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Interventional Radiology and Angioinfarction: Transcatheter Embolization of Renal Tumors

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Renal Cancer

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Abstract

The embolization of the renal vasculature to treat kidney cancer has been introduced nearly 40 years ago and has now evolved to a standard procedure in interventional radiology (Dotter CT, Goldman ML, Rosch J. Instant selective arterial occlusion with isobutyl 2-cyanoacrylate. Radiology. 1975; 114:227–30; Loffroy R, Abualsaud B, Delgal A, et al. Role of percutaneous arterial embolization in renal pathology. Prog Urol. 2010; 20:161–71; Fechner G, Hauser S, Flacke S, Gerhard T, Muller SC. The role of superselective transcatheter arterial embolisation in management of complications after kidney surgery. Aktuelle Urol. 2008; 39:229–33). To date, the majority of embolization procedures use a superselective approach targeting a portion of the kidney, a small tumor, or a focal vascular problem (Fechner G, Hauser S, Flacke S, Gerhard T, Muller SC. The role of superselective transcatheter arterial embolisation in management of complications after kidney surgery. Aktuelle Urol. 2008; 39:229–33). The embolization of the entire kidney also known as angioinfarction is usually limited to selected cases of advanced renal cancer involving the renal vein and vena cava prior to complex surgery (Klimberg I, Hunter P, Hawkins IF, Drylie DM, Wajsman Z. Preoperative angioinfarction of localized renal cell carcinoma using absolute ethanol. J Urol. 1985; 133:21–4.). Preprocedural imaging using modern cross-sectional imaging techniques such as MDCT or MRI and Doppler ultrasound provides the necessary structural and functional information to plan the intended procedure. Arteriography is used less often in the planning phase, but it precedes every endovascular procedure and confirms imaging findings of the noninvasive imaging studies.

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Authors and Affiliations

  1. Tufts University Medical School, Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA, USA

    Sebastian Flacke M.D., Ph.D. (Professor of Radiology) & Shams Iqbal M.D. (Professor of Radiology)

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  1. Sebastian Flacke M.D., Ph.D.
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  2. Shams Iqbal M.D.
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Correspondence to Sebastian Flacke M.D., Ph.D. .

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Editors and Affiliations

  1. , Institute of Urology, Lahey Clinic, 41 Mall Road, Burlington, 01805, Massachusetts, USA

    John A Libertino

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Flacke, S., Iqbal, S. (2013). Interventional Radiology and Angioinfarction: Transcatheter Embolization of Renal Tumors. In: Libertino, J. (eds) Renal Cancer. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7236-0_9

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  • DOI: https://doi.org/10.1007/978-1-4614-7236-0_9

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