Lieberman S F, Keller F S, Pearse H D, Fuchs E F, Rösch J, Barry J M
J Urol. 1983 Apr;129(4):805-9. doi: 10.1016/s0022-5347(17)52373-3.
Transarterial renal embolization has been used in the management of renal cancer. We report on 9 patients who underwent selective and superselective renal arterial embolization for nonmalignant renal lesions. Embolization was done in 5 patients for hemorrhage owing to renal angiomas, renal artery, pseudoaneurysm, percutaneous renal biopsy and adult polycystic kidney disease, and in 2 patients with end stage renal disease because of massive proteinuria. Another chronic renal failure patient with severe hypertension was treated successfully with bilateral renal embolization. A postoperative renal arteriovenous fistula was treated successfully by catheter vaso-occlusion. Renal embolization may be a suitable alternative to surgery in poor operative risk patients and for technically difficult benign lesions. Renal infection is a contraindication to embolization.
经动脉肾栓塞术已用于肾癌的治疗。我们报告了9例因非恶性肾病变接受选择性和超选择性肾动脉栓塞术的患者。5例患者因肾血管瘤、肾动脉、假性动脉瘤、经皮肾活检及成人多囊肾病导致出血而进行栓塞，2例终末期肾病患者因大量蛋白尿进行栓塞。另1例患有严重高血压的慢性肾衰竭患者通过双侧肾栓塞术成功治疗。1例术后肾动静脉瘘通过导管血管闭塞术成功治疗。对于手术风险高的患者以及技术上困难的良性病变，肾栓塞术可能是一种合适的手术替代方法。肾感染是栓塞术的禁忌证。
