Semin intervent Radiol 2001; 18(1): 037-046
DOI: 10.1055/s-2001-12837
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Renal Embolization

Charles E. Ray, Jr.
  • Denver Health Medical Center, Denver, Colorado
Further Information

Publication History

Publication Date:
31 December 2001 (online)

ABSTRACT

Renal artery embolization procedures are used in a variety of clinical settings ranging from treatment of primary neoplasms to ablation procedures for end-stage renovascular hypertension, and to treatment of posttraumatic bleeding or urinomas. The techniques used in the various clinical settings vary as well, including, but not limited to, the types of catheters and embolic agents used. The purpose of this article is to review the clinical indications for renal embolization procedures and to provide guidelines regarding the techniques used in treating many of these disease processes.

REFERENCES

  • 1 Kadir S. The kidney. In: Atlas of Normal and Variant Angiographic Anatomy Philadelphia, PA: WB Saunders 1991: 387-428
  • 2 Moriya K, Shinno Y, Kawakura K, Morita M. The natural history of renal angiomyoplioma.  Nippon Hinyokika Gakkai Zasshi . 1999;  90 557-563
  • 3 Barbalias G A, Siablis D, Liatsikos E N. Renal angiomyolipoma with haemorrhage treated by urgent embolization.  Scand J Urol Nephrol . 1998;  32 54-55
  • 4 Kessler O J, Fillon G, Neuman M. Management of renal angiomyoplipoma: analysis of 15 cases.  Eur Urol . 1998;  33 572-575
  • 5 Turini D, Nicita G, Fiorelli C, Selli C, Villari N. Selective transcatheter arterial embolization of renal carcinoma: an original technique.  J Urol . 1976;  116 419-421
  • 6 Kalman D, Varenhorst E. The role of embolization in renal cell carcinoma.  Scand J Urol Nephrol . 1999;  33 162-170
  • 7 Lammer J, Justich E, Schreyer H, Pettek R. Complications of renal tumor embolization.  Cardiovasc Intervent Radiol . 1985;  8 31-35
  • 8 Lanigan D, Jurriaans E, Hammonds J C, Wells I P, Choa R G. The current status of embolization in renal cell carcinoma-a survey of local and national practice.  Clin Radiol . 1992;  46 176-178
  • 9 Roy C, Tuchmann C, Morel M. Is there still a place for angiography in the management of renal mass lesions?.  Eur Radiol . 1999;  9 329-335
  • 10 Cina G, Lacquaniti S, Destito A, Di Stasi C. Pre-operative percutaneous embolization in a case of spontaneous rupture of renal carcinoma.  Br J Urol . 1998;  81 175-176
  • 11 Deutz F J, Rubben H, Vorserk D, Lutzeyer W. Superselective embolization of inoperable renal carcinoma in patients with solitary kidney.  Eur Urol . 1988;  15 134-138
  • 12 Layalle I, Flandroy P, Trotteur G, Dondelinger R F. Arterial embolization of bone metastases: is it worthwhile?.  J Belge Radiol . 1998;  81 223-225
  • 13 Nesbitt J C, Soltero E R, Dinney C P. Surgical management of renal cell carcinoma with inferior vena cava tumor thrombus.  Ann Thorac Surg . 1997;  63 1592-1600
  • 14 Lansing A M, Witten F R, Masri Z H, Hubbard J G. Resection of renal cell carcinoma with vena cava extension using circulatory arrest.  J Ky Med Assoc . 1991;  89 369-372
  • 15 Gohji K, Morisue K, Okamoto M. Inferior vena cava filter used for unresectable renal cell carcinoma with tumor thrombi.  Int J Urol . 1996;  3 504-507
  • 16 Rosenthal D, Gershon C R, Rudderman R. Renal cell carcinoma invading the inferior vena cava: the use of the Greenfield filter to prevent tumor emboli during nephrectomy.  J Urol . 1985;  134 126-127
  • 17 Okuda H, Toda F, Ito F. A case of sudden death by pulmonary embolism after angio-embolization of renal cell carcinoma extending into the inferior vena cava.  Hinyokika Kiyo . 1999;  45 49-51
  • 18 Hirota S, Matsumoto S, Yoshikawa T. Inferior vena cava filter placement for prevention of pulmonary tumor emboli of renal cancer with renal vein or vena caval tumor thrombus: prophylactic usage prior to transcatheter arterial embolization.  Radiat Med . 1998;  16 335-339
  • 19 Bertini J E, Flechner S M, Miller P, Ben-Menachem Y, Fischer R P. The natural history of traumatic branch renal artery injury.  J Urol . 1986;  135 228-230
