{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:03:05Z","timestamp":1778803385950,"version":"3.51.4"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T00:00:00Z","timestamp":1620950400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T00:00:00Z","timestamp":1620950400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>We report the use of a 4\u2009mm vascular Amplatzer for the occlusion of a renal arterovenous fistula between the renal artery, at the hylum trifurcation point, and an aneurismatic vein draining into the main renal vein, where there was no possibility to use any other device from the venous side, because of the diameter and the high flow, neither from the arterious side without sacrificing lobar branches. The device was implanted at the exact point of communication, like a patent foramen ovale occluder, with the distal disc into the artery lumen and the other two proximal discs into the venous side.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 34-years-old Caucasian woman suffered several episodes of paroxysmal supraventricular tachycardia associated with dyspnoea, after the onset of post-pregnancy hypertension. She underwent CTA, spectral Doppler sonography and angiography which showed a renal arteriovenous fistula (RAVF) between the renal artery, at the hylum trifurcation point, and an extremely ectatic vein draining into the main renal vein of the right kidney.<\/jats:p>\n                <jats:p>With both arterial and venous access, the RAVF was selectively embolized using a 4\u2009\u00d7\u20096\u2009mm Amplatzer Vascular Plug II, released into the communication between artery and vein ensuring the patency of vessels involved.<\/jats:p>\n                <jats:p>The RAVF was almost completely excluded and the hemodynamic effects associated were also corrected.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The use of this device, though in an alternative way, allowed the exclusion of the high flow A-V fistula without sacrificing any parent renal vessel and preserving the renal function.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s42155-021-00229-3","type":"journal-article","created":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T06:02:54Z","timestamp":1620972174000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Use of a 4 mm Amplatzer Vascular Plug II in the treatment of a renal arteriovenous fistula: a case report"],"prefix":"10.1186","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0785-3252","authenticated-orcid":false,"given":"Davide","family":"Castellano","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Boghi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Comelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luca","family":"Di Maggio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"Savio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,14]]},"reference":[{"issue":"3","key":"229_CR1","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/j.nefro.2015.03.001","volume":"35","author":"M Alkhouli","year":"2015","unstructured":"Alkhouli M, Sandhu P, Boobes K, Hatahet K, Raza F, Boobes Y (2015) Cardiac complications of arteriovenous fistola in patients with end-stage renal disease. Nefrologia 35(3):234\u2013245. https:\/\/doi.org\/10.1016\/j.nefro.2015.03.001","journal-title":"Nefrologia"},{"key":"229_CR2","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1007\/s00270-008-9383-8","volume":"32","author":"E Brountzos","year":"2009","unstructured":"Brountzos E, Ptohis N, Grammenou-Pomoni M, Panagiotou I, Kelekis D, Gouliamos A, Kelekis N (2009) High-flow renal arteriovenous fistula treated with the Amplatzer vascular plug: implementation o fan arterial and venous approach. Cardiovasc Intervent Radiol 32:543\u2013547","journal-title":"Cardiovasc Intervent Radiol"},{"issue":"1","key":"229_CR3","doi-asserted-by":"publisher","first-page":"40","DOI":"10.2310\/6670.2008.00071","volume":"17","author":"Campbell JE, Davis C, DeFade BP, Ti","year":"2009","unstructured":"Campbell JE, Davis C, DeFade BP, Tierney JP, Stone PA. (2009) Use of an Amplatzer vascular plug for transcatheter embolization of a renal arteriovenous fistula. Vascular 17(1):40\u201343","journal-title":"Vascular"},{"issue":"1","key":"229_CR4","doi-asserted-by":"publisher","first-page":"510","DOI":"10.1186\/1752-1947-5-510","volume":"5","author":"G Carrafiello","year":"2011","unstructured":"Carrafiello G, Lagan\u00e0 D, Peroni G, Mangini M, Fontana F, Mariani D, Piffaretti G, Fugazzola C (2011) Gross hematuria caused by a congenital intrarenal arteriovenous malformation: a case report. J Med Case Rep 5(1):510. https:\/\/doi.org\/10.1186\/1752-1947-5-510","journal-title":"J Med Case Rep"},{"issue":"1","key":"229_CR5","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1159\/000082716","volume":"74","author":"A Chatziioannou","year":"2005","unstructured":"Chatziioannou A, Mourikis D, Kalaboukas K, Ch L, Magoufis G, Primetis E, Katsenis K, Vlahos L (2005) Endovascular treatment of renal arteriovenous malformations. Urol Int 74(1):89\u201391. https:\/\/doi.org\/10.1159\/000082716","journal-title":"Urol Int"},{"key":"229_CR6","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1148\/129.2.333","volume":"129","author":"KJ Cho","year":"1978","unstructured":"Cho KJ, Stanley JC (1978) Non-neoplastic congenital and acquired renal arteriovenous malformations and fistulas. Radiology 129:333\u2013343","journal-title":"Radiology"},{"issue":"4","key":"229_CR7","doi-asserted-by":"publisher","first-page":"527","DOI":"10.1583\/05-1769.1","volume":"13","author":"SK Cho","year":"2006","unstructured":"Cho SK, Do YS SSW et al (2006) Arteriovenous malformations of the body and extremities: analysis of therapeutic outcomes and approaches according to a modified angiographic classification. J Endovasc Ther 13(4):527\u2013538","journal-title":"J Endovasc Ther"},{"key":"229_CR8","first-page":"Doc01","volume":"11","author":"O Kayser","year":"2013","unstructured":"Kayser O, Schafer P (2013) Transcatheter Amplatzer vascular plug-embolization of a giant postnephrectomy arteriovenous fistula combined with an aneurysm of the renal pedicle by through-and-through, arteriovenous access. GMS Ger Med Sci 11:Doc01","journal-title":"GMS Ger Med Sci"},{"key":"229_CR9","first-page":"0000","volume":"36","author":"M Marumo","year":"2016","unstructured":"Marumo M, Kiyosue H, Tanoue S, Hongo N, Matsumoto S, Mori H, Sagara Y, Kashiwagi J (2016) Renal arteriovenous shunts: clinical features, imaging appearance, and transcatheter embolization based on angioarchitecture. RadioGraphics 36:0000\u20130000","journal-title":"RadioGraphics"},{"issue":"1","key":"229_CR10","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/s11255-012-0358-y","volume":"45","author":"D Perkov","year":"2013","unstructured":"Perkov D, Novacic K, Novosel L, Knezevic N (2013) Percutaneous embolization of idiopathic renal arteriovenous fistula using Amplatzer vascular plug II. Int Urol Nephrol 45(1):61\u201368. https:\/\/doi.org\/10.1007\/s11255-012-0358-y","journal-title":"Int Urol Nephrol"}],"container-title":["CVIR Endovascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-021-00229-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s42155-021-00229-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-021-00229-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,5,14]],"date-time":"2021-05-14T06:05:05Z","timestamp":1620972305000},"score":1,"resource":{"primary":{"URL":"https:\/\/CVIRendovasc.springeropen.com\/articles\/10.1186\/s42155-021-00229-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,14]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["229"],"URL":"https:\/\/doi.org\/10.1186\/s42155-021-00229-3","relation":{},"ISSN":["2520-8934"],"issn-type":[{"value":"2520-8934","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,14]]},"assertion":[{"value":"28 December 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performer in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendment or comparable ethical standards. Patient\u2019s specific consent was obtained for this report, and consent by the Institutional Review Board was not required.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent for publication was obtained for every individual person\u2019s data included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"40"}}