Embolisation préventive et en urgence des angiomyolipomes : notre expérience

Kheir, C.; Schoenig, A.; Chabrot, P.; Cassagnes, L.; Ravel, A.; Boiteux, Jean‐Paul; Lochard, Guy; Boyer, L.

doi:10.1016/j.purol.2011.02.012

Cited by 11 publications

(3 citation statements)

References 10 publications

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“…The quality of the articles included was high. Among the 30 studies, 18 studies scored 11 points 11–28 in the Agency for Healthcare Research and Quality Cross-Sectional/Prevalence Study Quality checklists, six studies scored 10 points, 29–34 three studies scored 9 points, 35–37 and the other three studies scored 8 points. 38–40…”

Section: Resultsmentioning

confidence: 99%

Renal function, complications, and outcomes of a reduction in tumor size after transarterial embolization for renal angiomyolipomas: a meta-analysis

Lin

Guan

et al. 2019

J Int Med Res

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Objective The present study aimed to evaluate renal function, complications, and changes in tumor size after transarterial embolization for patients with renal angiomyolipomas. Methods We performed a meta-analysis of transarterial embolization in patients with renal angiomyolipomas from January 1994 to April 2018. Endpoints of interest were the estimated glomerular filtration rate, serum creatinine levels, blood urea nitrogen levels, complications, and reduction of tumors. Results A total of 30 studies comprising 653 patients were included. A total of 32.0% of patients were treated by urgent transarterial embolization for spontaneous ruptured renal angiomyolipomas. Other patients sought to relieve symptoms or received embolism prophylactically. The estimated glomerular filtration rate showed no significant difference between before and after embolization. In 363 patients with data on complications, post-embolization syndrome occurred most frequently (54.0%). Only 16 (4.4%) patients had major complications. The diameter of sporadic angiomyolipomas was reduced by a mean of 2.09 cm (95% confidence interval [CI], 0.73–3.45 cm; I2 = 29.3%) and they were reduced in size by 30.0% (95% CI, 16.0%–44.0%; I2 = 27.9%). Conclusions Transarterial embolization of renal angiomyolipomas affects renal function preservation, with a low complication rate. Transarterial embolization is useful for sporadic and tuberous sclerosis complex-related angiomyolipomas.

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Section: Resultsmentioning

confidence: 99%

Renal function, complications, and outcomes of a reduction in tumor size after transarterial embolization for renal angiomyolipomas: a meta-analysis

Lin

Guan

et al. 2019

J Int Med Res

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“…When a RMAL increases in size and becomes symptomatic, or in the case of a ruptured AML with acute hemorrhage, embolization via the renal artery should be considered (11)(12)(13)(14). TAE has a major advantage over surgery in that it spares as much functioning renal tissue as possible (11,14,15).…”

Section: Discussionmentioning

confidence: 99%

A Young Woman with Acute Abdominal Pain Following Minor Trauma

Farrokh

Pezeshki-Rad

Reihani

et al. 2016

Iran Red Crescent Med J

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Introduction: Renal angiomyolipoma (RAML), is a rare, benign tumor arising from renal mesenchymal cells. Frequently, it is asymptomatic and found incidentally. Spontaneous rupture with consequent retroperitoneal hemorrhage is an uncommon but catastrophic complication of RAML. Case Presentation: Herein, we report a case of a ruptured RAML with a massive retroperitoneal hemorrhage, seen at the emergency department following a minor trauma. A computed tomography (CT) scan showed a left RAML with retroperitoneal hemorrhage. An angiography was performed and then a transarterial embolization. Cessation of bleeding and clinical stabilization occurred without deterioration of renal function. Conclusions:In hemodynamically stable patients with a ruptured RAML, early detection by CT followed by selective arterial embolization may be lifesaving.

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“…The major known complication of these tumors is rupture and retroperitoneal bleeding that may be massive and threatens the patient's life [1]. …”

Section: Introductionmentioning

confidence: 99%

Renal Angiomyolipoma with Fatty Thrombus Extending to the Right Atrium: An Exceptional Presentation

Nouira

Kallel

Gargouri

et al. 2013

Case Reports in Urology

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This paper reports the case of 34-year-old woman who presented with bilateral renal angiomyolipomas (AMLs). On the right side, there was a large AML with a fatty thrombus extending to the right atrium. The treatment consisted of right nephrectomy and complete thrombectomy with extracorporeal circulation and right atriotomy. Postoperatively, the patient was septic and died on postoperative day 7 because of septic shock.

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Embolisation préventive et en urgence des angiomyolipomes : notre expérience

Cited by 11 publications

References 10 publications

Renal function, complications, and outcomes of a reduction in tumor size after transarterial embolization for renal angiomyolipomas: a meta-analysis

Renal function, complications, and outcomes of a reduction in tumor size after transarterial embolization for renal angiomyolipomas: a meta-analysis

A Young Woman with Acute Abdominal Pain Following Minor Trauma

Renal Angiomyolipoma with Fatty Thrombus Extending to the Right Atrium: An Exceptional Presentation

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