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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Congenital renal arteriovenous malformations: two cases report
1Department of Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan, R.O.C.
Summary
Congenital kidney arteriovenous malformations (AVMs) are rare. Transcatheter renal arterial embolization effectively treated two cases, resolving symptoms and showing minimal long-term renal impact.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Pediatric Urology
Background:
- Congenital arteriovenous malformation (AVM) of the kidney is a rare vascular anomaly.
- Rupture can lead to significant clinical manifestations including hematuria and flank pain.
Observation:
- Two pediatric cases of congenital renal AVMs presented with symptoms attributed to AVM rupture.
- Clinical presentation included hematuria, flank pain, and urinary retention secondary to clot formation.
Findings:
- Both cases were successfully treated with transcatheter renal arterial embolization.
- Post-embolization, patients experienced complete resolution of presenting signs and symptoms.
- Follow-up DMSA scans indicated focal loss of renal cortical function, suggesting localized impact without significant overall renal compromise.
Implications:
- Transcatheter embolization is a viable and effective treatment for congenital renal AVMs.
- Early intervention can prevent severe complications and preserve renal function.
- This approach offers a minimally invasive option for managing this rare condition.
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