Complete Renal Embolization as an Alternative to Nephrectomy

Abstract

Complete renal embolization is a viable alternative to nephrectomy in patients with poorly functioning kidneys who present with pain or bleeding and in those who are poor operative candidates. This procedure is safe, reliable and minimally invasive with few long-term sequelae, and it is well tolerated.

Conventional renal cell carcinoma with granulomatous reaction: a report of three cases

“…A phenomenon similar to NCG can be observed in patients with renal cell carcinomas and history of preoperative artificial embolisation of the renal artery. Nowadays, it is seldom indicated as an alternative method to nephrectomy in patients with poor health having non-functioning kidneys who present with pain or bleeding [6]. All patients in our study were treated only with nephrectomy without preoperative embolisation.…”

Bilateral Renal Angiomyolipoma

“…Furthermore, complete or selective renal embolization is a viable alternative to surgery, mainly in patients with poorly functioning kidneys who present with pain or bleeding, and in those who are poor operative candidates. The embolization is safe, reliable and minimally invasive with few long-term sequelae, and it is well tolerated (11)(12).…”

Präoperative und palliative Embolisation des Nierenzellkarzinoms: Nachsorge von 49 Patienten

“…Eingeschlossen in diese retrospektive Studie wurden 56 konsekutive Patienten (24 Frauen,32 Männer, mittleres Alter: 59,4 Jahre), die von 1981 bis 1999 an unserer Universitätsklinik wegen eines Nierentumors palliativ oder präoperativ embolisiert wurden.…”

“…Fieber zwischen 37,8 und 40 Grad Celsius am 3 -4 Tage als Ausdruck eines postnekrotischen Resorptionsfiebers, Erhöhung der weißen Blutkörperchen, Erhöhung des Serumkreatinins und Ileus-/Subileussymptomatik sind beschrieben worden[18,31].Diese Symptome werden als so genanntes Postembolisationssyndrom zusammengefasst[32,33]. Flankenschmerzen kamen bei 33 und 37 % der Patienten nach der Embolisation vor.…”