Selective arterial embolization of renal angiomyolipoma: comparing ethanol–lipiodol emulsion and polyvinyl alcohol particles as embolic agents
PURPOSETo examine the effectiveness and safety of two embolic agents, an ethanol–lipiodol emulsion and polyvinyl alcohol (PVA) particles, for selective arterial embolization (SAE) of renal angiomyolipoma (AML).METHODSRetrospectively, we reviewed the medical records and imaging data of renal AML pati...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2023-01-01
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| Series: | Diagnostic and Interventional Radiology |
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http://www.dirjournal.org/archives/archive-detail/article-preview/selective-arterial-embolization-of-renal-angiomyol/57284
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| _version_ | 1797691459077406720 |
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| author | Long Jin Ho Jong Chun Jung Suk Oh Byung Gil Choi Hae Giu Lee Il Jung Kim |
| author_facet | Long Jin Ho Jong Chun Jung Suk Oh Byung Gil Choi Hae Giu Lee Il Jung Kim |
| author_sort | Long Jin |
| collection | DOAJ |
| description | PURPOSETo examine the effectiveness and safety of two embolic agents, an ethanol–lipiodol emulsion and polyvinyl alcohol (PVA) particles, for selective arterial embolization (SAE) of renal angiomyolipoma (AML).METHODSRetrospectively, we reviewed the medical records and imaging data of renal AML patients who received SAE in our hospitals between July 2007 and January 2018. Among those eligible for analysis were patients with complete medical information, preoperative and postoperative contrast-enhanced computed tomography scans, and follow-up data. An ethanol–lipiodol emulsion was used to embolize 15 AMLs, and PVA particles were used to embolize 16 AMLs. We compared the tumor responses and adverse events between the two embolization-agent groups.RESULTSAfter embolization, no significant differences were observed in the shrinkage rates: 34.2% ± 3.4% for the ethanol–lipiodol emulsion group and 26.3% ± 3.0% for the PVA particles group (P = 0.090). Minor post-embolization complications were also similar between the groups, and there were no severe adverse events. The length of hospital stay after SAE was 2.5 ± 0.5 days for the ethanol–lipiodol emulsion group and 1.9 ± 0.5 days for the PVA particles group and was not significantly different (P = 0.425).CONCLUSIONThe results showed that SAE with ethanol–lipiodol emulsion or PVA particles was safe and efficient in decreasing tumor size and controlling renal AML hemorrhage. |
| first_indexed | 2024-03-12T02:13:35Z |
| format | Article |
| id | doaj.art-e5994255ec9648e6b7cb0cf7808299d1 |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:13:35Z |
| publishDate | 2023-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-e5994255ec9648e6b7cb0cf7808299d12023-09-06T11:58:03ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122023-01-0129117017410.5152/dir.2022.2162513049054Selective arterial embolization of renal angiomyolipoma: comparing ethanol–lipiodol emulsion and polyvinyl alcohol particles as embolic agentsLong Jin0Ho Jong Chun1Jung Suk Oh2Byung Gil Choi3Hae Giu Lee4Il Jung Kim5 Department of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea Department of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea Department of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea Department of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea Department of Radiology, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea Department of Radiology, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Gyeonggi-do, Republic of Korea PURPOSETo examine the effectiveness and safety of two embolic agents, an ethanol–lipiodol emulsion and polyvinyl alcohol (PVA) particles, for selective arterial embolization (SAE) of renal angiomyolipoma (AML).METHODSRetrospectively, we reviewed the medical records and imaging data of renal AML patients who received SAE in our hospitals between July 2007 and January 2018. Among those eligible for analysis were patients with complete medical information, preoperative and postoperative contrast-enhanced computed tomography scans, and follow-up data. An ethanol–lipiodol emulsion was used to embolize 15 AMLs, and PVA particles were used to embolize 16 AMLs. We compared the tumor responses and adverse events between the two embolization-agent groups.RESULTSAfter embolization, no significant differences were observed in the shrinkage rates: 34.2% ± 3.4% for the ethanol–lipiodol emulsion group and 26.3% ± 3.0% for the PVA particles group (P = 0.090). Minor post-embolization complications were also similar between the groups, and there were no severe adverse events. The length of hospital stay after SAE was 2.5 ± 0.5 days for the ethanol–lipiodol emulsion group and 1.9 ± 0.5 days for the PVA particles group and was not significantly different (P = 0.425).CONCLUSIONThe results showed that SAE with ethanol–lipiodol emulsion or PVA particles was safe and efficient in decreasing tumor size and controlling renal AML hemorrhage. http://www.dirjournal.org/archives/archive-detail/article-preview/selective-arterial-embolization-of-renal-angiomyol/57284 angiomyolipomaembolizationethanolkidneypolyvinyl alcohol |
| spellingShingle | Long Jin Ho Jong Chun Jung Suk Oh Byung Gil Choi Hae Giu Lee Il Jung Kim Selective arterial embolization of renal angiomyolipoma: comparing ethanol–lipiodol emulsion and polyvinyl alcohol particles as embolic agents Diagnostic and Interventional Radiology angiomyolipoma embolization ethanol kidney polyvinyl alcohol |
| title | Selective arterial embolization of renal angiomyolipoma: comparing ethanol–lipiodol emulsion and polyvinyl alcohol particles as embolic agents |
| title_full | Selective arterial embolization of renal angiomyolipoma: comparing ethanol–lipiodol emulsion and polyvinyl alcohol particles as embolic agents |
| title_fullStr | Selective arterial embolization of renal angiomyolipoma: comparing ethanol–lipiodol emulsion and polyvinyl alcohol particles as embolic agents |
| title_full_unstemmed | Selective arterial embolization of renal angiomyolipoma: comparing ethanol–lipiodol emulsion and polyvinyl alcohol particles as embolic agents |
| title_short | Selective arterial embolization of renal angiomyolipoma: comparing ethanol–lipiodol emulsion and polyvinyl alcohol particles as embolic agents |
| title_sort | selective arterial embolization of renal angiomyolipoma comparing ethanol lipiodol emulsion and polyvinyl alcohol particles as embolic agents |
| topic | angiomyolipoma embolization ethanol kidney polyvinyl alcohol |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/selective-arterial-embolization-of-renal-angiomyol/57284
|
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