کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4224128 | 1609633 | 2014 | 6 صفحه PDF | دانلود رایگان |
ObjectiveTo evaluate using of polyvinyl alcohol particle and N-butyl cyanoacrylate (NBCA)/lipiodol mixture for selective embolization of eight patients with ruptured renal angiomyolipomas (AMLs).Patients and methodsFrom January 2006 to December 2012, eight patients underwent angiography and embolization of renal angiomyolipoma-associated hemorrhage. The patients were 7 women and one man, 22–52 years old. Only 2 patients had the sporadic form of angiomyolipoma and the other 6 patients had the tuberous sclerosis form. Two patients presented with hematuria, while the other 6 patients presented with perinephric bleed. Three patients were treated urgently, while the other 5 patients were scheduled for embolization 1–3 days after admission. The technical and clinical success, complications, rebleeding and the need for surgical intervention were documented.ResultsAngiography showed aneurysmal dilatation in 7 patients (88%). Twenty-five feeding arteries were embolized. Primary technical success rate was 62.5% and the clinical success rate was 100%. No major complications or deaths occurred during or after the procedures. Mean hospitalization was 5 (range 3–12) days. Secondary technical success rate was 100%. No tumor growth on the follow up CT and the mean size reduction was 41%.ConclusionSelective arterial embolization with polyvinyl alcohol particles and N-butyl cyanoacrylate/lipiodol mixture is an effective and safe treatment for patients with ruptured renal AMLs.
Journal: The Egyptian Journal of Radiology and Nuclear Medicine - Volume 45, Issue 3, September 2014, Pages 745–750