Weber J, Novak D, Leichtweiss I, Kult K
Urologe A. 1981 Jul;20(4):177-83.
Palliative transcatheter tumour embolization was performed in 40 patients having non-operable renal carcinoma using particulate, semiliquid and liquid embolizing substances. In addition the Gianturco-Andersen-Wallace (GAW) coil was applied in 7 patients showing remarkable vascular recanalization. Effects of the angiotherapeutic procedures were controlled by re-angiography in 33 cases. Sonography was performed in 15 cases and computed tomography in 24 patients before and after embolization. It was found that the re-angiography was necessary: a) as thhe first control to prove the extension of thrombotic obstruction and to assess the remaining collateral circulation; b) as an indication for re-embolization in 7 cases showing remarkable recanalization. Follow-up computed tomography and sonography helped to observe the long-term changes: shrinkage of the tumour and the embolized kidney, and recurrence of the tumor growth or local retroperitoneal and liver metastases. The analysis of our observations confirms the value of re-angiography for the short-term follow-up study. Sonography and computed tomography are reliable procedures for the further follow-up of patients.
对40例无法手术的肾癌患者采用颗粒、半液体和液体栓塞物质进行姑息性经导管肿瘤栓塞。此外，对7例显示明显血管再通的患者应用了吉安图尔科-安德森-华莱士（GAW）线圈。33例通过再次血管造影控制血管治疗程序的效果。栓塞前后分别对15例患者进行超声检查，24例患者进行计算机断层扫描。发现再次血管造影是必要的：a）作为首次对照，以证明血栓性阻塞的范围并评估剩余的侧支循环；b）作为7例显示明显再通的患者再次栓塞的指征。随访计算机断层扫描和超声有助于观察长期变化：肿瘤和栓塞肾脏的缩小，以及肿瘤生长复发或局部腹膜后及肝脏转移。对我们观察结果的分析证实了再次血管造影在短期随访研究中的价值。超声检查和计算机断层扫描是对患者进行进一步随访的可靠方法。
