Raja S Ramaswamy1, Olaguoke Akinwande2, Tatulya Tiwari3. 1. Mallinckrodt Institute of Radiology, Washington University in St. Louis, 510 S. Kingshighway Blvd, CB 8131, St. Louis, MO, 63110, USA. ramaswamyr@wustl.edu. 2. Mallinckrodt Institute of Radiology, Washington University in St. Louis, 510 S. Kingshighway Blvd, CB 8131, St. Louis, MO, 63110, USA. 3. Endovascular Surgery and Interventional Radiology, Department of Radiology, Lexington Veterans Affairs (VA) Medical Center, 1101 Veterans Drive, Lexington, KY, 40502, USA.
Abstract
PURPOSE OF REVIEW: Renal embolization (RE) is a minimally invasive endovascular procedure performed primarily by interventional radiology that can be used to treat a variety of urologic conditions including malignant renal tumors, angiomyolipomas, renal trauma, and complications following biopsy. The following review examines renal embolization indications, technique, and potential complications. RECENT FINDINGS: Renal embolization is a versatile therapeutic and adjunctive tool for many acute and chronic urologic conditions. RE has become a first-line therapy for renal trauma in lower grade injuries and increasing in prevalence for higher grade injuries. Additionally, the safety and efficacy of chemoembolization for primary treatment of renal cell carcinoma is under evaluation. A multidisciplinary approach between urology and interventional radiology should be pursued for all patients undergoing renal embolization regardless of indication. Preprocedural planning and careful monitoring of complications should be performed to optimize clinical outcomes.
PURPOSE OF REVIEW: Renal embolization (RE) is a minimally invasive endovascular procedure performed primarily by interventional radiology that can be used to treat a variety of urologic conditions including malignant renal tumors, angiomyolipomas, renal trauma, and complications following biopsy. The following review examines renal embolization indications, technique, and potential complications. RECENT FINDINGS:Renal embolization is a versatile therapeutic and adjunctive tool for many acute and chronic urologic conditions. RE has become a first-line therapy for renal trauma in lower grade injuries and increasing in prevalence for higher grade injuries. Additionally, the safety and efficacy of chemoembolization for primary treatment of renal cell carcinoma is under evaluation. A multidisciplinary approach between urology and interventional radiology should be pursued for all patients undergoing renal embolization regardless of indication. Preprocedural planning and careful monitoring of complications should be performed to optimize clinical outcomes.
Authors: Constantinos T Sofocleous; Clay Hinrichs; Basil Hubbi; Elias Brountzos; Sanjeev Kaul; George Kannarkat; Philip Bahramipour; Alison Barone; Daniel G Contractor; Tanmaya Shah Journal: Cardiovasc Intervent Radiol Date: 2005 Jan-Feb Impact factor: 2.740
Authors: James M Hotaling; Mathew D Sorensen; Thomas G Smith; Frederick P Rivara; Hunter Wessells; Bryan B Voelzke Journal: J Urol Date: 2011-02-22 Impact factor: 7.450
Authors: Jacob Ramon; Uri Rimon; Alex Garniek; Gil Golan; Paul Bensaid; Noam D Kitrey; Andrei Nadu; Zohar A Dotan Journal: Eur Urol Date: 2008-04-18 Impact factor: 20.096