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Kidney Embolization
Zachary B. Jenner, MD; Mitchell Tublin, MD; Ashraf Thabet, MD
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KEY FACTS

  • Preprocedure

    • Procedure

      • Post Procedure

        • Outcomes

          TERMINOLOGY

          • Definitions

            • Embolization: Transcatheter introduction of intravascular agent for devascularization/occlusion
              • Bland embolization: Transcatheter arterial embolization without chemotherapeutic agent
              • Transcatheter ethanol injection: Denatures cellular proteins and induces small vessel thrombosis

          PREPROCEDURE

          • Indications

            • Contraindications

              • Preprocedure Imaging

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Procedure Steps

                      • Alternative Procedures/Therapies

                        POST PROCEDURE

                        • Expected Outcome

                          • Things to Avoid

                            • Postprocedure Imaging

                              OUTCOMES

                              • Complications

                                Selected References

                                1. Davidson JC et al: Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part I: Review of Anticoagulation Agents and Clinical Considerations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 30(8):1155-67, 2019
                                2. Patel IJ et al: Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 30(8):1168-84.e1, 2019
                                3. Chehab MA et al: Adult and Pediatric Antibiotic Prophylaxis during Vascular and IR Procedures: A Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology. J Vasc Interv Radiol. 29(11):1483-501.e2, 2018
                                4. Keefe NA et al: IR Playbook: A Comprehensive Introduction to Interventional Radiology. 1st ed. Springer, 2018
                                5. Kandarpa K et al: Handbook of Interventional Radiologic Procedures. 5th ed. Wolters Kluwer; 2016
                                6. Hocquelet A et al: Long-term results of preventive embolization of renal angiomyolipomas: evaluation of predictive factors of volume decrease. Eur Radiol. 24(8):1785-93, 2014
                                7. Jinzaki M et al: Renal angiomyolipoma: a radiological classification and update on recent developments in diagnosis and management. Abdom Imaging. 39(3):588-604, 2014
                                8. van der Wilden GM et al: Successful nonoperative management of the most severe blunt renal injuries: a multicenter study of the research consortium of New England Centers for Trauma. JAMA Surg. 148(10):924-31, 2013
                                9. Kaufman JA et al: Vascular and Interventional Radiology: The Requisites. 2nd ed. Elsevier, 2013
                                10. Chan CK et al: The efficacy, safety and durability of selective renal arterial embolization in treating symptomatic and asymptomatic renal angiomyolipoma. Urology. 77(3):642-8, 2011
                                11. Huang YK et al: Visceral artery aneurysm: risk factor analysis and therapeutic opinion. Eur J Vasc Endovasc Surg. 33(3):293-301, 2007
                                12. Lookstein RA et al: Embolization of complex vascular lesions. Mt Sinai J Med. 71(1):17-28, 2004
                                13. Golwyn DH Jr et al: Percutaneous transcatheter renal ablation with absolute ethanol for uncontrolled hypertension or nephrotic syndrome: results in 11 patients with end-stage renal disease. J Vasc Interv Radiol. 8(4):527-33, 1997
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Preprocedure

                                  • Procedure

                                    • Post Procedure

                                      • Outcomes

                                        TERMINOLOGY

                                        • Definitions

                                          • Embolization: Transcatheter introduction of intravascular agent for devascularization/occlusion
                                            • Bland embolization: Transcatheter arterial embolization without chemotherapeutic agent
                                            • Transcatheter ethanol injection: Denatures cellular proteins and induces small vessel thrombosis

                                        PREPROCEDURE

                                        • Indications

                                          • Contraindications

                                            • Preprocedure Imaging

                                              • Getting Started

                                                PROCEDURE

                                                • Patient Position/Location

                                                  • Procedure Steps

                                                    • Alternative Procedures/Therapies

                                                      POST PROCEDURE

                                                      • Expected Outcome

                                                        • Things to Avoid

                                                          • Postprocedure Imaging

                                                            OUTCOMES

                                                            • Complications

                                                              Selected References

                                                              1. Davidson JC et al: Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part I: Review of Anticoagulation Agents and Clinical Considerations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 30(8):1155-67, 2019
                                                              2. Patel IJ et al: Society of Interventional Radiology Consensus Guidelines for the Periprocedural Management of Thrombotic and Bleeding Risk in Patients Undergoing Percutaneous Image-Guided Interventions-Part II: Recommendations: Endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol. 30(8):1168-84.e1, 2019
                                                              3. Chehab MA et al: Adult and Pediatric Antibiotic Prophylaxis during Vascular and IR Procedures: A Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology. J Vasc Interv Radiol. 29(11):1483-501.e2, 2018
                                                              4. Keefe NA et al: IR Playbook: A Comprehensive Introduction to Interventional Radiology. 1st ed. Springer, 2018
                                                              5. Kandarpa K et al: Handbook of Interventional Radiologic Procedures. 5th ed. Wolters Kluwer; 2016
                                                              6. Hocquelet A et al: Long-term results of preventive embolization of renal angiomyolipomas: evaluation of predictive factors of volume decrease. Eur Radiol. 24(8):1785-93, 2014
                                                              7. Jinzaki M et al: Renal angiomyolipoma: a radiological classification and update on recent developments in diagnosis and management. Abdom Imaging. 39(3):588-604, 2014
                                                              8. van der Wilden GM et al: Successful nonoperative management of the most severe blunt renal injuries: a multicenter study of the research consortium of New England Centers for Trauma. JAMA Surg. 148(10):924-31, 2013
                                                              9. Kaufman JA et al: Vascular and Interventional Radiology: The Requisites. 2nd ed. Elsevier, 2013
                                                              10. Chan CK et al: The efficacy, safety and durability of selective renal arterial embolization in treating symptomatic and asymptomatic renal angiomyolipoma. Urology. 77(3):642-8, 2011
                                                              11. Huang YK et al: Visceral artery aneurysm: risk factor analysis and therapeutic opinion. Eur J Vasc Endovasc Surg. 33(3):293-301, 2007
                                                              12. Lookstein RA et al: Embolization of complex vascular lesions. Mt Sinai J Med. 71(1):17-28, 2004
                                                              13. Golwyn DH Jr et al: Percutaneous transcatheter renal ablation with absolute ethanol for uncontrolled hypertension or nephrotic syndrome: results in 11 patients with end-stage renal disease. J Vasc Interv Radiol. 8(4):527-33, 1997