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Management of renal arteriovenous malformations: A pictorial review

机译:肾动静脉畸形的处理:画报审查

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摘要

BackgroundArteriovenous malformations (AVMs) are communications between an artery and a vein outside the capillary level. This pathologic communication may be either a fistula, a simple communication between a single artery and a dilated vein, or a more complex communication, a nidus of tortuous channels between one or more arteries/arterioles and one or more draining veins. The latter type of lesion is most frequently seen in the extremities; in the kidney they tend to appear more rarely. The most common clinical presentation of renal arteriovenous malformations (RAVMs) is haematuria. Percutaneous treatment with selective endovascular techniques offers a minimally invasive, nephron-sparing option in comparison to the more invasive surgical approaches. The purpose of this pictorial review is to highlight the general lines of management and to show the range of imaging findings of the percutaneous treatment of RAVMs.
机译:背景动静脉畸形(AVM)是在毛细血管水平之外的动脉和静脉之间的通信。这种病理学联系可以是瘘管,一条动脉和一条扩张的静脉之间的简单联系,也可以是更复杂的联系,一条或多条动脉/小动脉与一条或多条引流静脉之间的曲折通道。后一种类型的病变最常见于四肢。在肾脏中,它们往往很少出现。肾动静脉畸形(RAVM)最常见的临床表现是血尿。与更具侵入性的外科手术方法相比,采用选择性血管内技术进行的经皮治疗提供了微创,保留肾单位的选择。这篇图片回顾的目的是突出管理的一般路线,并展示经皮治疗RAVM的影像学发现范围。

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