Freeman M B, Andriole G L, Sicard G A, Torrence R J, Anderson C B
Department of Surgery, Washington University School of Medicine, St. Louis, Missouri.
J Urol. 1988 Jun;139(6):1292-5. doi: 10.1016/s0022-5347(17)42897-7.
Renal arteriovenous fistulas may be treated with radiological embolization or surgical ablation. Although recent reports in the literature have proposed embolization as the treatment of choice for renal arteriovenous fistulas, this form of therapy can be associated with significant morbidity in large arteriovenous communications. We report 3 cases of a large intrarenal arteriovenous fistula treated by transparenchymal repair. This technique offers an excellent method of obliterating the fistula without sacrificing the renal parenchyma.
肾动静脉瘘可采用放射栓塞或手术切除治疗。尽管最近文献报道建议将栓塞作为肾动静脉瘘的首选治疗方法，但这种治疗方式在大型动静脉交通中可能会导致严重的并发症。我们报告了3例经实质内修复治疗的大型肾内动静脉瘘病例。该技术提供了一种在不牺牲肾实质的情况下消除瘘管的极佳方法。
