Endovascular Management of Renal Arteriovenous Fistula Associated with Nutcracker Syndrome.

ABSTRACT:

Introduction

Renal arteriovenous fistulae (AVFs) and Nutcracker syndrome (NCS) are rare vascular anomalies. This report describes the case of a renal AVF associated with NCS presenting as pelvic congestion syndrome (PCS).

Case report

A 62 year old woman presented with chronic pelvic pain and exertional dyspnoea. Imaging revealed a large left renal AVF draining into the left ovarian vein, associated with NCS. The patient underwent two stage endovascular treatment: embolisation of the left renal artery using Amplatzer Vascular Plugs (Abbott; Abbott Park, IL, USA), followed nine months later by embolisation of pelvic varices using glue. Symptoms resolved completely and were sustained at the four year follow up.

Discussion

The co-existence of renal AVFs and NCS may exacer

SUBMITTER: Creton O 

PROVIDER: S-EPMC12861296 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature