Vojnosanitetski pregled 2015 Volume 72, Issue 12, Pages: 1105-1110
https://doi.org/10.2298/VSP140502122J
Full text ( 887 KB)
Cited by
Palliative embolization of renal tumors
Jaganjac Suad (Schön Klinik Hamburg Eilbek, Department of Radiology, Hamburg, Germany)
Schefe Lennart (Schön Klinik Hamburg Eilbek, Department of Radiology, Hamburg, Germany)
Background/Aim. Palliative embolization of renal tumors is the method of
choice in the treatment of advanced inoperable renal cell carcinoma in
patients with hematuria and pain. Patients with small tumors in the remaining
solitary kidney who refuse surgery are suitable for this type of therapy as
well as patients with centrally located inoperable tumors. The prerequisite
for successful capillary embolization is the closure of the main arte-rial
trunk with metal spirals. Methods. In the period from 2000 to 2010 we
conducted 42 palliative embolizations. The average age of the patients was 75
years, including 26 men and 16 women. In 8 of the patients the intervention
was repeated and in one with severe AV shunts embolization was performed 4
times. Embolization was performed with alcohol, Ivalon 150-250 μm and with
metal coils. Results. No serious complications were observed during and after
the intervention. Fourteen patient were still alive then and among the
deceased patients the average survival time was 13.5 ± 10.8 months with the
range of 1 to 56 months. The minimal survival time was 1 month with a
maxi-mum survival time of 56 months. Conclusion. Our results are consistent
with data in the literature. Survival in patients without metastases was
longer than in those with metastases, as con-firmed by the 14 of the patients
from the study. An additional therapeutic safety in the treatment of small
cancers is provided with a combination therapy of embolization and
radiofrequency thermoablation.
Keywords: kidney neoplasms, carcinoma, renal cell, hematuria, palliative care, embolization, therapeutic, radiography, interventional