The Role of Interventional Radiology Techniques in the Management of Renal Angiomyolipomas.

Abstract:

PURPOSE OF REVIEW:Although benign, renal angiomyolipoma (AML) may lead to serious complications without appropriate management. The purpose of this review is to describe the role of and evidence for interventional radiology techniques in the management of patients with AML. RECENT FINDINGS:For patients with renal masses and non-diagnostic imaging studies, image-guided percutaneous biopsy is found to be highly accurate and useful in directing patient management. Once the diagnosis of AML has been made based on either imaging or biopsy, arterial embolization of tumors that are symptomatic or >4 cm has been demonstrated to reduce the risk of hemorrhage as well as tumor size. Percutaneous ablation devices have been proposed as alternative strategies but remain investigational. The utility of interventional radiology techniques including percutaneous core needle biopsy and prophylactic super-selective arterial embolization is safe and effective management strategies for patients presenting with AML tumors.

journal_name

Curr Urol Rep

journal_title

Current urology reports

authors

Kiefer RM,Stavropoulos SW

doi

10.1007/s11934-017-0687-6

subject

Has Abstract

pub_date

2017-05-01 00:00:00

pages

36

issue

5

eissn

1527-2737

issn

1534-6285

pii

10.1007/s11934-017-0687-6

journal_volume

18

pub_type

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