Article Sidebar
Views PDF: 126
Transarterial embolization in management of congenital renal arteriovenous malformation
Main Article Content
Abstract
SUMMARY
Objective: To evaluate the safety and efficacy of transarterial embolization (TAE) in management of congential renal arteriovenous malformation (AVM).
Patients and Methods: Between December 2007 and June 2015, 11 patients with congential renal AVM treated with TAE was
investigated for clinical presentation, imagine features, treatment methods and complications in Viet Duc hospital.
Results: 11 patients (9 women/2 men) with 10/11 gross hematuria, 5/11 flank pain and 1/11 hypertension underwent 11 sessions of treatment, TAE was performed with histoacryl + lipiodol in 7 patients, micro-coils in 3 patients, absolute alcohol and histoacryl in 1 patient. Technical and clinical success were obtained in all patients. There was only 1 patient with fever, renal function was normal in all patient pre - embolization and post - embolization.
Conclusion: TAE treatment was safe and effective, it should be recommended as the first choice to treat congential renal AVM.
Article Details
Keywords
renal arteriovenous malformation, embolization
References
1. Hatzidakis, Rossi, et al. (2014), Management of renal arteriovenous malformations: A pictorial review, Insights Imaging, số 5(4), tr. 523-30.
2. Zhang, Jiang, et al. (2013), The role of transarterial embolization in the management of hematuria secondary
to congenital renal arteriovenous malformations, Urol Int,
số 91(3), tr. 285-90.
3. Tarkington, Matsumoto, et al. (1991), Spectrum of renal vascular malformation, Urology, số 38(4), tr. 297-300.
4. Nassiri, Dudiy, et al. (2013), Transarterial treatment of congenital renal arteriovenous fistulas, J Vasc Surg, số 58(5), tr. 1310-5.
5. Murata, Onozawa, et al. (2014), Endovascular embolization strategy for renal arteriovenous malformations, Acta Radiol, số 55(1), tr. 71-7.
6. Cho và Stanley (1978), Non-neoplastic congenital and acquired renal arteriovenous malformations and fistulas, Radiology, số 129(2), tr. 333-43.
7. Vasavada, Manion, et al. (1995), Renal arteriovenous malformations masquerading as renal cell carcinoma, Urology, số 46(5), tr. 716-21.
8. Lê Thanh Dũng, Ngô Lê Lâm và Nguyễn Duy Huề (2008), Điều trị thông động tĩnh mạch thận bằng phương pháp điều trị can thiệp nội mạch nhân 3 trường hợp, Tạp chí Y học Việt Nam, số 349, tr. 5 - 9.
9. Poh, Tan, et al. (2013), The use of n-butyl-2 cyanoacrylate as an embolic agent in the minimally
invasive treatment of renal arteriovenous malformations,
Ann Acad Med Singapore, số 42(4), tr. 207-9.
10. Thayaparan, Amer, et al. (2014), Complete
renal artery embolization in a comorbid patient with an
arteriovenous malformation, Case Rep Urol, số 2014, tr. 856059.
11. Carrafiello, Lagana, et al. (2011), Gross hematuria caused by a congenital intrarenal arteriovenous malformation: a case report, J Med Case Rep, số 5, tr. 510.
12. Tarif, Mitwalli, et al. (2002), Congenital renal
arteriovenous malformation presenting as severe hypertension, Nephrol Dial Transplant, số 17(2), tr. 291-4.
13. Horton và Fishman (1999), Images in clinical urology. Arteriovenous fistula of the kidney: imaging with three-dimensional computed tomography angiography, Urology, số 53(3), tr. 621-3.
14. Yakes, Haas, et al. (1989), Symptomatic vascular malformations: ethanol embolotherapy, Radiology, số 170(3 Pt 2), tr. 1059-66.
15. Golzarian và J.A.H.T., (2006), Vascular embolotherapy Vol. 1, Springer, Berlin [etc.].