Polyvinyl alcohol and N-butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomas
Objective: To 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 methods: From January 2006 to December 2012, eight patients underwent angiography and emb...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2014-09-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X14001004 |
| _version_ | 1819327160094031872 |
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| author | M.A. Seif Hany G. Elmalah Hosam |
| author_facet | M.A. Seif Hany G. Elmalah Hosam |
| author_sort | M.A. Seif Hany |
| collection | DOAJ |
| description | Objective: To 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 methods: From 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.
Results: Angiography 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%.
Conclusion: Selective arterial embolization with polyvinyl alcohol particles and N-butyl cyanoacrylate/lipiodol mixture is an effective and safe treatment for patients with ruptured renal AMLs. |
| first_indexed | 2024-12-24T13:06:25Z |
| format | Article |
| id | doaj.art-2a60db80259e42e2a0c8b7e65fe94366 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-24T13:06:25Z |
| publishDate | 2014-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-2a60db80259e42e2a0c8b7e65fe943662022-12-21T16:54:00ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2014-09-0145374575010.1016/j.ejrnm.2014.05.006Polyvinyl alcohol and N-butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomasM.A. Seif Hany0G. Elmalah Hosam1Department of Radiology, Assiut University Hospital, Assiut, Post Code: 71517, EgyptDepartment of Radiology, Assiut University Hospital, Assiut, EgyptObjective: To 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 methods: From 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. Results: Angiography 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%. Conclusion: Selective arterial embolization with polyvinyl alcohol particles and N-butyl cyanoacrylate/lipiodol mixture is an effective and safe treatment for patients with ruptured renal AMLs.http://www.sciencedirect.com/science/article/pii/S0378603X14001004AngiomyolipomaSelective arterial embolizationPolyvinyl alcohol N-butyl cyanoacrylate |
| spellingShingle | M.A. Seif Hany G. Elmalah Hosam Polyvinyl alcohol and N-butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomas The Egyptian Journal of Radiology and Nuclear Medicine Angiomyolipoma Selective arterial embolization Polyvinyl alcohol N-butyl cyanoacrylate |
| title | Polyvinyl alcohol and N-butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomas |
| title_full | Polyvinyl alcohol and N-butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomas |
| title_fullStr | Polyvinyl alcohol and N-butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomas |
| title_full_unstemmed | Polyvinyl alcohol and N-butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomas |
| title_short | Polyvinyl alcohol and N-butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomas |
| title_sort | polyvinyl alcohol and n butyl cyanoacrylate for transarterial embolization of ruptured renal angiomyolipomas |
| topic | Angiomyolipoma Selective arterial embolization Polyvinyl alcohol N-butyl cyanoacrylate |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X14001004 |
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