Selective arterial embolization in the management of symptomatic renal angiomyolipomas
| Autor: | Lambros Vlahos, Dimitrios Gikas, Aristidis Antoniou, Achilles Chatziioannou, D. Mourikis, Dimitrios Kehagias |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
medicine.medical_specialty Angiomyolipoma Adolescent medicine.medical_treatment Asymptomatic Angioma medicine Humans Radiology Nuclear Medicine and imaging Embolization Retrospective Studies Vascular disease business.industry Arterial Embolization Angiography Retrospective cohort study General Medicine medicine.disease Embolization Therapeutic Kidney Neoplasms Surgery Radiology medicine.symptom Tomography X-Ray Computed business Kidney disease |
| Zdroj: | European Journal of Radiology. 32:153-159 |
| ISSN: | 0720-048X |
| Popis: | Current management of renal angiomyolipomas (AMLs) include observation, transcatheter embolization and partial or total nephrectomy. Patients symptoms and size of the lesion are the determinants for the choice of the treatment. In general symptomatic or greater than 8 cm masses require intervention. A retrospective study of five patients presented with symptomatic lesions and treated with selective transcatheter embolization, over a 3 year period was performed in our hospital. A total of eight embolizations were performed, all on an emergency basis due to retroperitoneal bleeding or significant hematuria. Surgical intervention was necessary in one case, due to massive rebleeding on the fourth post-procedural day. Two patients rebled within 6 months and 2 years respectively, and were managed successfully with additional embolization. The remaining two patients are still asymptomatic 26 and 18 months after the successful initial result. Experience with this procedure is reported on with emphasis to the clinical outcome. It is believed that selective arterial embolization should be the standard initial therapy for symptomatic renal AMLs. |
| Databáze: | OpenAIRE |
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