Gross hematuria due to renal arteriovenous malformation successfully treated with embolization in an elderly patient

Renal arteriovenous malformations (AVMs) are infrequent vascular morphological anomalies. About 20% of AVMs are congenital renal AVMs (CRAVMs). A 53-year-old female patient presented with a 5-day history of gross hematuria and right flank pain. The patient underwent the selective renal arteriography and embolization under local anesthesia. Renal computed tomography angiography (CTA) and digital subtraction angiography (DSA) results showed bleeding of the right renal arteriovenous malformation, both nidus and aneurysm, which indicated that the patient had both cirsoid and cavernosal types of CRAVM. Endovascular management was chosen to treat the patient. The patient was cured and discharged, then followed-up for 3 months. These results show that early identification using radiologic tests is important for diagnosis and treatment of CRAVM.

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EP165 Significant renal arteriovenous malformation in the context of a rare genetic disease: The Bannayan Riley Ruvalcaba syndrome

European Urology Supplements ◽

10.1016/s1569-9056(14)61393-2 ◽

2014 ◽

Vol 13 (5) ◽

pp. 175

Author(s):

A.D. Urbina Lima ◽

A.B. Albano Del Pozo ◽

J.J. Colombo Stenstrom ◽

J. Murillo Mirat ◽

A. Pijierro Amador ◽

...

Keyword(s):

Arteriovenous Malformation ◽

Genetic Disease ◽

Rare Genetic Disease ◽

Renal Arteriovenous Malformation

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Renal Arteriovenous Malformation with Multiple Renal Artery Aneurysms Treated by Control of the Arterial Inflow Alone

Japanese Journal of Cardiovascular Surgery ◽

10.4326/jjcvs.45.306 ◽

2016 ◽

Vol 45 (6) ◽

pp. 306-312

Author(s):

Kenjiro Kaneko ◽

Makiko Omori ◽

Hirotsugu Ozawa ◽

Shigeki Hirayama ◽

Yuji Kanaoka ◽

...

Keyword(s):

Arteriovenous Malformation ◽

Renal Artery ◽

Arterial Inflow ◽

Renal Arteriovenous Malformation

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Renal Arteriovenous Malformation

10.32388/ljhqr5 ◽

2020 ◽

Author(s):

Keyword(s):

Arteriovenous Malformation ◽

Renal Arteriovenous Malformation

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Superselective Endovascular Embolization of Congenital Renal Arteriovenous Malformation

UroToday International Journal ◽

10.3834/uij.1944-5784.2010.02.02 ◽

2010 ◽

Vol 03 (01) ◽

Author(s):

Dimitrios S Tzortzakakis ◽

Michael S Nomikos ◽

Ioanna N Tritou ◽

Adam A Hatzidakis ◽

Ploutarchos E Anezinis

Keyword(s):

Arteriovenous Malformation ◽

Endovascular Embolization ◽

Renal Arteriovenous Malformation

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Large Renal Arteriovenous Malformation in a Patient With von Willebrand Disease

Urology ◽

10.1016/j.urology.2019.04.024 ◽

2019 ◽

Vol 130 ◽

pp. 211-212

Author(s):

Charles Schlaepfer ◽

Jonathan Weese ◽

Daniel Picus ◽

Ramakrishna Venkatesh

Keyword(s):

Arteriovenous Malformation ◽

Von Willebrand Disease ◽

Renal Arteriovenous Malformation ◽

Von Willebrand

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Complex Renal Arteriovenous Malformation (AVM) Embolization using Ethylene Vinyl Alcohol (EVOH) Copolymer and a Balloon Microcatheter

Journal of Clinical Interventional Radiology ISVIR ◽

10.1055/s-0039-1694094 ◽

2019 ◽

Vol 03 (02) ◽

pp. 134-138

Author(s):

Heather Kate Moriarty ◽

Warren Clements ◽

Tim Joseph ◽

Anoop Madan ◽

Tuan Phan

Keyword(s):

Arteriovenous Malformation ◽

Vinyl Alcohol ◽

Balloon Catheter ◽

Horseshoe Kidney ◽

Endovascular Embolization ◽

Effective Procedure ◽

Arterial Supply ◽

Embolic Material ◽

Ethylene Vinyl Alcohol ◽

Renal Arteriovenous Malformation

AbstractOccurrence of a symptomatic renal arteriovenous malformation (AVM) is rare. The authors present the case of a patient with a background of Turner's syndrome, hemophilia B, and horseshoe kidney, who presented with hematuria and was successfully treated with endovascular embolization. The use of a microballoon catheter Scepter XC (Microvention, Inc.) to safely embolize the feeding arterial supply, using ethylene vinyl alcohol (EVOH) copolymer (Onyx; Medtronic/ev3) has not, to the authors’ knowledge, previously been described for the treatment of renal AVM. This novel use of an occlusal balloon catheter is permitted by the precipitation rate of Onyx, and allowed a safe and effective procedure, reducing the risk of reflux, allowing a forward push of embolic material in a controlled manner.

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