Combination of Superselective Arterial Embolization and Radiofrequency Ablation for the Treatment of a Giant Renal Angiomyolipoma Complicated with Caval Thrombus
Joint Authors
Marmaridou, Kiriaki
Kladis-Kalentzis, Konstantinos
Malagari, Katerina
Moschouris, Hippocrates
Stamatiou, Konstantinos
Kiltenis, Michalis
Source
Case Reports in Oncological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-11
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
This is a case of a 78-year-old male patient with multiple angiomyolipomas of a solitary right kidney.
The largest of these tumors (maximum diameter: 13.4 cm) caused significant extrinsic compression of the inferior vena cava complicated by thrombosis of this vessel.
Treatment of thrombosis with anticoagulants had been ineffective and the patient had experienced a bleeding episode from the largest right renal angiomyolipoma, which had been treated by transarterial embolization in another institution, 4 months prior to our intervention.
Our approach included superselective transarterial embolization of the dominant, right kidney angiomyolipoma with hydrogel microspheres, which was combined, 20 days later, with ultrasonographically guided radiofrequency ablation.
Both interventions were uneventful.
Computed tomography 2 months after ablation showed a 53% reduction in tumor volume, reduced space-occupying effect on inferior vena cava, and resolution of caval thrombus.
Nine months after intervention the patient has had no recurrence of thrombosis or hemorrhage and no tumor regrowth has been observed.
The combination of superselective transarterial embolization and radiofrequency ablation seems to be a feasible, safe, and efficient treatment of large renal angiomyolipomas.
American Psychological Association (APA)
Stamatiou, Konstantinos& Moschouris, Hippocrates& Marmaridou, Kiriaki& Kiltenis, Michalis& Kladis-Kalentzis, Konstantinos& Malagari, Katerina. 2016. Combination of Superselective Arterial Embolization and Radiofrequency Ablation for the Treatment of a Giant Renal Angiomyolipoma Complicated with Caval Thrombus. Case Reports in Oncological Medicine،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101719
Modern Language Association (MLA)
Stamatiou, Konstantinos…[et al.]. Combination of Superselective Arterial Embolization and Radiofrequency Ablation for the Treatment of a Giant Renal Angiomyolipoma Complicated with Caval Thrombus. Case Reports in Oncological Medicine No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1101719
American Medical Association (AMA)
Stamatiou, Konstantinos& Moschouris, Hippocrates& Marmaridou, Kiriaki& Kiltenis, Michalis& Kladis-Kalentzis, Konstantinos& Malagari, Katerina. Combination of Superselective Arterial Embolization and Radiofrequency Ablation for the Treatment of a Giant Renal Angiomyolipoma Complicated with Caval Thrombus. Case Reports in Oncological Medicine. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1101719
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101719