medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-2018-5-73-83medvis-657Research ArticleБРЮШНАЯ ПОЛОСТЬABDOMENАртериовенозные мальформации почек: диагностика и лечениеRenal arteriovenous malformations: diagnosis and treatmentАскероваА. Н.AskerovaA. N.

аспирант отдела лучевой диагностики

119997 Москва, ул. Большая Серпуховская, 27. НМИЦ хирургии им. А.В. Вишневского

8-963-632-36-16

resident of Radiology Department

119997 Moscow, Bolshaya Serpukhovskaya str., 27

+7-963-632-36-16

aynur_92@mail.ruСтепановаЮ. А.StepanovaYu. A.

доктор мед. наук, старший научный сотрудник отдела лучевой диагностики

профессор кафедры лучевой диагностики

doct. of med. sci., the senior researcher of radiology department

Professor of radiology department of IPE

ЗотиковА. Е.ZotikovA. E.

доктор мед. наук, профессор, ведущий научный сотрудник отдела сердечно-сосудистой хирургии

doct. of med. sci., Professor, leading researcher of Cardio-Vascular surgery Department

ИвандаевА. С.IvandaevA. S.

аспирант отдела сердечно-сосудистой хирургии

resident of Cardio-Vascular surgery Department

КармазановскийГ. Г.KarmazanovskyG. G.

Corresponding Member of RAS, doct. of med. sci., Professor, head of radiology department

Professor of radiology department of IPE

ФГБУ “Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского”РоссияA.V. Vishnevsky National Medical Research Center of SurgeryRussian FederationФГБУ “Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского” ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. СеченоваРоссияA.V. Vishnevsky National Medical Research Center of Surgery; I.M. Sechenov First Moscow State Medical UniversityRussian FederationФГБУ “Национальный медицинский исследовательский центр хирургии имени А.В. Вишневского” ФГАОУ ВО Первый Московский государственный медицинский университет имени И.М. СеченоваРоссияA.V. Vishnevsky National Medical Research Center of Surgery I.M. Sechenov First Moscow State Medical UniversityRussian Federation201828102018057383Copyright © Аскерова А.Н., Степанова Ю.А., Зотиков А.Е., Ивандаев А.С., Кармазановский Г.Г., 20182018Аскерова А.Н., Степанова Ю.А., Зотиков А.Е., Ивандаев А.С., Кармазановский Г.Г.Askerova A.N., Stepanova Y.A., Zotikov A.E., Ivandaev A.S., Karmazanovsky G.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/657

Почечная артериовенозная мальформация (АВМ) является сравнительно редкой мальформацией, составляющей до 1% всех АВМ. Различают врожденные и приобретенные, травматические и атравматические почечные АВМ, которые могут являться причинами массивной гематурии, боли, забрюшинного кровоизлияния и сердечной недостаточности. Неинвазивные методы исследования, такие как УЗИ, МСКТ и МРТ, широко используются для диагностики данной патологии, однако “золотым стандартом” диагностики почечных АВМ по-прежнему остается ангиография. Преимуществом ангиографии по сравнению с другими методами является возможность одновременного лечения таких пациентов. Лечение почечных АВМ может включать эндоваскулярное разобщение артериовенозного свища или открытое оперативное вмешательство, в том числе с использованием техники ex vivo. Выбор метода лечения основывается на общем состоянии больного и характеристиках почечной АВМ.

Renal arteriovenous fistula is a comparatively rare malformation that accounts for < 1% of all arteriovenous fistulas malformations. Renal ANM are devided into congenital or acquired, traumatic and nontraumatic, that can cause massive hematuria, pain, retroperitoneal hemorrhage, and heart failure. Non-invasive imaging modalities, including US, MDCT and MRI, are widely used to diagnose this payhology, but the gold standard for the diagnosis of renal AVM remains angiography. The advantage of angiography in comparison with other methods is the possibility of simultaneous treatment of such patients. The treatment of renal AVM can include endovascular dissociation of the arteriovenous fistula or an open operation, including the using of ex vivo techniques. The choice of method of the treatment is based on the general patient status and the characteristics of renal arteriovenous malformation.

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The authors declare that there are no conflicts of interest present.