| Selective arterial embolization of angiomyolipoma leading to pulmonary hypertension. | |
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MedLine Citation:
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PMID: 20566024 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To report two cases of secondary pulmonary hypertension resulting from microsphere extravasation following selective arterial embolization of renal angiomyolipoma, its diagnosis, and management. METHODS: We reviewed the cases of two patients at the University of California, San Francisco, treated with selective arterial embolization for management of their angiomyolipoma (AML) using Tris-Acryl Gelatin Microspheres. RESULTS: Both patients were women, ages 51 and 77. Indications for treatment were the following: Patient 1 was treated for a large asymptomatic AML. Patient 2 was treated for a symptomatic, bleeding AML. Both patients developed progressive hypoxia following selective arterial embolization using Tris-Acryl Gelatin Microspheres. Each patient underwent a subsequent work up including a CT chest, echocardiogram, and chest x-ray. Both demonstrated significant pulmonary hypertension following their procedure and were discharged with supplemental oxygen. CONCLUSIONS: Selective arterial embolization of AML with microsphere extravasation into the pulmonary vasculature can lead to pulmonary hypertension and hypoxemia. |
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Authors:
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Franklin Lee; David S Aaronson; Sarah Blaschko; Phil Barbosa; Alex K Wu; Michael Eisenberg; Bradley A Erickson; Jack W McAninch |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Canadian journal of urology Volume: 17 ISSN: 1195-9479 ISO Abbreviation: Can J Urol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-22 Completed Date: 2010-10-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9515842 Medline TA: Can J Urol Country: Canada |
Other Details:
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Languages: eng Pagination: 5232-5 Citation Subset: IM |
Affiliation:
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Department of Urology, University of California, San Francisco, California 94110, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiomyolipoma / therapy* Embolization, Therapeutic / adverse effects*, methods Female Humans Hypertension, Pulmonary / etiology* Kidney Neoplasms / therapy* Middle Aged |
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