[Superselective embolization of tumor nodes in solitary kidney in inoperable patients].
OBJECTIVE
Evaluation of superselective embolisation of renal tumours in inoperable patients with solitary kidneys.


METHODS
Eight inoperable patients with solitary kidneys bearing tumour nodules underwent 1-3 superselective embolisation procedures with ethibloc (5x) or polyvinyl alcohol (1x). Renal function was monitored with creatinine levels. Tumour size was controlled every three months by means of sonography.


RESULTS
Technical success rate was 100%. In 3/3 patients haematuria could be stopped. Post-embolisation renal function was unchanged in 6 patients and deteriorated in two patients; creatinine level rose to a maximum of 2.2 mg%. We observed no other side effects. Seven of eight patients died during a median follow-up period of 9.3 months (4-18 months); in two cases they died due to their underlying malignant disease. One patient had local tumour progress.


CONCLUSIONS
Superselective embolisation of renal tumours in patients with solitary kidneys may be a helpful, well-tolerated therapeutic option in inoperable, symptomatic patients.
Sokiranski
R
R
Radiologische Klinik und Poliklinik der Universität, Ulm.
Görich
J
J
van Ahlen
H
H
Rilinger
N
N
Vogel
J
J
Brambs
H J
HJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography; D003973:Diatrizoate / Q000008:administration & dosage; D004338:Drug Combinations; D004621:Embolization, Therapeutic / Q000379:methods; D005227:Fatty Acids / Q000008:administration & dosage; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011142:Polyvinyl Alcohol / Q000008:administration & dosage; D011409:Propylene Glycols / Q000008:administration & dosage; D012597:Sclerosing Solutions; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D015028:Zein / Q000008:administration & dosage
D004338:Drug Combinations; D005227:Fatty Acids; D011409:Propylene Glycols; D012597:Sclerosing Solutions; D003973:Diatrizoate; D011142:Polyvinyl Alcohol; D015028:Zein; C020481:alcoholic prolamine solution