22.7 Conclusion
Transarterial embolization is an accepted therapeutic option in palliating symptoms related to renal cancer with very high success rate and low complication rate. Proper selection of both embolic material and the catheterization approach are essential to the success of the procedure. The role of renal TAE in disease control and survival improvement seems promising. Further studies are needed to determine whether TAE improves survival in patients with disseminated disease or localized tumor. The value of TAE in patients with bone metastases has been well demonstrated to reduce pain or, if performed preoperatively, to decrease blood loss and transfusion requirements during surgery.
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References
Albani JM, Novick AC (2003) Renal artery pseudoaneurysm after partial nephrectomy: three case reports and a literature review. Urology 62:227–231
Almgard LE, Fernstrom I, Haverling M, Ljungqvist A (1973) Treatment of renal adenocarcinoma by embolic occlusion of the renal circulation. Br J Urol 45:474–479
Andrews TA, Binkert CA (2003) Relative rates of blood flow reduction during transcatheter arterial embolization with tris-acryl gelatin microspheres or polyvinyl alcohol: quantitative comparison in a swine model. J Vasc Interv Radiol 14:1311–1316
Barton PP, Waneck ER, Karnel JF, Ritschl P, Kramer J, Letchner LG (1996) Embolization of bone metastases. J Vasc Interv Radiol 7:81–88
Beaujeux R, Saussine C, al-Fakir A, Boudjema K, Roy C, Jacqmin D, Bourjat P (1995) Superselective endo-vascular treatment of renal vascular lesions. J Urol 153:14–17
Beaujeux R, Laurent A, Wassef M et al. (1996) Trisacryl gelatin microspheres for therapeutic embolization, II: clinical evaluation in tumors and arteriovenous malformations. Am J Neuroradiol 17:541–548
Berenstein A, Kricheff II (1979) Catheter and material selection for transarterial embolization: technical considerations. Radiology 132:631–639
Bowers TA, Murray JA, Charnsangavej C, Soo CS, Chuang VP, Wallace S (1982) Bone metastases from renal cell cercinoma: the preoperative use of transcatheter arterial occlusion. J Bone Joint Surg 64:749–754
Bracken RB, Johnson DF, Goldstein HM, Wallace S, Ayala AG (1975) Percutaneous transfemoral renal artery occlusion in patients with renal carcinoma. Urology 6:6–10
Bukowski RM (2001) Cytokine therapy for metastatic renal cell carcinoma. Semin Urol Oncol 19:148–154
Castaneda-Zuniga WR, Sanchez R, Amplatz K (1978) Experimental observations on short and long-term effects of arterial occlusion with Ivalon. Radiology 126:783–785
Chatziioannou AN, Johnson ME, Pneumaticos SG, Lawrence DD, Carrasco CH (2000) Preoperative embolization of bone metastases from renal cell carcinoma. Eur Radiol 10:593–596
Chuang VP, Wallace S, Swanson D et al. (1979) Arterial occlusion in the management of pain from metastatic renal carcinoma. Radiology 133:611–614
Derdeyn CP, Moran CJ, Cross DT AI et al. (1995) Polyvinyl alcohol particle size and suspension characteristics. Am J Neuroradiol 16:1031–1036
Derdeyn CP, Graves VB, Salamat MS, Rappe A (1997) Collagencoated acrylic microspheres for embolotherapy: in vivo and in vitro characteristics. Am J Neuroradiol 18:647–653
Ekelund L, Jonsson N, Treugut H (1981) Transcatheter obliteration of the renal artery by ethanol injection: experimental results. Cardiovasc Intervent Radiol 4:1–7
Ellman BA, Parkhill BJ, Curry TS III, Marcus PB, Peters PC (1981) Ablation of renal tumors with absolute ethanol: a new technique. Radiology 141:619–626
Giberti C, Oneto F, Martorana G, Rovida S, Carmignani G (1997) Radical nephrectomy for renal cell carcinoma: longterm results and prognostic factors on a series of 328 cases. Eur Urol 31:40–48
Gold RE, Grace DM (1975) Gelfoam embolization of the left gastric artery for bleeding ulcer: experimental considerations. Radiology 116:563–567
Hall WH, McGahan JP, Link DP, deVere White RW (2000) Combined embolization and percutaneous radiofrequency ablation of a solid renal tumor. Am J Roentgenol 174:1592–1594
Kalman D, Varenhorst E (1999) The role of arterial embolization in renal cell carcinoma. Scand J Urol Nephrol 33:162–170
Kerber CW, Bank WO, Horton JA (1978) Polyvinyl alcohol foam: prepackaged emboli for therapeutic embolization. Am J Roentgenol 130:1193–1194
