scholarly journals Laparoscopic Retroperitoneal Nephron-Sparing Surgery Without Renal Artery Clamping with Preoperative Selective Arterial Embolization for Management of Right Renal Angiomyolipoma of Diameter 10 cm: A Case Report

2017 ◽  
Vol 3 (1) ◽  
pp. 13-16 ◽  
Author(s):  
Tatsuhiko Hoshii ◽  
Shinichi Morita ◽  
Yohei Ikeda ◽  
Go Hasegawa ◽  
Tsutomu Nishiyama
Keyword(s):  
Case Report ◽  
Renal Artery ◽  
Arterial Embolization ◽  
Nephron Sparing Surgery ◽  
Renal Angiomyolipoma ◽  
Selective Arterial Embolization ◽  
Nephron Sparing

scholarly journals Total nephrectomy with nephron-sparing surgery for a giant bilateral renal angiomyolipoma: A case report

2015 ◽  
Vol 10 (4) ◽  
pp. 2450-2452
Author(s):  
YIHONG ZHOU ◽  
YUXIN TANG ◽  
JIN TANG ◽  
FEI DENG ◽  
YU GAN ◽  
...  
Keyword(s):  
Case Report ◽  
Nephron Sparing Surgery ◽  
Renal Angiomyolipoma ◽  
Nephron Sparing ◽  
Total Nephrectomy

scholarly journals ROLE OF PRE-OPERATIVE SELECTIVE ARTERIAL EMBOLIZATION OF RENAL TUMORS IN NEPHRON-SPARING SURGERY: A PILOT STUDY.

2020 ◽  
Vol 71 (2) ◽  
pp. 493-499
Author(s):  
Abdalla Ahmed ◽  
Mohamed Elgharib ◽  
Mahmoud Ahmed ◽  
Ahmed Farouk ◽  
Mohamed Shaaban
Keyword(s):  
Pilot Study ◽  
Arterial Embolization ◽  
Nephron Sparing Surgery ◽  
Renal Tumors ◽  
Selective Arterial Embolization ◽  
Nephron Sparing

scholarly journals Selective Arterial Embolization of Renal Angiomyolipomas with a N-Butyl Cyanoacrylate-Lipiodol Mixture: Efficacy, Safety, Short- and Mid-Term Outcomes

2021 ◽  
Vol 10 (18) ◽  
pp. 4062
Author(s):  
François-Victor Prigent ◽  
Kévin Guillen ◽  
Pierre-Olivier Comby ◽  
Julie Pellegrinelli ◽  
Nicolas Falvo ◽  
...  
Keyword(s):  
Arterial Embolization ◽  
Volume Reduction ◽  
Renal Angiomyolipoma ◽  
Cyanoacrylate Glue ◽  
Selective Arterial Embolization ◽  
Before And After ◽  
The Mean ◽  
Magnetic Resonance Imaging Mri ◽  
Postembolization Syndrome

Selective arterial embolization (SAE) for renal angiomyolipoma (rAML) is effective to treat or prevent bleeding. We report our experience using a cyanoacrylate–Lipiodol mixture. We performed a single-center retrospective review of all rAMLs embolized with cyanoacrylate glue between July 2014 and June 2020. Demographics, tuberous sclerosis complex (TSC) status, clinical presentation, angiography features, and follow-up data were recorded. Pre- and post-procedure rAML sizes and volumes were estimated from computed tomography (CT) or magnetic resonance imaging (MRI) studies. Kidney function was assessed before and after the procedure. We identified 24 patients (22 females and 2 males, mean age 51 years) treated for 27 AMLs, either prophylactically (n = 20) or as an emergency (n = 4). Technical success was achieved for 25/27 AMLs; two patients, each with a single AML, required nephrectomy and repeated embolization, respectively. Major complications occurred in three patients and minor complications such as postembolization syndrome in 15 patients. AML volume reduction after embolization was 55.1% after a mean follow-up of 15 months (range, 1–72 months). Factors associated with greater volume reduction were a smaller percentage of fat (p = 0.001), larger initial rAML volume (p = 0.014), and longer follow-up (p = 0.0001). The mean creatinine level did not change after SAE. Embolization of rAMLs with a mixture of cyanoacrylate and Lipiodol is feasible, safe, and effective in significantly decreasing tumor volume.

scholarly journals Selective Arterial Embolization of Renal Angiomyolipoma: Efficacy, Tumor Volume Reduction and Complications

2021 ◽  
Vol 73 (5) ◽  
Author(s):  
Walailak Chaiyasoot ◽  
Jirawadee Yodying ◽  
Thanita Limsiri
Keyword(s):  
Success Rate ◽  
Clinical Success ◽  
Three Dimensional ◽  
Clinical Success Rate ◽  
Arterial Embolization ◽  
P Value ◽  
Renal Angiomyolipoma ◽  
Tumor Rupture ◽  
Selective Arterial Embolization ◽  
Density Histogram

Objective: To evaluate the efficacy and complications of selective arterial embolization in renal angiomyolipoma and to identify predictive factors for tumor rupture.Materials and Methods: Overall, 21 patients with 25 renal angiomyolipoma (AML) underwent selective arterial embolization (SAE) between January 2008 and June 2019, comprising 15 cases involving prophylaxis embolization of a tumor >4 cm diameter and 10 involving embolization for a ruptured tumor. Multidetector computed tomography (MDCT) was performed pre- and post-SAE, using the 2D tumor diameter in the ruptured AMLs. Three-dimensional volumetry and density histogram were performed for determining the total tumor volume, fat, and angiomyogenic component reduction in the unruptured AMLs. The predictive factors for tumor rupture, the treatment outcome and complications were analyzed. Results: The clinical success rate was 84% (21/25 cases) and the technical success rate was 96% (24/25 cases). The 3D volume post-SAE within 1-3 months showed a greater decrement of the enhanced angiomyogenic component than the fat component, with median percentages of -62.2% and -18.4%, respectively (p-value = 0.333). Minor complications were post-embolization syndrome (5 case, 20%) and minimal renal infarction (4 cases, 16%). Renal abscesses were the major complications (3 cases, 12%). A factor associated with tumor rupture was the presence of an intra-tumoral aneurysm (p-value < 0.05).Conclusion: SAE is an effective treatment for renal AML with a high technical and clinical success rate and limited complications. Three-dimensional volume measurement and density histogram analysis might be better tools than two-dimensional CT to evaluate post-SAE response, which is crucial for management planning.

Laparoendoscopic Single-Site Unclamped Nephron-Sparing Surgery: A Case Report

2011 ◽  
Vol 60 (3) ◽  
pp. 591-594 ◽  
Author(s):  
Luca Cindolo ◽  
Francesco Berardinelli ◽  
Roberto Bellocci ◽  
Luigi Schips
Keyword(s):  
Case Report ◽  
Nephron Sparing Surgery ◽  
Single Site ◽  
Laparoendoscopic Single Site ◽  
Nephron Sparing
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