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Transcatheter renal artery embolization: clinical applications and techniques
Daniel T Ginat1, Wael E A Saad, Ulku C Turba
1Department of Imaging Science and Interventional Radiology, University of Rochester Medical Center, Rochester, NY 14642-8648, USA. ginatd01@gmail.com
Techniques in Vascular and Interventional Radiology
|December 17, 2009
Summary
Renal artery embolization is a minimally invasive procedure effective for treating various kidney conditions, including tumors and bleeding. This evolving endoluminal therapy utilizes diverse embolic materials for optimal patient outcomes.
Area of Science:
- Interventional Radiology
- Vascular Surgery
- Nephrology
Background:
- Renal artery embolization (RAE) is a minimally invasive endovascular procedure.
- Its applications have expanded significantly in recent years.
Purpose of the Study:
- To review the indications, embolic materials, and techniques for renal artery embolization.
- To highlight the safety and efficacy of RAE in diverse clinical scenarios.
Main Methods:
- Review of current literature and clinical practices regarding renal artery embolization.
- Discussion of various embolic agents and adjunctive techniques.
Main Results:
- RAE is indicated for renal tumors, angiomyolipomas, malignancy palliation, hemorrhage, fistulas, malformations, aneurysms, and other conditions.
- Available embolic materials include coils, sclerosants (glue, Onyx, ethanol, lipiodol), and particles (PVA, embospheres).
- RAE can be combined with remodeling, stent-grafting, or balloon/stent-assisted coiling for complex cases.
Conclusions:
- Renal artery embolization is a safe and effective treatment modality for a broad spectrum of renal pathologies.
- It represents an evolving and valuable area within endoluminal therapy.
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