| The efficacy and outcomes of urgent superselective transcatheter arterial embolization of patients with ruptured renal angiomyolipomas. | |
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MedLine Citation:
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PMID: 17563671 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: To assess the efficacy and outcomes of urgent superselective transcatheter arterial embolization for emergency patients with ruptured renal angiomyolipomas. METHODS: During a 49-month period, all emergency patients with ruptured angiomyolipomas that underwent urgent superselective transcatheter arterial embolization within the first 24 hours of admission were enrolled in this study. In each case, clinical presentation, trauma history, success or failure of embolization, presence of postembolization syndrome, and the necessity of subsequent emergency surgery of nephron-sparing surgery, and partial or total nephrectomy were recorded and analyzed. RESULTS: The sample population consisted of seven female patients with ruptured angiomyolipomas; mean age was 48 years. The initial presenting symptoms were flank pain (n = 7), hematuria (n = 5), and lower hematocrit (Hb <10; n = 7). All individuals had received blood transfusion before the embolization. Two were traffic crash victims admitted in shock. Successful embolization was achieved in all cases; however, postembolization syndrome was noted in four. There was no requirement for emergent surgery after embolization. CONCLUSIONS: Urgent superselective transcatheter arterial embolization was an effective treatment for our sample of emergency patients with ruptured renal angiomyolipomas where conservative supportive treatments had failed. There was no need of emergency surgery after embolization. |
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Authors:
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Ying-Hsu Chang; Li-Jen Wang; Cheng-Keng Chuang; Yon-Cheong Wong; Chun-Te Wu; Ming-Li Hsieh |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of trauma Volume: 62 ISSN: 1529-8809 ISO Abbreviation: J Trauma Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-06-12 Completed Date: 2007-07-05 Revised Date: 2008-01-07 |
Medline Journal Info:
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Nlm Unique ID: 0376373 Medline TA: J Trauma Country: United States |
Other Details:
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Languages: eng Pagination: 1487-90 Citation Subset: AIM; IM |
Affiliation:
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Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angiomyolipoma / complications* Embolization, Therapeutic / methods* Female Hemorrhage / etiology, therapy* Humans Kidney Neoplasms / complications* Middle Aged Rupture, Spontaneous Treatment Outcome |
| Comments/Corrections | |
Erratum In:
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J Trauma. 2007 Nov;63(5):1190 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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