Mishina M, Segawa T, Kakehi Y, Arai Y, Hida S, Takeuchi H, Yosida O, Nishimura K
Department of Urology, Faculty of Medicine, Kyoto University.
Hinyokika Kiyo. 1991 Mar;37(3):273-7.
We report a case of huge renal arteriovenous aneurysm, which was successfully treated with transcatheter arterial embolization (TAE). A 72-year-old woman was admitted with the clinical symptom of dyspnea on effort. She felt a tremor in the left abdomen. Computerized tomographic scan showed a large enhanced mass (8x7x7 cm) on the left kidney. Selective renal arteriography revealed a renal arteriovenous aneurysm. Transcatheter arterial embolization with a steel coil was performed with minimal loss of renal parenchyma. A total of 270 cases of arteriovenous fistula have been reported in Japan and were statistically analyzed. The number of reports on TAE has dramatically increased since 1978, TAE can be first indicated for treatment of renal arteriovenous fistula in view of less invasiveness and preservation of renal function.
我们报告一例巨大肾动静脉瘤，通过经导管动脉栓塞术（TAE）成功治愈。一名72岁女性因劳力性呼吸困难的临床症状入院。她感到左腹部有震颤。计算机断层扫描显示左肾有一个大的强化肿块（8×7×7厘米）。选择性肾动脉造影显示为肾动静脉瘤。采用钢圈进行经导管动脉栓塞，肾实质损失最小。日本共报告了270例动静脉瘘，并进行了统计分析。自1978年以来，TAE的报告数量显著增加，鉴于其侵袭性较小且能保留肾功能，TAE可作为肾动静脉瘘治疗的首选方法。
