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Large renal arteriovenous fistula treated by embolization: a case report
Renal arteriovenous fistula (RAVF) is an uncommon vascular malformation of the kidney, which can be congenital, acquired or idiopathic. Although most patients are asymptomatic, RAVF can lead to hypertension, heart failure, renal insufficiency, hematuria, and progressive increase in size of renal ves...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233104/ https://www.ncbi.nlm.nih.gov/pubmed/34194592 http://dx.doi.org/10.1016/j.radcr.2021.05.058 |
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author | Duc, VT Duong, NQT Phong, NT Nam, NH Quoc, DA Cuong, TTQ Huy, NH Duy, TL Chien, PC |
author_facet | Duc, VT Duong, NQT Phong, NT Nam, NH Quoc, DA Cuong, TTQ Huy, NH Duy, TL Chien, PC |
author_sort | Duc, VT |
collection | PubMed |
description | Renal arteriovenous fistula (RAVF) is an uncommon vascular malformation of the kidney, which can be congenital, acquired or idiopathic. Although most patients are asymptomatic, RAVF can lead to hypertension, heart failure, renal insufficiency, hematuria, and progressive increase in size of renal vessels. Diagnosis is aided by radiological studies, with digital subtraction angiography as a gold standard. Besides, ultrasound with color Doppler and computed tomography angiography are noninvasive imaging techniques and can be useful for planning the treatment. A large fistula are generally treated by nephrectomy. Intervention can ameliorate the hemodynamic effects of high flow and to preserve the renal parenchymal function. Although endovascular therapy may be challenging due to the large size and high flow of fistula, this report describes a case of huge RAVF was successfully treated by embolization instead of surgery. |
format | Online Article Text |
id | pubmed-8233104 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-82331042021-06-29 Large renal arteriovenous fistula treated by embolization: a case report Duc, VT Duong, NQT Phong, NT Nam, NH Quoc, DA Cuong, TTQ Huy, NH Duy, TL Chien, PC Radiol Case Rep Case Report Renal arteriovenous fistula (RAVF) is an uncommon vascular malformation of the kidney, which can be congenital, acquired or idiopathic. Although most patients are asymptomatic, RAVF can lead to hypertension, heart failure, renal insufficiency, hematuria, and progressive increase in size of renal vessels. Diagnosis is aided by radiological studies, with digital subtraction angiography as a gold standard. Besides, ultrasound with color Doppler and computed tomography angiography are noninvasive imaging techniques and can be useful for planning the treatment. A large fistula are generally treated by nephrectomy. Intervention can ameliorate the hemodynamic effects of high flow and to preserve the renal parenchymal function. Although endovascular therapy may be challenging due to the large size and high flow of fistula, this report describes a case of huge RAVF was successfully treated by embolization instead of surgery. Elsevier 2021-06-18 /pmc/articles/PMC8233104/ /pubmed/34194592 http://dx.doi.org/10.1016/j.radcr.2021.05.058 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Duc, VT Duong, NQT Phong, NT Nam, NH Quoc, DA Cuong, TTQ Huy, NH Duy, TL Chien, PC Large renal arteriovenous fistula treated by embolization: a case report |
title | Large renal arteriovenous fistula treated by embolization: a case report |
title_full | Large renal arteriovenous fistula treated by embolization: a case report |
title_fullStr | Large renal arteriovenous fistula treated by embolization: a case report |
title_full_unstemmed | Large renal arteriovenous fistula treated by embolization: a case report |
title_short | Large renal arteriovenous fistula treated by embolization: a case report |
title_sort | large renal arteriovenous fistula treated by embolization: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233104/ https://www.ncbi.nlm.nih.gov/pubmed/34194592 http://dx.doi.org/10.1016/j.radcr.2021.05.058 |
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