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Transcatheter Arterial Embolization for Renal Angiomyolipoma Using a Micro-balloon Catheter and a Mixture of Ethanol and Lipiodol
Purpose To evaluate the efficacy and safety of transcatheter arterial embolization (TAE) for renal angiomyolipoma (AML) using a micro-balloon catheter and a mixture of ethanol and lipiodol. Materials and Methods Twelve consecutive patients with 15 AMLs, 9 females and 3 males, with a median age of 44...
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| Published in: | Cardiovascular and interventional radiology 2017-12, Vol.40 (12), p.1933-1939 |
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| container_end_page | 1939 |
| container_issue | 12 |
| container_start_page | 1933 |
| container_title | Cardiovascular and interventional radiology |
| container_volume | 40 |
| creator | Sawada, Yusuke Shimohira, Masashi Hashizume, Takuya Sobue, Ryoji Mori, Soichiro Nakagawa, Motoo Ozawa, Yoshiyuki Naiki, Taku Nagai, Takashi Yasui, Takahiro Shibamoto, Yuta |
| description | Purpose
To evaluate the efficacy and safety of transcatheter arterial embolization (TAE) for renal angiomyolipoma (AML) using a micro-balloon catheter and a mixture of ethanol and lipiodol.
Materials and Methods
Twelve consecutive patients with 15 AMLs, 9 females and 3 males, with a median age of 44 years (range, 11–81), underwent this procedure between 2011 and 2016. In all procedures, a micro-balloon catheter was advanced to the feeding artery of the AML and TAE was performed with a mixture of ethanol and lipiodol under balloon inflation. We reviewed medical records and images, and evaluated the technical success rate, clinical success rate, and complications. Technical success was defined as completion of TAE using the micro-balloon catheter and the mixture of ethanol and lipiodol. Clinical success was defined as reduction of tumor size on CT, which was performed before and after TAE.
Results
In 14 of 15 AMLs, the micro-balloon catheter could be advanced to the feeding artery, and TAE was performed successfully. Thus, the technical success rate was 93%. Among these 14 AMLs of 11 patients, 13 AMLs of 10 patients could be followed and tumor shrinkage was confirmed in all. Thus, the clinical success rate was 100%. Four patients had mild symptoms after TAE; the minor complication rate was 33% (4/12), and the major complication rate was 0%.
Conclusion
TAE for renal AML using the micro-balloon catheter and mixture of ethanol and lipiodol appears to be effective and safe. |
| doi_str_mv | 10.1007/s00270-017-1731-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1917364300</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1955412306</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-75f3036e5d4472381d98f95f16018dbc9afd6640524b0f982044dfb094e2243a3</originalsourceid><addsrcrecordid>eNp1kU9rFDEYxoModq1-AC8S8OIl-ubfTOa4LOsfWBGkBW8hM5NsUzLJmsyA9dZv3my3FRG8JJDnl1948yD0msJ7CtB-KACsBQK0JbTllMATtKKCMwKq-fEUrWogCJWSnqEXpVwDUKmYfI7OmGqU5G23QrcX2cQymPnKzjbjda6rNwFvpz4F_9vMPkXsUsbfbazH67j3abqp0SFNBl8WH_fY4K9-yIn0JoRU8c2jzcTxPvw1L9ni5PB2vjIxhftg5w8-jSm8RM-cCcW-etjP0eXH7cXmM9l9-_Rls96RQXA1k1Y6DryxchSiZVzRsVOuk442QNXYD51xY9MIkEz04DrFQIjR9dAJy5jghp-jdyfvIaefiy2znnwZbAgm2rQUTbv6h43gABV9-w96nZZc5z9SUgrKODSVoieqzl5Ktk4fsp9MvtEU9LEffepH1xr0sR99NL95MC_9ZMc_Nx4LqQA7AaVGcW_zX0__13oHqFaajg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1955412306</pqid></control><display><type>article</type><title>Transcatheter Arterial Embolization for Renal Angiomyolipoma Using a Micro-balloon Catheter and a Mixture of Ethanol and Lipiodol</title><source>Springer Link</source><creator>Sawada, Yusuke ; Shimohira, Masashi ; Hashizume, Takuya ; Sobue, Ryoji ; Mori, Soichiro ; Nakagawa, Motoo ; Ozawa, Yoshiyuki ; Naiki, Taku ; Nagai, Takashi ; Yasui, Takahiro ; Shibamoto, Yuta</creator><creatorcontrib>Sawada, Yusuke ; Shimohira, Masashi ; Hashizume, Takuya ; Sobue, Ryoji ; Mori, Soichiro ; Nakagawa, Motoo ; Ozawa, Yoshiyuki ; Naiki, Taku ; Nagai, Takashi ; Yasui, Takahiro ; Shibamoto, Yuta</creatorcontrib><description>Purpose
To evaluate the efficacy and safety of transcatheter arterial embolization (TAE) for renal angiomyolipoma (AML) using a micro-balloon catheter and a mixture of ethanol and lipiodol.
