Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
Endovascular Occlusion of a Renal Arteriovenous Fistula with Renal Vein Aneurysm Formation for Rupture Prevention
复制标题
血管内闭塞肾动静脉瘘并预防肾静脉动脉瘤破裂
DOI：
10.1155/2019/8530641
复制
发表时间：
2019
影响因子：
--
通讯作者：
Wagenhäuser MU
中科院分区：
文献类型：
--
作者：
Rhee YH;Busch L;Sansone R;Ertas N;Floros N;Schelzig H;Mulorz J;Wagenhäuser MU
Purpose. To report the effectiveness of left renal artery (LRA) occlusion using Amplatzer Vascular Plug (AVP) II as treatment for a high‐flow renal arteriovenous fistula (RAVF) with multiple renal vein aneurysms (RVA) to prevent aneurysm rupture and cardiac decompensation.Case Report. A 59‐year‐old female suffering from a post‐traumatic RAVF presented with tachycardia and increased cardiac output (CO). Doppler ultrasonography and computed tomography (CT) scan revealed a high‐flow RAVF with multiple RVAs and unilateral critically reduced kidney function. Appreciating recent interventional therapeutic advances, the patient was treated with endovascular placement of AVP II into the left renal artery (LRA) resulting in complete occlusion of the RAVF to effectively reduce the risk of RVA rupture and cardiac decompensation. No anti‐platelet medication was administrated after the occlusion of the LRA. The patient’s physical capacity improved since right heart volume strain was normalized, and CO was reduced.Conclusion. Transbrachial AVP II occlusion of the LRA is effective to occlude high‐flow RAVFs to prevent risk of life‐threatening RVA rupture. Additional follow‐up is warranted to verify long‐term effectiveness of this approach.
登录
查看更多内容
左肾静脉动脉瘤：病例报告。
影响因子：
4.3
作者：
L. Irace;B. Gossetti;F. Benedetti;P. Francalanci;P. Gallo
通讯作者：
P. Gallo
继发于枪伤的右肾动脉和下腔静脉之间的动静脉瘘引起的高血压：病例报告
影响因子：
2.8
作者：
A. Bozer;E. Böke;Ilhan Gnay;Şali Çaǧlar;Ayetkin Besim;Ç. Turgan;Unal Yasavul
通讯作者：
Unal Yasavul
特发性肾动静脉瘘，显示巨大动脉瘤，破裂风险高：一例报告
影响因子：
2.5
作者：
S. Nawa;E. Ikeda;M. Naito;K. Kondo;I. Yuasa;Keitaro Watanabe;Y. Fujita;T. Kunitomo;K. Otsuka
通讯作者：
K. Otsuka
Amplatzer 血管塞治疗肾切除术后肾动脉残端和下腔静脉之间的瘘管：灰度和多普勒超声检查结果
影响因子：
0.9
作者：
M. Taneja;Vasanthan Metupalle;Tay Kiang Hiong;T. Soo;A. Htoo
通讯作者：
A. Htoo
Amplatzer 血管塞：扩展应用范围
影响因子：
2.9
作者：
U. Rimon;E. Heldenberg;G. Golan;A. Shinfeld;A. Garniek
通讯作者：
A. Garniek