Kuether TA, Nesbit GM, Barnwell SL (1996) Embolization as treatment for spinal cord compression from renal cell carcinoma: case report. Neurosurgery 39:1260–1263
Lammer J, Justich E, Schreyer H, Pettek R (1985) Complications of renal tumor embolization. Cardiovasc Intervent Radiol 8:31–35
Lanigan D, Jurriaans E, Hammonds JC, Wells IP, Choa RG (1992) The current status of embolization in renal cell carcinoma. Clin Radiol 46:176–178
Latschaw RF, Pearlman RL, Schaitkin BM, Griffith JW, Weidner WA (1985) Intraarterial ethanol as a long-term occlusive agent in renal, hepatic, and gastrosplenic arteries of pigs. Cardiovasc Intervent Radiol 8:24–30
Laurent A, Beaujeux R, Wassef M et al. (1996) Trisacryl gelatin microspheres for therapeutic embolization. I. Development and in vitro evaluation. Am J Neuroradiol 17:533–540
Marx FJ, Chaussy C, Moser E (1982) Limitations and hazards of palliative renal tumor embolization. Urologe A 21:206–210
McLean GK, Meranze SG (1985) Embolization techniques in the urinary tract. Urol Clin North Am 12:743–754
Motzer RJ, Russo P (2000) Systemic therapy for renal cell carcinoma. J Urol 163:408–417
Munro NP, Woodhams S, Nawrocki JD, Fletcher MS, Thomas PJ (2003) The role of transarterial embolization in the treatment of renal cell carcinoma. BJU Int 92:240–244
Nurmi M, Satokari K, Puntala P (1987) Renal artery embolization in the palliative treatment of renal adenocarcinoma. Scand J Urol Nephrol 21:93–96
Onishi T, Oishi Y, Suzuki Y, Asano K (2001) Prognostic evaluation of transcatheter arterial embolization for unresectable renal cell carcinoma with distant metastasis. BJU Int 87:312–315
Park JH, Kim SH, Han JK, Chung JW, Han MC (1994) Transcatheter embolization of unresectable renal cell carcinoma with a mixture of ethanol and iodized oil. Cardiovasc Intervent Radiol 17:323–327
Park SI, Lee DY, Won JY, Park S (2000) Renal artery embolization using a new liquid embolic material obtained by partial hydrolysis of polyvinyl acetate. Korean J Radiol 1:121–126
Patel D, Crothers O, Harris WH, Waltman A, Fahmy N, Carey R (1977) Arterial embolization for radical tumor resection. Acta Orthop Scand 48:353–355
Pelage JP, Laurent A, Wassef M et al. (2002) Acute effects of uterine artery embolization in the sheep: comparison between polyvinyl alcohol particles and calibrated microspheres. Radiology 224:436–445
Repa I, Moradian GP, Dehrer LP et al. (1989) Mortalities associated with use of a commercial suspension of polyvinyl alcohol. Radiology 170:395–399
Rowe D, Becker G, Rabr F, Holden R, Richmond B, Wass J, Sequeira F (1984) Osseous metastases from renal cell carcinomas. Embolization and surgery for restoration of function. Radiology 150:673–676
Segni RD, Young AT, Qian Z, Castaneda-Zuniga WR (1997) Embolotherapy: agents, equipment and techniques. In: Castaneda-Zuniga WR, Tadavarthy SM, Qian Z, Ferral H, Maynar M (eds) Interventional radiology. Williams and Wilkins, Baltimore, pp 29–103
Siskin GP, Dowling K, Virmani R, Jones R, Todd D (2003) Pathologic evaluation of a spherical polyvinyl alcohol embolic agent in porcine renal model. J Vasc Interv Radiol 14:89–98
Spies JB, Benenati JE, Worthington-Kirsch RL, Pelage JP (2001) Initial experience with the use of trisacryl gelatin microspheres for uterine artery embolization for leiomyomata. J Vasc Interv Radiol 12:1059–1063
Stepanek E, Josph S, Campbell P, Porte M (1999) Embolization of a limb metastasis in renal cell carcinoma as a palliative treatment of bone pain. Clin Radiol 54:855–857
Varma J, Huben RP, Wajsman Z, Pontes JE (1984) Therapeutic embolization of pelvic metastases of renal cell carcinoma. J Urol 131:647–649
Yilmaz S, Sindel T, Luleci E (2002) Repeated palliative embolization of renal cell carcinoma metastases. Clin Radiol 57:319–320
Zielinski H, Szmigielski S, Petrovich Z (2000) Comparison of preoperative embolization followed by radical nephrectomy with radical nephrectomy alone for renal cell carcinoma. Am J Clin Oncol 23:6–12
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Pelage, JP., Qanadli, S.D. (2006). Transarterial Embolization. In: Guermazi, A. (eds) Imaging of Kidney Cancer. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30003-1_22
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DOI: https://doi.org/10.1007/3-540-30003-1_22
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