Haegeman Steven, Vaninbroukx Johan, Heye Sam, Joniau Steven, Van Poppel Hendrik, Oyen Raymond, Maleux Geert
1Department of Radiology, University Hospitals Leuven, Herestraat 49, Leuven, Belgium.
Vasc Endovascular Surg. 2013 Nov;47(8):652-5. doi: 10.1177/1538574413500724. Epub 2013 Aug 22.
A fistula between the iliac artery and a bladder pouch is a rare but potentially life-threatening condition. In 3 patients presenting with massive hematuria after urinary diversion, an iliac artery pseudoaneurysm was found on imaging studies. These pseudoaneurysms were considered to be associated with a fistula between artery and pouch, causing the hematuria. All patients were successfully treated with a covered stent to exclude the pseudoaneurysm and the arteriovesical fistula. Clinical follow-up of 10 weeks, 16 months, and 27 months, respectively, showed no residual hematuria. In addition, no clinical signs of stent graft infection or thrombosis were identified during follow-up. In conclusion, the placement of a covered stent is a valuable therapeutic treatment option in the management of hematuria due to an arteriovesical fistula after urinary diversion surgery.
髂动脉与膀胱憩室之间的瘘管是一种罕见但可能危及生命的疾病。在3例尿流改道后出现大量血尿的患者中，影像学检查发现髂动脉假性动脉瘤。这些假性动脉瘤被认为与动脉和憩室之间的瘘管有关，导致血尿。所有患者均成功接受覆膜支架治疗，以排除假性动脉瘤和动静脉瘘。分别进行10周、16个月和27个月的临床随访，结果显示无残余血尿。此外，随访期间未发现支架移植物感染或血栓形成的临床迹象。总之，在尿流改道手术后因动静脉瘘导致血尿的治疗中，放置覆膜支架是一种有价值的治疗选择。
