Renal artery embolization in a gross kidney neoplasm. Case report

Provenza, G. and Sparagna, A. and Cunsolo, G.V. and Tierno, Simone Maria and Centanini, Francesca and Bellotti, Carlo and Mezzetti, Giuseppe (2013) Renal artery embolization in a gross kidney neoplasm. Case report. Il giornale di chirurgia, 34 (9/10). pp. 263-266. ISSN 1971-145X

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Abstract

Aim. To demonstrate the utility of the renal artery embolization (RAE) in the dissection of gross neoplasms and the reduction in blood loss and operative time. Case report. We report a case of a gross left renal neoplasm (with the diameter of about 12 cm) in a 45 years old Caucasian female who underwent to renal artery embolization 24 hours before left nephroureterectomy. This procedure has determined a reduction in operative times (about 90 minutes) because of the ligature of the renal vein was facilitated. Intraoperative blood loss was of about 100 ml and the patient didn’t need of blood transfusions; the abdominal drain was removed in third postoperative day (daily drained serous fluid was about 20 ml). The patient was discharged 7 days later. Conclusion. RAE facilitates the dissection of gross neoplasms (diameter> than 10 cm), so causing a reduction in intraoperative blood loss and in blood transfusion. The operative times are lower because the ligature of the renal vein is less difficult and the dissection is facilitated for the presence of tissue oedema. The disadvantages are the incomplete hembolyzation, coil migration, hematomes, post-infarction syndrome (nausea, vomit, abdominal pain, leucocytosis, hyperpyrexia, hematoma); other risks include the possibility of pulmonary embolism, intestinal infarction and infections. ts reduced utilization could be due to the lack of randomized prospective studies showing its potential benefits.

Item Type:	Article
Additional Information:	Renal artery embolization, Blood loss, Post-infarction syndrome, Kidney, Malignancy
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	13 Sep 2019 08:44
Last Modified:	13 Sep 2019 08:44
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8641

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