Renal artery embolisation in the palliative treatment of renal carcinoma
| Autor: | D Kiely, P Sweeney, N Saleem Amer, E Rogers, N J Maxwell, A P Brady |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Renal Artery Renal cell carcinoma medicine.artery medicine Carcinoma Humans Radiology Nuclear Medicine and imaging Stage IIIC Embolization Renal artery Stage (cooking) Carcinoma Renal Cell Aged Aged 80 and over Kidney business.industry Palliative Care General Medicine Length of Stay Middle Aged medicine.disease Embolization Therapeutic Survival Analysis Kidney Neoplasms Surgery medicine.anatomical_structure Treatment Outcome Female business Kidney disease |
| Zdroj: | The British journal of radiology. 80(950) |
| ISSN: | 1748-880X |
| Popis: | The aim of this study is to review the role and technique of renal artery embolisation (RAE), and assess its effectiveness in the palliative treatment of unresectable or inoperable renal cell carcinoma (RCC) in our institution. The study group consisted of 19 consecutive patients (16 male, 3 female; age range 47-87 years) who underwent palliative RAE for the treatment of renal carcinoma between January 2000 and December 2005. Unresectable disease was present in 11 patients (3 stage IVa, 8 stage IVb). Potentially resectable disease was present in 8 patients (4 stage II, 1 stage IIIa, 1 stage IIIb, 2 stage IIIc); however, these patients were unfit for surgery for other reasons. 13 patients presented with haematuria, which was gross in 7 patients. Nine patients complained of flank pain. RAE was performed using polyvinyl alcohol or embosphere particles, metallic coils and, in some cases, absolute alcohol was necessary. At the time of analysis, 12 patients had died while 7 patients were still alive, with an overall median survival for the study group of 6 months. In the 7 patients with transfusion dependant gross haematuria, there was stabilization of the haemoglobin level post-embolisation. In the 9 patients who presented with flank pain, symptoms improved or resolved in 8 patients. The median length of hospital stay for the 18 patients who were discharged was 5.0 days. RAE is a safe and tolerable management option for patients with inoperable or unresectable renal carcinoma as a means of palliation of local symptoms and improving clinical status, with low morbidity and shorter hospital stay. |
| Databáze: | OpenAIRE |
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