Uretero-iliac fistula: Modern treatment via the endovascular route - 05/03/13

Doi : 10.1016/j.diii.2012.10.005

L. Tselikas ^a,^b, O. Pellerin ^a,^⁎,^b , M. Di Primio ^a,^b, M. Ben Arfi ^a,^b, J. Joskin ^a,^b, B. Beyssen ^a,^b, N. Thiounn ^a,^c, M. Sapoval ^a,^b
^a Faculté de Médecine, Université Paris Descartes, Sorbonne Paris-Cité, 75270 Paris cedex 06, France
^b Department of Interventional Radiology, Hôpital Européen Georges-Pompidou, Assistance publique–Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France
^c Urology Department, Hôpital Européen Georges-Pompidou, Assistance publique–Hôpitaux de Paris, 20, rue Leblanc, 75015 Paris, France

^⁎Corresponding author.

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Abstract

We report three cases of ureteral-iliac fistula (UIF) in patients referred for treatment of macroscopic haematuria. Though it is a classic aetiology of haematuria, it is often difficult to diagnose and the treatment is not yet standardized. A diagnostic evaluation in combination with multidisciplinary approach improves the prognosis of the patients. Curative treatment via the endovascular route is effective and safe, and has a rapidly favourable course in all of our patients. The use of covered stents combined with the Amplatzer™ vascular plug makes the procedure easy and safe.

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Keywords : Arterio-ureteral fistula, Endovascular, Endoprosthesis, Plug