Endovascular Embolization of a Previously Treated Renal Arteriovenous Malformation Presenting With Gross Hematuria

2020 ◽  
Vol 54 (6) ◽  
pp. 553-557 ◽  
Author(s):  
Ujjwal Gorsi ◽  
Akash Bansal ◽  
Rupali Jain ◽  
Aditya Prakash Sharma ◽  
Manavjit Singh Sandhu

Renal arteriovenous shunts are direct communications between the supplying artery and draining vein without the presence of an intervening capillary bed. They can be traumatic or nontraumatic. Coils can be used for embolization of feeding arteries; however, they do not treat the nidus directly. We report a case in which proximal coil placement in feeding arteries led to recanalization of the renal AV shunt through collaterals, resulting in recurrent hematuria. The case was subsequently managed by embolizing the nidus by N-butyl 2-cyanoacrylate glue.

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 377-379
Author(s):  
RICHARD F. SALMON ◽  
BILLY S. ARANT ◽  
MICHEL G. BAUM ◽  
RONALD J. HOGG

Factitious hematuria is a well-described cause of hematuria in adult patients but is rarely seen or considered in children.1-6 In this article, a 5-year-old girl with a history of gross hematuria with more than one pathologic explanation for recurrent hematuria is described. Because of persistent symptoms despite appropriate therapy, a factitious cause was considered. CASE REPORT The patient was the healthy product of the uncomplicated full-term pregnancy of an unmarried woman who reared the child in the home of her mother and sister. The diagnosis of urinary tract infection was made first at 2 years of age. In subsequent radiographic studies, two normal kidneys were identified, with complete duplication of the left collecting system and bilateral grade 2 vesicoureteric reflux.


1997 ◽  
Vol 58 (1) ◽  
pp. 55-57 ◽  
Author(s):  
Takao Kamai ◽  
Kazuo Saito ◽  
Makoto Hirokawa ◽  
Hiroshi Tukamoto ◽  
Hiroshi Ashida

2010 ◽  
Vol 03 (01) ◽  
Author(s):  
Dimitrios S Tzortzakakis ◽  
Michael S Nomikos ◽  
Ioanna N Tritou ◽  
Adam A Hatzidakis ◽  
Ploutarchos E Anezinis

2018 ◽  
Vol 84 (1) ◽  
pp. 33-35
Author(s):  
Oscar Cano-Valderrama ◽  
Belen Manso ◽  
Jaime Ruiz-Tovar ◽  
Manuel Duran-Poveda ◽  
Sandra Agudo-Fernández

2019 ◽  
Vol 03 (02) ◽  
pp. 134-138
Author(s):  
Heather Kate Moriarty ◽  
Warren Clements ◽  
Tim Joseph ◽  
Anoop Madan ◽  
Tuan Phan

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.


2000 ◽  
Vol 10 (5) ◽  
pp. 772-775 ◽  
Author(s):  
L. Defreyne ◽  
F. Govaere ◽  
P. Vanlangenhove ◽  
A. Derie ◽  
M. Kunnen

2014 ◽  
Vol 20 (2) ◽  
pp. 234-238 ◽  
Author(s):  
Vinodh T. Doss ◽  
Jason Weaver ◽  
Scott Didier ◽  
Adam S. Arthur

Aneurysmal bone cysts (ABCs) are destructive cystic lesions of the bone and are common in children. They are expansile in nature and, therefore, may become symptomatic. These have traditionally been treated surgically; but recently, endovascular embolization has shown promise as a stand-alone therapy. The authors describe a case of an ABC highlighting the effectiveness and efficiency of endovascular treatment. A 16-year-old boy was referred for a 4-month history of radiating back pain and urinary hesitancy. Findings from his neurological examination were normal, but he had problems ambulating because of pain. Magnetic resonance imaging and CT scanning showed a cystic mass in the sacrum; a biopsy was performed and diagnosis of ABC was confirmed. Treatment options were then discussed with the family. The patient underwent 2 endovascular embolizations in approximately 1 month: Onyx 18 was involved in the first session, and N-butyl cyanoacrylate glue was used in the second session. After the first treatment, the patient experienced a dramatic decrease in pain and concomitant improvement in function. The patient went from being mildly symptomatic after the first treatment to completely asymptomatic after the second treatment. Clinical and radiographic follow-up obtained at 2, 6, and 18 months after initial treatment revealed the patient to be asymptomatic with progressive ossification. Endovascular treatment can be effective in treating symptomatic cases of ABC in which surgery would carry significant risk. Selective arterial embolization can promote sclerosis and result in an immediate and significant decrease in pain.


Author(s):  
Duy Cát Lê

APPLICATIONS ENDOVASCULAR EMBOLIZATION FOR PERSISTENT HEMATURIA AT HUE CENTRAL HOSPITAL: NINETEEN CASES SERIES Background: Due to an induced arterio-ureteral fistula is very common after a renal partial surgery, traumatic, biopsy, arteriovenous malformations (AVM), arteriovenous fistulas (AVF). Endovascular interventions include a variety of methods and embolic materials of different circuit nodes for the purpose of completely vascular embolization causing extravasation or reduce the size of the AVM, AVF and False aneurysms, minimizing complications and recurrence. Patient and Method: Nineteen patients were performed the transcatheter arterial embolization (TAE) in Hue central hospital from 10 /2013 to 12 /2018, 19 cases had persistent hematuria. Results: All had excluded extravasation after embolization, no recurrent hematuria. Conclusion: Applications endovascular embolization in persistent hematuria is an effective and safe therapeutic method, it can be widely apply. Keywords: Intravascular intervention, prolonged hematuria


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