Abstract
The authors report three cases of complications of renal artery embolization in patients with renal carcinoma. In two cases renal artery embolization was followed by paraparesis with loss of sphincter control. In these cases nephrectomy was performed on the side of the neoplasm and neurological disturbances disappeared after pharmacological treatment and rehabilitation.
The third patient was not treated surgically. Embolization was followed by development of spinal cord damage at the level Th12. The patient died of neoplastic cachexia and cardiorespiratory failure.
Similar content being viewed by others
References
Almgard, L., Fernström, I., Haverling, M., Lungquist, A.: Treatment of renal adenocarcinoma by embolic occlusion of the renal circulation.Brit. J. Urol., 45, 474 (1973).
Ben-Menachem, Y., Grigler, C. M., Corrier, J. N.: Selective transcatheteral renal artery occlusion prior to nephrectomy.J. Urol., 115, 355 (1975).
Bergerseń, P. W., Woodside, J.: Distal embolization complicating therapeutic renal infarction.N. Engl. J. Med., 294 (1976).
Boczen, S., Musierowicz, A., Darewicz, J., Cylwik, B.: Embolization of renal artery in bleeding malignant tumors of the kidneys.Pol. Przeg. Rad. i Med. Nukl., 42, 433 (1978).
Bogorodinski, D. K., Skoroniec, A. A.: Concerning the clinical picture of infarctions and ischemic states in the thoracosacral region of the spinal cord.Zurn. Nevropat. Psichiat., 68, 54 (1968).
Dick, R.: Radiology, now therapeutic angiographic embolization.Brit. J. Rad., 50, 241 (1977).
Gang, D. L., Dole, K. B., Adelman, L. S.: Spinal cord infarction following therapeutic renal artery embolization.JAMA, 237, 2841 (1977).
Golding, A. R., Naude, J. H., Thatcher, G. N.: Therapeutic percutaneous renal infarction.Brit. J. Urol., 1973,46, 133 (1973).
Goldstein, H. M., Medelini, H.: Transcatheteral embolization of renal cell carcinoma.Amer. J. Roent., 123, 557 (1975).
Goldstein, H. M., Wallace, S., Anderson, J. H.: Transcatheter occlusion of abdominal tumors.Radiology, 120, 539 (1976).
Klamut, M., Bieganowska-Klamut, Z., Bilewicz, O.: Complication of angiography.Pol. Przegl. Rad. i Med. Nukl., 3, 209 (1977).
Łysiak, B., Sawicka, E., Taracha, A.: Syndrome of hemilateral damage of the spinal cord (Brown-Seguard) of vascular origin.Neurol. Neurochir. Pol., T. V (XXI), 125 (1971).
Marberger, M., Georgi, M.: Balloon occlusion of the renal artery in tumor nephrectomy.J. Urol., 114, 360 (1975).
McCarron, D. A., Rubin, R. J., Barnes, B. A.: Therapeutic bilateral renal infarction in end stage renal disease.N. Engl. J. Med., 294, 652 (1976).
Paster, S., Bergreen, P., Schwarz, H.: Percutaneous catheter aided infarction of renal tumors: a preliminary report.J. Urol., 114, 351 (1975).
Porstmann, W., Manster, W., Fush, M., Krebs, W., Schwarz, D.: Die preoperative Embolisation der Arteria renalis bei Nierentumoren.Zschr. Urol., 70, 165 (1974).
Zajgner, J., Haftek, J., Koŀodziej, M.: Diagnosis of the angiomas of the spinal cord.Pol. Przegl. Rad. i Med. Nukl., 1, 33 (1977).
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Milewski, J.B., Malewski, A.W., Malanowska, S. et al. Spinal cord damage as a complication of renal artery embolization in patients with renal carcinoma. International Urology and Nephrology 13, 221–229 (1981). https://doi.org/10.1007/BF02082419
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02082419