Habighorst L V, Kreutz W, Eilers H, Sparwasser H H, Klug B
Radiologe. 1977 Dec;17(12):509-13.
Transcatheter coil embolization (according to the method of Gianturco) was performed in 18 patients. It resulted in prompt and permanent occlusion of the renal artery without considerable effort and with acceptable risk. The favourable benefit of this procedure is technical facilitation of tumornephrectomy, cutting down the time of surgery, reducing intraoperative hemorrhage and danger of venous displacement of tumor-cells. The same favourable results will not be achieved by preoperative short-time radiation. Preoperative long-term radiation delays the necessary tumor-nephrectomy. Arterial embolization is preferred because it offers the wanted benefits of sufficient radiotherapy avoiding its disadvantages.
18例患者接受了经导管弹簧圈栓塞术(采用吉安图尔科法)。该方法可迅速、永久性地闭塞肾动脉,操作相对轻松,风险可接受。此操作的有利之处在于为肿瘤肾切除术提供了技术便利,缩短了手术时间,减少了术中出血以及肿瘤细胞发生静脉转移的风险。术前短时间放疗无法取得同样的良好效果。术前长期放疗会延迟必要的肿瘤肾切除术。动脉栓塞术更受青睐,因为它兼具充分放疗的益处,同时避免了放疗的弊端。