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Pol J Radiol. 2017 Jun 07;82:304-306. doi: 10.12659/PJR.900106. eCollection 2017.

Endovascular Treatment of Renal Arteriovenous Fistula with N-Butyl Cyanoacrylate (NBCA).

Polish journal of radiology

Ewa Kuklik, MichaƂ Sojka, Klaudia Karska, Maciej Szajner

Affiliations

  1. Department of Radiology and Interventional Neuroradiology, Independent Public Hospital No. 4 (SPSK 4), Lublin, Poland.

PMID: 28656066 PMCID: PMC5470832 DOI: 10.12659/PJR.900106

Abstract

BACKGROUND: Renal arteriovenous malformation (RAVM) is a rare disease. The causes of pathological connections between renal arteries may be congenital or iatrogenic - mainly as a consequence of a biopsy or due to renal carcinomas and postinflammatory changes. Computed tomography, ultrasound Doppler and angiography are the main diagnostic tools used for the detection of RAVMs.

CASE REPORT: The aim of this study is to present a case of endovascular treatment of RAVM with a mixture of NBCA and lipiodol. A 29-year-old woman was suffering from drug-resistant hypertension secondary to RAVM. The malformation was embolized using NBCA mixed with lipiodol. The postoperative course was uneventful. A follow-up angio-CT, performed 3 months and one year after the procedure, showed a complete occlusion of the RAVM.

CONCLUSIONS: NBCA can be used alone to embolize RAVMs. Procedures involving a combination of NBCA and lipiodol are difficult and should be performed by experienced specialists.

Keywords: Aneurysm; Arteriovenous Malformations; Embolization, Therapeutic; Enbucrilate

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