TY - JOUR
T1 - Role of Intraarterial Embolization before Cryoablation of Large Renal Tumors
T2 - A Pilot Study
AU - Woodrum, David A.
AU - Atwell, Thomas D.
AU - Farrell, Michael A.
AU - Andrews, James C.
AU - Charboneau, J. William
AU - Callstrom, Matthew R.
PY - 2010/6
Y1 - 2010/6
N2 - A retrospective review of patients who underwent percutaneous cryoablations of renal tumors (≥ 5 cm) with/without previous selective intraarterial embolization from March 2003 to January 2008 was performed to compare periprocedural complications. Of 129 treated tumors, 11 (8.5%) were larger than 5 cm. One patient was lost to follow-up. Of the remaining 10 follow-up patients, four (40%) underwent selective intraarterial tumor embolization before cryoablation. The mean hematoma volume in patients who underwent embolization before cryoablation (n = 4) was 18.3 mL ± 25.9, whereas that in patients who underwent cryoablation alone (n = 6) was 357.3 mL ± 460.9 (P< .01). Only one patient required transfusion and prolonged hospitalization. Combination therapy can provide a decrease in postprocedural cryoablation-related hemorrhage.
AB - A retrospective review of patients who underwent percutaneous cryoablations of renal tumors (≥ 5 cm) with/without previous selective intraarterial embolization from March 2003 to January 2008 was performed to compare periprocedural complications. Of 129 treated tumors, 11 (8.5%) were larger than 5 cm. One patient was lost to follow-up. Of the remaining 10 follow-up patients, four (40%) underwent selective intraarterial tumor embolization before cryoablation. The mean hematoma volume in patients who underwent embolization before cryoablation (n = 4) was 18.3 mL ± 25.9, whereas that in patients who underwent cryoablation alone (n = 6) was 357.3 mL ± 460.9 (P< .01). Only one patient required transfusion and prolonged hospitalization. Combination therapy can provide a decrease in postprocedural cryoablation-related hemorrhage.
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U2 - 10.1016/j.jvir.2010.02.015
DO - 10.1016/j.jvir.2010.02.015
M3 - Article
C2 - 20494291
AN - SCOPUS:77952315996
SN - 1051-0443
VL - 21
SP - 930
EP - 936
JO - Journal of Vascular and Interventional Radiology
JF - Journal of Vascular and Interventional Radiology
IS - 6
ER -