Embolização arterial superseletiva para tratamento de angiomiolipoma em paciente com rim único
The authors report on a case of a young woman who had previously undergone a right nephrectomy due to renal angiomyolipomas, currently presenting voluminous angiomyolipomas of the remaining kidney. The patient’s urologist referred her for endovascular treatment. Superselective arterial embolizatio...
| Autor principal: | GÓES JUNIOR, Adenauer Marinho de Oliveira |
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| Outros Autores: | JEHA, Salim Abdon Haber, SALGADO, José Rui Couto |
| Grau: | Artigo |
| Idioma: | por |
| Publicado em: |
Universidade Federal do Pará
2017
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| Assuntos: | |
| Acesso em linha: |
http://repositorio.ufpa.br/jspui/handle/2011/8863 |
| Resumo: |
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The authors report on a case of a young woman who had previously undergone a right nephrectomy due to renal
angiomyolipomas, currently presenting voluminous angiomyolipomas of the remaining kidney. The patient’s urologist
referred her for endovascular treatment. Superselective arterial embolization of one tumor (located at the inferior renal
pole), was conducted successfully. Several attempts at selective catheterization were made to embolize the second
angiomyolipoma (located at the superior lobe), without jeopardizing a significant amount of the surrounding renal
parenchyma, but this ultimately proved not to be feasible. The procedure and recovery were uneventful. The patient
was discharged on the first postoperative day and has been followed for 9 months with no complications. The authors
provide a brief review of the indications, technical aspects and complications of endovascular treatment of renal
angiomyolipomas and also discuss the advantages of the endovascular approach over surgical resection for this kind
of tumor. |