF) is a minimally invasive procedure that, in some occasions, can replace surgery and potentially save the kidney. The embolization techniques for the renal AVFs have evolved considerably with the availability of newer hardwares. Still, the risk of inadvertent migration of the embolization materials to the pulmonary circulation is a concern. This article describes a novel technique of coiling the feeding segmental artery to a large high-flow renal AVF using 035″ and 018″ detachable coils only, and briefly reviews the previously described strategies to safely embolize renal AVFs.



Publication History

Article published online:
04 October 2021

© 2013. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Van Ha TG. Use of the Interlock Fibered IDC Occlusion System in Clinical Practice. Semin Intervent Radiol 2008;25:3-10.
  • 2 Idowu O, Barodawala F, Nemeth A, Trerotola SO. Dual use of an amplatzer device in the transcatheter embolization of a large high-flow renal arteriovenous fistula. J Vasc Interv Radiol 2007;18:671-6.
  • 3 Rimon U, Garniek A, Golan G, Schneiderman J, Morag B. Endovascular closure of a large renal arteriovenous fistula. Catheter Cardiovasc Interv 2003;59:66-70.
  • 4 Mansueto G, D′Onofrio M, Minniti S, Ferrara RM, Procacci C. Therapeutic embolization of idiopathic renal arteriovenous fistula using the "stop-flow" technique. J Endovasc Ther 2001;8:210-5.
  • 5 Resnick S, Chiang A. Transcatheter embolization of a high-flow renal arteriovenous fistula with use of a constrained wallstent to prevent coil migration. J Vasc Interv Radiol 2006;17:363-7.
  • 6 Kensella D, Kakani N, Pocock R, Thompson J, Cowan A, Watkinson A. Transcatheter embolization of a renal arteriovenous fistula complicated by an aneurysm of the feeding renal artery. Cardiovasc Intervent Radiol 2008;31:415-7.
  • 7 Resnick S, Rome V, Vogelzang R. Use of a partially deployed wallstent to act as an inferior vena cava filtration device during coil embolization of a high-flow arteriovenous fistula. J Vasc Interv Radiol 2006;17:369-72.
  • 8 Durack JC, Wang JH, Schneider DB, Kerlan RK. Vena cava filter scaffold to prevent migration of embolic materials in the treatment of a massive renal arteriovenous malformation. J Vasc Interv Radiol 2012;23:413-6.
  • 9 Mori T, Sugimoto K, Taniguchi T, Tsurusaki M, Izaki K, Konishi J, et al. Renal arteriovenous fistula with rapid blood flow successfully treated by transcatheter arterial embolization: Application of interlocking detachable coil as coil anchor. Cardiovasc Intervent Radiol 2004;27:374-6.
  • 10 Altit R, Brown DB, Gardiner GA. Renal artery aneurysm and arteriovenous fistula associated with fibromuscular dysplasia: Successful treatment with detachable coils. J Vasc Interv Radiol 2009;20:1083-6.
  • 11 Dudeck O, Bulla K, Wieners G, Ruehl R, Ulrich G, Amthauer H, et al. Embolization of the gastroduodenal artery before selective internal radiotherapy: A prospectively randomized trial comparing standard pushable coils with fibered interlock detachable coils. Cardiovasc Intervent Radiol 2011;34:74-80.