Transarterial embolization of renal tumors improves surgical outcomes: A case series

Reinhart, Henry A.; Ghaleb, M.; Davis, Brian R.

doi:10.1016/j.ijscr.2015.08.022

Cited by 17 publications

(9 citation statements)

References 16 publications

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“…At the first time, RAE was primarily used to treat unresectable symptomatic renal cancer. Currently, the indications for RAE have considerably expanded including renal trauma, renal tumours, iatrogenic complications, and medical renal disease [ 7 ] [ 8 ]. The advantages of RAE in the preoperative setting include a decrease in perioperative blood loss, the creation of a tissue plane of oedema, facilitating dissection, and reduction in tumour bulk including the extent of vascular thrombus [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Renal Arteries Embolization in Unresectable Clear Cell Renal Carcinoma: First Time Experience at Haji Adam Malik Hospital

Perdana

Dulay

Prapiska

2018

Open Access Maced J Med Sci

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OBJECTIVE:To report a case of renal arterial embolisation (RAE) in unresectable renal tumour before nephrectomy.CASE REPORT:On presentation, the clinical features of this patient, including medical history, signs and symptoms, imaging examinations were recorded. After diagnosis and initial treatment, the result and histopathological examination were performed and discussed. We performed RAE in the unresectable renal tumour in the 28-year-old male that was complaining a palpable pain right flank mass and intermittent hematuria that had been observed five months earlier. A month after RAE, the tumour shrinks and become resectable. The parameter used was tumour volume, propulsion and component, with subjective value VAS, hematuria symptom and Quality Of Life Score EORTC-QLQ C30. The next step we performed nephrectomy with histopathology results in Clear Cell Renal Carcinoma (CCRC).CONCLUSION:RAE is an effective therapeutic and adjuvant tool because it facilitates the dissection of unresectable large renal tumours and tumours with extensive involvement around the renal hilum; it leading to lower overall morbidity. However, the lack of randomised prospective studies is the primary reason that RAE is not used often before surgery.

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Section: Discussionmentioning

confidence: 99%

Renal Arteries Embolization in Unresectable Clear Cell Renal Carcinoma: First Time Experience at Haji Adam Malik Hospital

Perdana

Dulay

Prapiska

2018

Open Access Maced J Med Sci

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“…33 Other measures such as operative blood loss and duration of surgery have similarly shown mixed results. 28,34,35 A recent small case series demonstrated a new approach to zero ischemia partial nephrectomy with the use of a hybrid operating room for same-day preoperative RAE and surgery. 36 The role of preoperative RAE may be further defined, as variations on technique such as this are explored.…”

Section: Renal Malignanciesmentioning

confidence: 99%

Renal Artery Embolization for Neoplastic Conditions

Lionberg

Jeffries

2020

Semin intervent Radiol

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“…Selective arterial embolization (SAE) is a widely studied method for decreasing the vascularity and volume of renal malignancies, thereby facilitating subsequent complete surgical tumor excision and limiting intraoperative bleeding [ 20 , 21 , 22 , 23 ]. In a nested matched case-control study, survival in 118 patients who underwent renal artery embolization before nephrectomy for renal cell carcinoma was 62% and 47% at 5 and 10 years, respectively, compared with 35% and 23% in 116 patients without pre-operative embolization [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Selective Arterial Embolization with N-Butyl Cyanoacrylate Prior to CT-Guided Percutaneous Cryoablation of Kidney Malignancies: A Single-Center Experience

Lopez¹,

Chevallier²,

Guillen³

et al. 2021

JCM

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The study’s purpose was to assess the safety, feasibility and efficiency of selective arterial embolization (SAE) using N-butyl cyanoacrylate (NBCA) glue before percutaneous cryoablation (PCA) of renal malignancies in patients whose tumor characteristics and/or comorbidities resulted in an unacceptable risk of bleeding. In this single-center retrospective study of 19 consecutive high-risk patients (median age, 74 years) with renal malignancies managed in 2017–2020 by SAE with NBCA followed by PCA, data about patients, tumor and procedures characteristics, complications, renal function and hemoglobin concentration before and after treatment, as well as recurrence were collected. Charlson comorbidity index was ≥4 in 89.5% of patients. Ten patients were treated by antiplatelet and/or anticoagulant therapy. Median tumor largest diameter was 3.75 cm (range, 1–6.5 cm) and R.E.N.A.L. nephrometry score was ≥7 in 80%, indicating substantial tumor complexity. No major complications were recorded and minor complications occurred in 7 patients. No residual tumor was found at 6-week imaging follow-up in 18/19 patients. Tumor recurrence was visible in 1/16 patients at 6-month imaging follow-up. No significant difference was found for renal function after treatment (p = 0.07), whereas significant decrease in hemoglobin concentration was noted (p = 0.00004), although it was relevant for only one patient who required only blood transfusion and no further intervention. SAE prior to PCA is safe and effective for managing renal malignancies in high-risk patients.

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Transarterial embolization of renal tumors improves surgical outcomes: A case series

Abstract: HighlightsOur study shows transarterial embolization had a decreased in blood loss.TAE allowed high stage tumors of greater average size to be removed.Time to surgery post embolization varied from several hours to one day.

Cited by 17 publications

References 16 publications

Renal Arteries Embolization in Unresectable Clear Cell Renal Carcinoma: First Time Experience at Haji Adam Malik Hospital

Renal Arteries Embolization in Unresectable Clear Cell Renal Carcinoma: First Time Experience at Haji Adam Malik Hospital

Renal Artery Embolization for Neoplastic Conditions

Selective Arterial Embolization with N-Butyl Cyanoacrylate Prior to CT-Guided Percutaneous Cryoablation of Kidney Malignancies: A Single-Center Experience

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