Case Report

Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention

Table 1

Clinical and cardiac parameters before and after the occlusion of the left renal artery (LRA). Listed are relevant clinical haemodyamic and cardiac parameters before, 2-days and 3-months post-surgery with placement of two Amplatzer Vascular Plug (AVP) II devices in the LRA causing the occlusion of the renal arterio-venous fistula (RAVF).

Clinical stageBeforeAfterFU after 3 months

NYHAaIIII

Haemodynamics
Heart rate (bpmb)1157077
Cardiac output (l/min)11.664.2

Echocardiogram
LVEDDc (mm)524544
PW-EDWTd (mm)11138
IVS-EDWTe(mm)101311
LEDVf (ml)14812195
LESVg (ml)533640
LAAh (cm2)312418
LAVi (ml)1229259
LVEFj Simpson (%)647158
TRkgrade (I–III)INoneNone
sPAPl (mmHg)352018
TAPSEm (mm)352423
RVEDDn (mm)342827
RAAo (cm2)262120
RAVp (ml)565150
VCDq (mm)30Collapsed16

a: New York Heart Association stage. b: Beats per minute. c: Left ventricular end-diastolic diameter. d: Posterior wall end-diastolic thickness. e: Interventricular septal end-diastolic thickness. f: Left ventricular end diastolic volume. g: Left ventricular end systolic volume. h: Left atrial area. i: Left atrial volume. j: Left ventricular ejection fraction. k: Tricuspid regurgitation. l: Systolic pulmonary artery pressure. m: Tricuspid annular plane systolic excursion. n: right ventricular end-diastolic diameter. o: Right atrial area. p: Right atrial volume. q: Vena cava diameter.