Open AccessRenal arteriovenous malformations: diagnosis and treatment
Author(s) -
А. Н. Аскерова,
Ю. А. Степанова,
А. Е. Зотиков,
А. С. Ивандаев,
Г. Г. Кармазановский
Publication year - 2018
Publication title -
medicinskaâ vizualizaciâ
Language(s) - English
Resource type - Journals
eISSN - 2408-9516
pISSN - 1607-0763
DOI - 10.24835/1607-0763-2018-5-73-83
Subject(s) - medicine , radiology , angiography , arteriovenous fistula , gold standard (test) , arteriovenous malformation , endovascular treatment , surgery , aneurysm
Renal arteriovenous fistula is a comparatively rare malformation that accounts for < 1% of all arteriovenous fistulas malformations. Renal ANM are devided into congenital or acquired, traumatic and nontraumatic, that can cause massive hematuria, pain, retroperitoneal hemorrhage, and heart failure. Non-invasive imaging modalities, including US, MDCT and MRI, are widely used to diagnose this payhology, but the gold standard for the diagnosis of renal AVM remains angiography. The advantage of angiography in comparison with other methods is the possibility of simultaneous treatment of such patients. The treatment of renal AVM can include endovascular dissociation of the arteriovenous fistula or an open operation, including the using of ex vivo techniques. The choice of method of the treatment is based on the general patient status and the characteristics of renal arteriovenous malformation.