Predictors of renal angioembolization outcome: A retrospective analysis with 148 patients at a tertiary urology institute

Farg, Hashim; Elawdy, Mohamed Mohamed; Soliman, Karim Ali; Badawy, Mohamed A.; Elsorougy, Ali; Abdelhamid, Abdalla; Mohsen, Tarek; El-Diasty, Tarek

doi:10.1016/j.ajur.2021.07.003

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…The Seldinger's technique is commonly used for angioembolization of RCC and AML as performed in our study. [2] Subsequent surgery will be facilitated after angioembolization in large locally advanced renal tumors by decreasing the perioperative blood loss, creation of a tissue plane of edema facilitating dissection, and reduction in tumor bulk including extent of vascular thrombus, when present. [3,4] Therefore, the intra-operative transfusions and operative time were decreased.…”

Section: Discussionmentioning

confidence: 99%

“…Arterial puncture was obtained through femoral artery. Using the Seldinger's technique [2], the patient is placed in the supine position. A hollow-core needle is introduced into the artery; a guidewire is inserted through the needle and advanced into the artery.…”

Section: Angiographic Techniquementioning

confidence: 99%

“…Logically, this will facilitate the surgical resection or treat and prevent life-threatening hemorrhage as in the case of AML. [2] It is a safe and effective technique, well tolerated with few complications particularly if the time interval from embolization to surgery is less than 48 hours. [3] However, RAE in the preoperative or palliative management of advanced malignant renal tumors remains debated.…”

Section: Introductionmentioning

confidence: 99%

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Safety and Efficacy of Angio-embolization for Complex Renal Cell Carcinoma and Angiomyolipoma: Experience and Results in 20 Patients

Moeen¹,

Sayed²,

Mourad³

et al. 2022

IJCU

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Objective: To evaluate the efficacy and safety of renal artery embolization in treatment of complex angiomyolipoma and renal cell carcinoma. Patients and Methods: Twenty patients were included in this study, 11 patients with primary renal cell carcinoma and 9 patients with AML. These patients were examined by US, CT or and MRI before RAE to evaluate size of the tumor, assess extension of renal cell carcinoma, exclude distant metastasis and assess the complications of angiomyolipoma. Renal artery embolization yield, complications and the impact of patient`s management were analyzed.Results: This study included 20 patients (12 males and 8 females). The age range was 17-75 (47.8±15.5) years. The type of renal masses were renal cell carcinoma in 11 patients and angiomyolipoma in 9 patients (5 bilateral and 4 unilateral). According to the modified Clavien system, 4 patients developed Grade I complication (3 patients developed flank pain (15%) treated with oral analgesics and 1 patient (5%) developed self-limiting perinephric hematoma which resolved spontaneously under antibiotic coverage. Conclusion: RAE is a safe, effective and well tolerated treatment of AML either if large sized which is liable to rupture or symptomatic to stop bleeding. Also, it allows preoperative de-vascularization of RCC to facilitate its surgical resection and as palliative treatment if RCC is un-resectable or metastatic.

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Section: Discussionmentioning

confidence: 99%

Section: Angiographic Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Safety and Efficacy of Angio-embolization for Complex Renal Cell Carcinoma and Angiomyolipoma: Experience and Results in 20 Patients

Moeen¹,

Sayed²,

Mourad³

et al. 2022

IJCU

Self Cite

View full text Add to dashboard Cite

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Predictive factors of selective transarterial embolization failure in acute renal bleeding: a single-center experience

Floridi

Cacioppa²,

Rossini

et al. 2023

Emerg Radiol

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Renal embolization for trauma: a narrative review

Lee,

Roh

2024

J Trauma Inj

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Renal injuries commonly occur in association with blunt trauma, especially in the setting of motorvehicle accidents. Contrast-enhanced computed tomography is considered the gold-standard imagingmodality to assess patients for renal injuries in the setting of blunt and penetrating trauma, andto help classify injuries based on the American Association for the Surgery of Trauma injury scoringscale. The management of renal trauma has evolved in the past several decades, with a notable shifttowards a more conservative, nonoperative approach. Advancements in imaging and interventionalradiological techniques have enabled diagnostic angiography with angiographic catheter-directedembolization to become a viable option, making it possible to avoid surgical interventions that posean increased risk of nephrectomy. This review describes the current management of renal trauma,with an emphasis on renal artery embolization techniques.

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Predictors of renal angioembolization outcome: A retrospective analysis with 148 patients at a tertiary urology institute

Cited by 3 publications

References 18 publications

Safety and Efficacy of Angio-embolization for Complex Renal Cell Carcinoma and Angiomyolipoma: Experience and Results in 20 Patients

Safety and Efficacy of Angio-embolization for Complex Renal Cell Carcinoma and Angiomyolipoma: Experience and Results in 20 Patients

Predictive factors of selective transarterial embolization failure in acute renal bleeding: a single-center experience

Renal embolization for trauma: a narrative review

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