  • 20 Swana H S, Cohn S M, Burns G A, Egglin T K. Renal artery pseudoaneurysm after blunt abdominal trauma: case report and literature review.  J Trauma . 1996;  40 459-461
  • 21 Corr P, Hacking G. Embolization in traumatic intrarenal vascular injuries.  Clin Radiol . 1991;  43 262-264
  • 22 Bui B T, Oliva V L, Peloquin F. Correction of deteriorating renal function by superselective embolization of an arcuate renal artery pseudoaneurysm.  J Urol . 1994;  152 2087-2088
  • 23 Morse T S, Smith J P, Howard W HR, Rowe M I. Kidney injuries in children.  J Urol . 1967;  98 539-547
  • 24 Pinto I T, Chimeno P C. Treatment of a urinoma and a post-traumatic pseudoaneurysm using selective arterial embolization.  Cardiovasc Intervent Radiol . 1998;  21 506-508
  • 25 Horikami K, Matsuoka Y, Nagaoki K. Treatment of post-traumatic urinoma by means of selective arterial embolization.  J Vasc Intervent Radiol . 1997;  8 221-224
  • 26 Beaujeux R, Saussine C, Al-Fakir A. Superselective endo-vascular treatment of renal vascular lesions.  J Urol . 1995;  153 14-17
  • 27 Fisher R G, Ben-Menachem Y, Whigham C. Stab wounds of the renal artery branches: angiographic diagnosis and treatment by embolization.  Am J Roentgenol . 1989;  152 1231-1235
  • 28 Golwyn D H, Routh W D, Chen M YM, Lorentz W B, Dyer R B. Percutaneous transcatheter renal ablation with absolute ethanol for uncontrolled hypertension or nephrotic syndrome: results in 11 patients with end-stage renal disease.  J Vasc Intervent Radiol . 1997;  8 527-533
  • 29 Yarimizu S N, Susan L P, Straffon R A. Morbidity and mortality in pretransplant bilateral nephrectomy: analysis of 305 cases.  Urology . 1978;  12 55-58
  • 30 Matas A J, Simmons R L, Buselmeier T J. Lethal complications of bilateral nephrectomy and splenectomy in hemodialyzed patients.  Am J Surg . 1975;  129 616-620
  • 31 Ishijima H, Ishizaka H, Sakurai M, Ito K, Endo K. Partial renal embolization for pediatric renovascular hypertension secondary to fibromuscular dysplasia.  Cardiovasc Intervent Radiol . 1997;  20 383-386
  • 32 Klimberg I W, Locke D R, Hawkins I F, Drylie D M. Absolute ethanol renal angioinfarction for control of hypertension.  Urology . 1989;  33 153-158
  • 33 Miyazaki T, Saitoh R, Doi T. Embolization of a pseudoaneurysm in the transplanted kidney.  Am J Roentgenol . 1998;  171 1617-1618
  • 34 Perini S, Gordon R L, LaBerge J M. Transcatheter embolization of biopsy-related vascular injury in the transplant kidney: immediate and long-term outcome.  J Vasc Intervent Radiol . 1998;  9 1011-1019
  • 35 Schmid T, Sanbichler P, Ausserwinkler M, Pernthaler H, Margreiter R. Vascular lesions after percutaneous biopsies of renal allografts.  Transpl Int . 1989;  2 56-58
  • 36 Baquero A, Morris M C, Cope C, Raja R, Bannett A D. Selective embolization of vascular complications following renal biopsy.  Transplant Proc . 1985;  17 1751-1754
  • 37 Centenera L V, Hirsch J A, Choi I. Wide-necked saccular renal artery aneurysm: endovascular embolization with the Guglielmi detachable coil and temporary balloon occlusion of the aneurysm neck.  J Vasc Intervent Radiol . 1998;  9 513-516
  • 38 Klein G E, Szolar D H, Breinl E, Raith J, Schreyer H H. Endovascular treatment of renal artery aneurysms with conventional non-detachable microcoils and Guglielmi detachable coils.  Br J Urol . 1997;  79 852-860
  • 39 Takebayashi S, Hosaka M, Kubota Y. Transarterial embolization and ablation of renal arteriovenous malformations: efficacy and damages in 30 patients with long-term followup.  J Urol . 1998;  159 696-701
  • 40 Friedberg E B, Stock J R, Husted J W, Westby G R. Transcatheter embolization for retroperitoneal hemorrhage secondary to acquired cystic kidney disease.  J Vasc Intervent Radiol . 1996;  7 291-294
  • 41 Triller J, Ackermann D. Transcatheter embolization of benign renal hemorrhages.  Radiologe . 1994;  34 39-45
  • 42 Tolentino C S, Ring E J. Embolization of benign lesions of the urinary tract. In: Pollack HM, ed. Clinical Urography Philadelphia, PA: WB Saunders 1990: 2997