Miyanaga T, Kitamura M, Sato Y, Terakawa T, Sakaguchi S, Tsushima J
Department of Urology, Yao Tokushukai Hospital.
Hinyokika Kiyo. 1993 Sep;39(9):823-6.
Two cases of arteriovenous malformation of the kidney were reported. The first case was a 19-year-old female, complaining of right flank pain and gross hematuria. Right selective renal arteriography revealed a 2 x 1.5 cm large cisoid type arteriovenous malformation at the most distal region of the lower branch of the renal artery. Transcatheter embolization, using Gelfoam and absolute ethanol, was successfully done, which was confirmed with repeated digital subtraction angiography with carbon dioxide (CO2-DSA). The second patient was a 55-year-old female with past history of right idiopathic renal bleeding, complaining of right flank colicky pain and gross hematuria. Right selective renal arteriography was done without any pathological findings, while CO2-DSA documented an arteriovenous malformation in the hilar region. Transcatheter embolization was not done, because the malformation seemed to be proximally located. Thus CO2-DSA was thought to be a reliable method in the diagnosis of arteriovenous fistula.
报告了两例肾动静脉畸形病例。第一例是一名19岁女性，主诉右侧腰痛和肉眼血尿。右侧选择性肾动脉造影显示在肾动脉下支最远端区域有一个2×1.5厘米大的类圆形动静脉畸形。使用明胶海绵和无水乙醇成功进行了经导管栓塞，通过重复二氧化碳数字减影血管造影（CO2-DSA）得以证实。第二例患者是一名55岁女性，有右侧特发性肾出血病史，主诉右侧腰部绞痛和肉眼血尿。右侧选择性肾动脉造影未发现任何病理结果，而CO2-DSA记录在肾门区域有一个动静脉畸形。由于畸形似乎位于近端，未进行经导管栓塞。因此，CO2-DSA被认为是诊断动静脉瘘的可靠方法。
