Điều trị dị dạng động tĩnh mạch thận bẩm sinh bằng can thiệp nội mạch

Transarterial embolization in management of congenital renal arteriovenous malformation

SUMMARY

Objective: To evaluate the safety and efficacy of transarterial embolization (TAE) in management of congential renal arteriovenous malformation (AVM).

Patients and Methods: Between December 2007 and June 2015, 11 patients with congential renal AVM treated with TAE was investigated for clinical presentation, imagine features, treatment methods and complications in Viet Duc hospital.

Results: 11 patients (9 women/2 men) with 10/11 gross hematuria, 5/11 flank pain and 1/11 hypertension underwent 11 sessions of treatment, TAE was performed with histoacryl + lipiodol in 7 patients, micro-coils in 3 patients, absolute alcohol and histoacryl in 1 patient. Technical and clinical success were obtained in all patients. There was only 1 patient with fever, renal function was normal in all patient pre - embolization and post - embolization.

Conclusion: TAE treatment was safe and effective, it should be recommended as the first choice to treat congential renal AVM.

Key word: renal arteriovenous malformation, embolization.