Angiomyolipoma surgery: Difference between revisions
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Renal-angiomyolipoma-8_(5).jpg | <ref name=radio> Image courtesy of Dr. Andrew Lawson. [http://www.radiopaedia.org Radiopaedia](original file [http://radiopaedia.org/cases/renal-angiomyolipoma-8]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref> | Renal-angiomyolipoma-8_(5).jpg | <ref name=radio> Image courtesy of Dr. Andrew Lawson. [http://www.radiopaedia.org Radiopaedia](original file [http://radiopaedia.org/cases/renal-angiomyolipoma-8]). [http://radiopaedia.org/licence Creative Commons BY-SA-NC]</ref> | ||
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'''Procedure''' | |||
Selective catheterisation of the branch supplying the angiomyolipoma was achieved via a microcatheter, and contrast runs through this vessel showed tumour filling, but no supply to renal parenchyma. Embolisation was performed using a 50:50 dilution of absolute alcohol in lipiodol. A total of 12 mL was injected under careful angiographic observation to ensure no reflux to vessels supplying renal cortex. | Selective catheterisation of the branch supplying the angiomyolipoma was achieved via a microcatheter, and contrast runs through this vessel showed tumour filling, but no supply to renal parenchyma. Embolisation was performed using a 50:50 dilution of absolute alcohol in lipiodol. A total of 12 mL was injected under careful angiographic observation to ensure no reflux to vessels supplying renal cortex. | ||
Revision as of 18:47, 25 September 2015
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Angiomyolipoma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Angiomyolipoma surgery On the Web |
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American Roentgen Ray Society Images of Angiomyolipoma surgery |
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Risk calculators and risk factors for Angiomyolipoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [2] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [3]
Overview
Surgery is not the first-line treatment option for patients with angiomyolipoma. Transcatheter arterial embolization is usually reserved for patients with complicated disease.[1]
Surgery
Angiomyolipoma do not normally require surgery unless there is life-threatening bleeding.
Transcatheter Arterial Embolization
- Proximal Embolization
- These are appropriate for the occlusion of a large lumen without distal migration
- Distal Embolization
- These are appropriate for the occlusion of a large lumen with distal migration
- Palliative Embolization
- Embolization in patients with end-stage renal disease
![[2]](/index.php/File:Renal-angiomyolipoma-8_(1).jpg)
![[2]](/index.php/File:Renal-angiomyolipoma-8_(2).jpg)
![[2]](/index.php/File:Renal-angiomyolipoma-8_(3).jpg)
![[2]](/index.php/File:Renal-angiomyolipoma-8_(4).jpg)
![[2]](/index.php/File:Renal-angiomyolipoma-8_(5).jpg)
Procedure Selective catheterisation of the branch supplying the angiomyolipoma was achieved via a microcatheter, and contrast runs through this vessel showed tumour filling, but no supply to renal parenchyma. Embolisation was performed using a 50:50 dilution of absolute alcohol in lipiodol. A total of 12 mL was injected under careful angiographic observation to ensure no reflux to vessels supplying renal cortex.
Partial Nephrectomy
Larger AMLs, that have been symptomatic, can be electively resected with a partial nephrectomy.
References
- ↑ Lewis JH, Weingold AB (1985). "The use of gastrointestinal drugs during pregnancy and lactation". Am J Gastroenterol. 80 (11): 912–23. PMID 2864852.
- ↑ 2.0 2.1 2.2 2.3 2.4 Image courtesy of Dr. Andrew Lawson. Radiopaedia(original file [1]). Creative Commons BY-SA-NC