Gheiler E L, Tefilli M V, Tiguert R, Friedland M S, Frontera R C, Pontes J E
Department of Urology, Wayne State University, School of Medicine, and Barbara Ann Karmanos Cancer Center Institute, Detroit, Mich., USA.
Urol Int. 1998 Oct;61(1):62-6. doi: 10.1159/000030290.
Ureteroarterial fistulas related to nonvascular etiology are rare clinical entities that are difficult to diagnose and manage. Diagnosis is best made by a combination of studies, including digital subtraction angiography. Low morbidity and mortality rates have been described with either percutaneous thrombosis of the iliac artery and extra-anatomic bypass, or by placement of a stented graft in the involved artery. We report on a well-documented case of a ureteroarterial fistula managed successfully with interventional radiologic embolization of the common iliac artery and immediate femoral-femoral arterial bypass. A review of the literature supports this approach.
