혈관폐색술에 의한 외상성 신동정맥루 치료: 1례
Selective Arterial Embolization of Renal Arteriovenous Fistula Associated with Blunt Renal Trauma
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이성원/Lee SW
이경섭/이성준/전석길/Lee KS/Lee SC/Jeon SK
KMID : 0358319860270040581
Abstract
A renal arteriovenous fistula is a rare disorder despite the increasing number of cases reported since l960.
Approximately more than 300 cases have been described sine the first case reported by Varela in l923.
Most of these fistulas were acquired in origin and were found in recent years owing to the increasing use of angiography and needle biopsy of the kidney as diagnostic methods, the rise in violence and consequent renal trauma cases.
Treatment has consisted of partial nephrectomy, ligation of the branch artery supplying the fistula and intentional embolization of the arterial branches, feeding the shunt by catheter.
Unless cardiovascular complications are present, salvage of the residual part of the involved kidney is possible.
Herein, we report a case treated successfully by transcatheter embolization and review the literatures with emphasis upon the salvage of the renal function.
키워드
동정맥루; 외상성; 혈관폐색술; renal arteriovenous fistula; embolization
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