Skip to main content
Erschienen in: Current Urology Reports 3/2018

01.03.2018 | Kidney Diseases (G Ciancio, Section Editor)

Renal Embolization: Current Recommendations and Rationale for Clinical Practice

verfasst von: Raja S. Ramaswamy, Olaguoke Akinwande, Tatulya Tiwari

Erschienen in: Current Urology Reports | Ausgabe 3/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

Renal embolization (RE) is a minimally invasive endovascular procedure performed primarily by interventional radiology that can be used to treat a variety of urologic conditions including malignant renal tumors, angiomyolipomas, renal trauma, and complications following biopsy. The following review examines renal embolization indications, technique, and potential complications.

Recent Findings

Renal embolization is a versatile therapeutic and adjunctive tool for many acute and chronic urologic conditions. RE has become a first-line therapy for renal trauma in lower grade injuries and increasing in prevalence for higher grade injuries. Additionally, the safety and efficacy of chemoembolization for primary treatment of renal cell carcinoma is under evaluation.

Summary

A multidisciplinary approach between urology and interventional radiology should be pursued for all patients undergoing renal embolization regardless of indication. Preprocedural planning and careful monitoring of complications should be performed to optimize clinical outcomes.
Literatur
7.
Zurück zum Zitat •• Ramaswamy RS, Darcy MD. Arterial embolization for the treatment of renal masses and traumatic renal injuries. Techniques in vascular and interventional radiology. 2016;19(3):203–10. A comprehensive review on technique and choice of embolic materials for renal artery embolization. •• Ramaswamy RS, Darcy MD. Arterial embolization for the treatment of renal masses and traumatic renal injuries. Techniques in vascular and interventional radiology. 2016;19(3):203–10. A comprehensive review on technique and choice of embolic materials for renal artery embolization.
9.
Zurück zum Zitat Venkatesan AM, Kundu S, Sacks D, Wallace MJ, Wojak JC, Rose SC, et al. Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association [corrected]. J Vasc Interv Radiol. 2010;21(11):1611–30. quiz 31CrossRefPubMed Venkatesan AM, Kundu S, Sacks D, Wallace MJ, Wojak JC, Rose SC, et al. Practice guidelines for adult antibiotic prophylaxis during vascular and interventional radiology procedures. Written by the Standards of Practice Committee for the Society of Interventional Radiology and Endorsed by the Cardiovascular Interventional Radiological Society of Europe and Canadian Interventional Radiology Association [corrected]. J Vasc Interv Radiol. 2010;21(11):1611–30. quiz 31CrossRefPubMed
17.
Zurück zum Zitat Onishi T, Oishi Y, Suzuki Y, Asano K. Prognostic evaluation of transcatheter arterial embolization for unresectable renal cell carcinoma with distant metastasis. BJU Int. 2001;87(4):312–5.CrossRefPubMed Onishi T, Oishi Y, Suzuki Y, Asano K. Prognostic evaluation of transcatheter arterial embolization for unresectable renal cell carcinoma with distant metastasis. BJU Int. 2001;87(4):312–5.CrossRefPubMed
20.
Zurück zum Zitat •• Karalli A, Ghaffarpour R, Axelsson R, Lundell L, Bozoki B, Brismar T, et al. Transarterial chemoembolization of renal cell carcinoma: a prospective controlled trial. J Vasc Interv Radiol. 2017;28(12):1664–72. A prospective randomized control study comparing chemoembolization with particulate embolization for the primary treatment of renal cell carcinoma. •• Karalli A, Ghaffarpour R, Axelsson R, Lundell L, Bozoki B, Brismar T, et al. Transarterial chemoembolization of renal cell carcinoma: a prospective controlled trial. J Vasc Interv Radiol. 2017;28(12):1664–72. A prospective randomized control study comparing chemoembolization with particulate embolization for the primary treatment of renal cell carcinoma.
21.
Zurück zum Zitat • Winokur RS, Pua BB, Madoff DC. Role of combined embolization and ablation in management of renal masses. Semin Interv Radiol. 2014;31(1):82–5. Important article describes the role of combined embolization and ablation in the treatment of AML. CrossRef • Winokur RS, Pua BB, Madoff DC. Role of combined embolization and ablation in management of renal masses. Semin Interv Radiol. 2014;31(1):82–5. Important article describes the role of combined embolization and ablation in the treatment of AML. CrossRef
23.
Zurück zum Zitat Yamakado K, Nakatsuka A, Kobayashi S, Akeboshi M, Takaki H, Kariya Z, et al. Radiofrequency ablation combined with renal arterial embolization for the treatment of unresectable renal cell carcinoma larger than 3.5 cm: initial experience. Cardiovasc Intervent Radiol. 2006;29(3):389–94. https://doi.org/10.1007/s00270-004-0090-9.CrossRefPubMed Yamakado K, Nakatsuka A, Kobayashi S, Akeboshi M, Takaki H, Kariya Z, et al. Radiofrequency ablation combined with renal arterial embolization for the treatment of unresectable renal cell carcinoma larger than 3.5 cm: initial experience. Cardiovasc Intervent Radiol. 2006;29(3):389–94. https://​doi.​org/​10.​1007/​s00270-004-0090-9.CrossRefPubMed
27.
Zurück zum Zitat • Li D, Pua BB, Madoff DC. Role of embolization in the treatment of renal masses. Semin Interv Radiol. 2014;31(1):70–81. Review article detailing the role of endovascular therapy for the treatment of renal masses. CrossRef • Li D, Pua BB, Madoff DC. Role of embolization in the treatment of renal masses. Semin Interv Radiol. 2014;31(1):70–81. Review article detailing the role of endovascular therapy for the treatment of renal masses. CrossRef
31.
Zurück zum Zitat Dabbeche C, Chaker M, Chemali R, Perot V, El Hajj L, Ferriere JM, et al. Role of embolization in renal angiomyolipomas. J Radiol. 2006;87(12 Pt 1):1859–67. Role de l’embolisation dans les angiomyolipomes du rein.CrossRefPubMed Dabbeche C, Chaker M, Chemali R, Perot V, El Hajj L, Ferriere JM, et al. Role of embolization in renal angiomyolipomas. J Radiol. 2006;87(12 Pt 1):1859–67. Role de l’embolisation dans les angiomyolipomes du rein.CrossRefPubMed
37.
Zurück zum Zitat •• Kautza B, Zuckerbraun B, Peitzman AB. Management of blunt renal injury: what is new? Eur J Trauma Emerg Surg. 2015;41(3):251–8. Review article focusing on the contemporary workup and management of blunt renal trauma. CrossRefPubMed •• Kautza B, Zuckerbraun B, Peitzman AB. Management of blunt renal injury: what is new? Eur J Trauma Emerg Surg. 2015;41(3):251–8. Review article focusing on the contemporary workup and management of blunt renal trauma. CrossRefPubMed
Metadaten
Titel
Renal Embolization: Current Recommendations and Rationale for Clinical Practice
verfasst von
Raja S. Ramaswamy
Olaguoke Akinwande
Tatulya Tiwari
Publikationsdatum
01.03.2018
Verlag
Springer US
Erschienen in
Current Urology Reports / Ausgabe 3/2018
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-018-0756-5

Weitere Artikel der Ausgabe 3/2018

Current Urology Reports 3/2018 Zur Ausgabe

Surgery (J Simhan, Section Editor)

Surgical Management of Adult Acquired Buried Penis

Kidney Diseases (G Ciancio, Section Editor)

Kidney Autotransplantation: Between the Past and the Future

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.