Ginat Daniel T, Saad Wael E A, Turba Ulku C
Department of Imaging Science and Interventional Radiology, University of Rochester Medical Center, Rochester, NY, USA.
Tech Vasc Interv Radiol. 2010 Jun;13(2):75-88. doi: 10.1053/j.tvir.2010.02.003.
Transcatheter arterial embolization is a minimally invasive procedure that is increasingly used for the management of angiomyolipomas and to augment and/or palliate the management of malignant renal and adrenal neoplasms. The most common indications for renal artery embolization include (1) prenephrectomy and preradiofrequency ablation infarction of renal tumors, (2) management of renal angiomyolipomas, (3) palliations of unresectable renal malignancy, and (4) malignant renal hemorrhage (life-threatening or chronic debilitating hematuria). The increasing use of renal artery embolization for these conditions reflects the procedure's effectiveness and safety. Although there is less extensive literature available regarding the use of transcatheter embolization of adrenal tumors, this technique appears to be effective and safe for palliation and preadrenalectomy of adrenal metastatic disease, adrenocortical carcinomas, as well as treatment of symptomatic aldosteronomas. This article reviews the indications and techniques involved in performing transcatheter arterial embolization for renal and adrenal tumors.
经导管动脉栓塞术是一种微创手术，越来越多地用于治疗肾血管平滑肌脂肪瘤，并增强和/或缓解恶性肾肿瘤和肾上腺肿瘤的治疗。肾动脉栓塞术最常见的适应证包括：（1）肾肿瘤术前肾切除和射频消融前梗死；（2）肾血管平滑肌脂肪瘤的治疗；（3）不可切除性肾恶性肿瘤的姑息治疗；（4）恶性肾出血（危及生命或慢性衰弱性血尿）。针对这些病症，肾动脉栓塞术的使用日益增加，这反映了该手术的有效性和安全性。虽然关于肾上腺肿瘤经导管栓塞术应用的文献较少，但该技术对于肾上腺转移瘤、肾上腺皮质癌的姑息治疗和肾上腺切除术前治疗以及有症状的醛固酮瘤的治疗似乎是有效且安全的。本文综述了对肾肿瘤和肾上腺肿瘤进行经导管动脉栓塞术的适应证和技术。