Materials and Methods
Twelve consecutive patients with 15 AMLs, 9 females and 3 males, with a median age of 44 years (range, 11–81), underwent this procedure between 2011 and 2016. In all procedures, a micro-balloon catheter was advanced to the feeding artery of the AML and TAE was performed with a mixture of ethanol and lipiodol under balloon inflation. We reviewed medical records and images, and evaluated the technical success rate, clinical success rate, and complications. Technical success was defined as completion of TAE using the micro-balloon catheter and the mixture of ethanol and lipiodol. Clinical success was defined as reduction of tumor size on CT, which was performed before and after TAE.
Results
In 14 of 15 AMLs, the micro-balloon catheter could be advanced to the feeding artery, and TAE was performed successfully. Thus, the technical success rate was 93%. Among these 14 AMLs of 11 patients, 13 AMLs of 10 patients could be followed and tumor shrinkage was confirmed in all. Thus, the clinical success rate was 100%. Four patients had mild symptoms after TAE; the minor complication rate was 33% (4/12), and the major complication rate was 0%.
Conclusion
TAE for renal AML using the micro-balloon catheter and mixture of ethanol and lipiodol appears to be effective and safe.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-017-1731-0</identifier><identifier>PMID: 28685379</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Angiomyolipoma ; Angiomyolipoma - therapy ; Antineoplastic Agents - administration & dosage ; Balloon catheters ; Balloon treatment ; Cardiology ; Catheters ; Chemoembolization, Therapeutic - instrumentation ; Chemoembolization, Therapeutic - methods ; Child ; Complications ; Embolization ; Ethanol ; Ethanol - administration & dosage ; Ethiodized Oil - administration & dosage ; Feeding ; Female ; Females ; Humans ; Imaging ; Kidney Neoplasms - therapy ; Kidneys ; Male ; Males ; Medical instruments ; Medical records ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; Patients ; Radiology ; Retrospective Studies ; Success ; Technical Note ; Treatment Outcome ; Ultrasound ; Young Adult</subject><ispartof>Cardiovascular and interventional radiology, 2017-12, Vol.40 (12), p.1933-1939</ispartof><rights>Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2017</rights><rights>CardioVascular and Interventional Radiology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-75f3036e5d4472381d98f95f16018dbc9afd6640524b0f982044dfb094e2243a3</citedby><cites>FETCH-LOGICAL-c438t-75f3036e5d4472381d98f95f16018dbc9afd6640524b0f982044dfb094e2243a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28685379$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sawada, Yusuke</creatorcontrib><creatorcontrib>Shimohira, Masashi</creatorcontrib><creatorcontrib>Hashizume, Takuya</creatorcontrib><creatorcontrib>Sobue, Ryoji</creatorcontrib><creatorcontrib>Mori, Soichiro</creatorcontrib><creatorcontrib>Nakagawa, Motoo</creatorcontrib><creatorcontrib>Ozawa, Yoshiyuki</creatorcontrib><creatorcontrib>Naiki, Taku</creatorcontrib><creatorcontrib>Nagai, Takashi</creatorcontrib><creatorcontrib>Yasui, Takahiro</creatorcontrib><creatorcontrib>Shibamoto, Yuta</creatorcontrib><title>Transcatheter Arterial Embolization for Renal Angiomyolipoma Using a Micro-balloon Catheter and a Mixture of Ethanol and Lipiodol</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To evaluate the efficacy and safety of transcatheter arterial embolization (TAE) for renal angiomyolipoma (AML) using a micro-balloon catheter and a mixture of ethanol and lipiodol.
