Grenier Nicolas, Petitpierre François, Le Bras Yann, Lasserre Anne-Sophie, Cornelis François
Service d'imagerie diagnostique et interventionnelle de l'adulte, groupe hospitalier Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
Service d'imagerie diagnostique et interventionnelle de l'adulte, groupe hospitalier Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux cedex, France.
Nephrol Ther. 2016 Apr;12 Suppl 1:S139-43. doi: 10.1016/j.nephro.2016.01.009. Epub 2016 Mar 8.
Recent developments in endovascular radiological techniques and devices make embolization as a major therapeutic option in many renal vascular or neoplastic diseases, before surgery. These techniques show a very good efficacy with a low morbidity and a better renal tolerance. Indications of embolization in nephrology are post-biopsy arteriovenous fistulas, renal graft intolerance, functional exclusion and polycystic kidney disease before transplantation. Others are at the interface between nephrology and urology as angiomyolipomas (mostly in tuberous sclerosis context), arterial aneurysms and arteriovenous malformations.
血管内放射技术和设备的最新进展使栓塞成为许多肾血管疾病或肿瘤性疾病在手术前的主要治疗选择。这些技术显示出非常好的疗效,发病率低且肾脏耐受性更好。肾脏病学中栓塞的适应症包括活检后动静脉瘘、肾移植不耐受、功能排除和移植前的多囊肾病。其他情况则处于肾脏病学和泌尿外科学的交叉领域,如血管平滑肌脂肪瘤(主要在结节性硬化症背景下)、动脉瘤和动静脉畸形。