Document Detail

The efficacy and outcomes of urgent superselective transcatheter arterial embolization of patients with ruptured renal angiomyolipomas.
MedLine Citation:
PMID:  17563671     Owner:  NLM     Status:  MEDLINE    
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.
Ying-Hsu Chang; Li-Jen Wang; Cheng-Keng Chuang; Yon-Cheong Wong; Chun-Te Wu; Ming-Li Hsieh
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  62     ISSN:  1529-8809     ISO Abbreviation:  J Trauma     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-12     Completed Date:  2007-07-05     Revised Date:  2008-01-07    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1487-90     Citation Subset:  AIM; IM    
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
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MeSH Terms
Aged, 80 and over
Angiomyolipoma / complications*
Embolization, Therapeutic / methods*
Hemorrhage / etiology,  therapy*
Kidney Neoplasms / complications*
Middle Aged
Rupture, Spontaneous
Treatment Outcome
Erratum In:
J Trauma. 2007 Nov;63(5):1190

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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