Materials and Methods
Twelve consecutive patients with 15 AMLs, 9 females and 3 males, with a median age of 44 years (range, 11–81), underwent this procedure between 2011 and 2016. In all procedures, a micro-balloon catheter was advanced to the feeding artery of the AML and TAE was performed with a mixture of ethanol and lipiodol under balloon inflation. We reviewed medical records and images, and evaluated the technical success rate, clinical success rate, and complications. Technical success was defined as completion of TAE using the micro-balloon catheter and the mixture of ethanol and lipiodol. Clinical success was defined as reduction of tumor size on CT, which was performed before and after TAE.
Results
In 14 of 15 AMLs, the micro-balloon catheter could be advanced to the feeding artery, and TAE was performed successfully. Thus, the technical success rate was 93%. Among these 14 AMLs of 11 patients, 13 AMLs of 10 patients could be followed and tumor shrinkage was confirmed in all. Thus, the clinical success rate was 100%. Four patients had mild symptoms after TAE; the minor complication rate was 33% (4/12), and the major complication rate was 0%.
Conclusion
TAE for renal AML using the micro-balloon catheter and mixture of ethanol and lipiodol appears to be effective and safe.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Angiomyolipoma</subject><subject>Angiomyolipoma - therapy</subject><subject>Antineoplastic Agents - administration & dosage</subject><subject>Balloon catheters</subject><subject>Balloon treatment</subject><subject>Cardiology</subject><subject>Catheters</subject><subject>Chemoembolization, Therapeutic - instrumentation</subject><subject>Chemoembolization, Therapeutic - methods</subject><subject>Child</subject><subject>Complications</subject><subject>Embolization</subject><subject>Ethanol</subject><subject>Ethanol - administration & dosage</subject><subject>Ethiodized Oil - administration & dosage</subject><subject>Feeding</subject><subject>Female</subject><subject>Females</subject><subject>Humans</subject><subject>Imaging</subject><subject>Kidney Neoplasms - therapy</subject><subject>Kidneys</subject><subject>Male</subject><subject>Males</subject><subject>Medical instruments</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Patients</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Success</subject><subject>Technical Note</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><subject>Young Adult</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1kU9rFDEYxoModq1-AC8S8OIl-ubfTOa4LOsfWBGkBW8hM5NsUzLJmsyA9dZv3my3FRG8JJDnl1948yD0msJ7CtB-KACsBQK0JbTllMATtKKCMwKq-fEUrWogCJWSnqEXpVwDUKmYfI7OmGqU5G23QrcX2cQymPnKzjbjda6rNwFvpz4F_9vMPkXsUsbfbazH67j3abqp0SFNBl8WH_fY4K9-yIn0JoRU8c2jzcTxPvw1L9ni5PB2vjIxhftg5w8-jSm8RM-cCcW-etjP0eXH7cXmM9l9-_Rls96RQXA1k1Y6DryxchSiZVzRsVOuk442QNXYD51xY9MIkEz04DrFQIjR9dAJy5jghp-jdyfvIaefiy2znnwZbAgm2rQUTbv6h43gABV9-w96nZZc5z9SUgrKODSVoieqzl5Ktk4fsp9MvtEU9LEffepH1xr0sR99NL95MC_9ZMc_Nx4LqQA7AaVGcW_zX0__13oHqFaajg</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Sawada, Yusuke</creator><creator>Shimohira, Masashi</creator><creator>Hashizume, Takuya</creator><creator>Sobue, Ryoji</creator><creator>Mori, Soichiro</creator><creator>Nakagawa, Motoo</creator><creator>Ozawa, Yoshiyuki</creator><creator>Naiki, Taku</creator><creator>Nagai, Takashi</creator><creator>Yasui, Takahiro</creator><creator>Shibamoto, Yuta</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20171201</creationdate><title>Transcatheter Arterial Embolization for Renal Angiomyolipoma Using a Micro-balloon Catheter and a Mixture of Ethanol and Lipiodol</title><author>Sawada, Yusuke ; Shimohira, Masashi ; Hashizume, Takuya ; Sobue, Ryoji ; Mori, Soichiro ; Nakagawa, Motoo ; Ozawa, Yoshiyuki ; Naiki, Taku ; Nagai, Takashi ; Yasui, Takahiro ; Shibamoto, Yuta</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-75f3036e5d4472381d98f95f16018dbc9afd6640524b0f982044dfb094e2243a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Angiomyolipoma</topic><topic>Angiomyolipoma - therapy</topic><topic>Antineoplastic Agents - administration & dosage</topic><topic>Balloon catheters</topic><topic>Balloon treatment</topic><topic>Cardiology</topic><topic>Catheters</topic><topic>Chemoembolization, Therapeutic - instrumentation</topic><topic>Chemoembolization, Therapeutic - methods</topic><topic>Child</topic><topic>Complications</topic><topic>Embolization</topic><topic>Ethanol</topic><topic>Ethanol - administration & dosage</topic><topic>Ethiodized Oil - administration & dosage</topic><topic>Feeding</topic><topic>Female</topic><topic>Females</topic><topic>Humans</topic><topic>Imaging</topic><topic>Kidney Neoplasms - therapy</topic><topic>Kidneys</topic><topic>Male</topic><topic>Males</topic><topic>Medical instruments</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Patients</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Success</topic><topic>Technical Note</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sawada, Yusuke</creatorcontrib><creatorcontrib>Shimohira, Masashi</creatorcontrib><creatorcontrib>Hashizume, Takuya</creatorcontrib><creatorcontrib>Sobue, Ryoji</creatorcontrib><creatorcontrib>Mori, Soichiro</creatorcontrib><creatorcontrib>Nakagawa, Motoo</creatorcontrib><creatorcontrib>Ozawa, Yoshiyuki</creatorcontrib><creatorcontrib>Naiki, Taku</creatorcontrib><creatorcontrib>Nagai, Takashi</creatorcontrib><creatorcontrib>Yasui, Takahiro</creatorcontrib><creatorcontrib>Shibamoto, Yuta</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sawada, Yusuke</au><au>Shimohira, Masashi</au><au>Hashizume, Takuya</au><au>Sobue, Ryoji</au><au>Mori, Soichiro</au><au>Nakagawa, Motoo</au><au>Ozawa, Yoshiyuki</au><au>Naiki, Taku</au><au>Nagai, Takashi</au><au>Yasui, Takahiro</au><au>Shibamoto, Yuta</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter Arterial Embolization for Renal Angiomyolipoma Using a Micro-balloon Catheter and a Mixture of Ethanol and Lipiodol</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>40</volume><issue>12</issue><spage>1933</spage><epage>1939</epage><pages>1933-1939</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
To evaluate the efficacy and safety of transcatheter arterial embolization (TAE) for renal angiomyolipoma (AML) using a micro-balloon catheter and a mixture of ethanol and lipiodol.
Materials and Methods
Twelve consecutive patients with 15 AMLs, 9 females and 3 males, with a median age of 44 years (range, 11–81), underwent this procedure between 2011 and 2016. In all procedures, a micro-balloon catheter was advanced to the feeding artery of the AML and TAE was performed with a mixture of ethanol and lipiodol under balloon inflation. We reviewed medical records and images, and evaluated the technical success rate, clinical success rate, and complications. Technical success was defined as completion of TAE using the micro-balloon catheter and the mixture of ethanol and lipiodol. Clinical success was defined as reduction of tumor size on CT, which was performed before and after TAE.
Results
In 14 of 15 AMLs, the micro-balloon catheter could be advanced to the feeding artery, and TAE was performed successfully. Thus, the technical success rate was 93%. Among these 14 AMLs of 11 patients, 13 AMLs of 10 patients could be followed and tumor shrinkage was confirmed in all. Thus, the clinical success rate was 100%. Four patients had mild symptoms after TAE; the minor complication rate was 33% (4/12), and the major complication rate was 0%.
Conclusion
TAE for renal AML using the micro-balloon catheter and mixture of ethanol and lipiodol appears to be effective and safe.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28685379</pmid><doi>10.1007/s00270-017-1731-0</doi><tpages>7</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Angiomyolipoma Angiomyolipoma - therapy Antineoplastic Agents - administration & dosage Balloon catheters Balloon treatment Cardiology Catheters Chemoembolization, Therapeutic - instrumentation Chemoembolization, Therapeutic - methods Child Complications Embolization Ethanol Ethanol - administration & dosage Ethiodized Oil - administration & dosage Feeding Female Females Humans Imaging Kidney Neoplasms - therapy Kidneys Male Males Medical instruments Medical records Medicine Medicine & Public Health Middle Aged Nuclear Medicine Patients Radiology Retrospective Studies Success Technical Note Treatment Outcome Ultrasound Young Adult |
| title | Transcatheter Arterial Embolization for Renal Angiomyolipoma Using a Micro-balloon Catheter and a Mixture of Ethanol and Lipiodol |
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