Morita T, Uekado Y, Kyoku I, Ohkawa T
Department of Urology, Wakayama Medical College.
Hinyokika Kiyo. 1989 Oct;35(10):1761-5.
We report two cases of renal arteriovenous malformation (AVM) with chief complaints of macroscopic hematuria, and treated with transcatheter arterial embolization (TAE) using Gelfoam. Although hematuria disappeared after TAE in both cases, recanalization of AVM was revealed by follow-up renal arteriography one and three months later respectively. TAE were repeatedly performed at the same time. At the follow-up, the partial infarction in the normal parenchyma of the treated kidney was demonstrated on CT scanning in one case. We suggest that if the residual or recanalization of AVM after the initial TAE is observed, careful follow-up should be preferred without repeated TAE unless some deriving symptoms have appeared.
我们报告了两例以肉眼血尿为主诉的肾动静脉畸形(AVM)病例,并采用明胶海绵行经导管动脉栓塞术(TAE)治疗。尽管两例患者在TAE术后血尿均消失,但分别在术后1个月和3个月的随访肾动脉造影中发现AVM再通。同时重复进行了TAE。随访时,其中1例患者的CT扫描显示治疗侧肾脏正常实质出现部分梗死。我们建议,如果在初次TAE后观察到AVM残留或再通,除非出现一些相关症状,否则应谨慎随访,而不建议重复TAE。