title: Embolization of solitary spinal metastases from renal cell carcinoma: alternative therapy for spinal cord or nerve root compression.
abstract: Four patients with a solitary vertebral metastasis from a renal cell carcinoma presented with acute spinal cord or nerve root compression. Because of the markedly hypervascular nature of the metastases it was decided to palliate the lesions by transarterial catheter embolization. The embolization reduced the venous blood pool within the tumors, resulting in progressive neurological improvement often lasting for 12 weeks or more. With such palliation, surgical decompression may be obviated, postponed, or at least made manageable.
authors.affiliation: Department of Radiology (Neuroradiology), Beth Israel Hospital, Boston, Massachusetts 02215.
authors.forename: G V
authors.initials: GV
authors.lastname: O'Reilly
authors.forename: J
authors.initials: J
authors.lastname: Kleefield
authors.forename: L A
authors.initials: LA
authors.lastname: Klein
authors.forename: H W
authors.initials: HW
authors.lastname: Blume
authors.forename: D
authors.initials: D
authors.lastname: Dubuisson
authors.forename: G R
authors.initials: GR
authors.lastname: Cosgrove
mesh_terms: D000368:Aged; D002292:Carcinoma, Renal Cell / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary / Q000628:therapy*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D013125:Spinal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000556:secondary / Q000628:therapy*; D013126:Spinal Nerve Roots