SUPERSELECTIVE EMBOLIZATION OF THE RENAL ARTERIES AS A MONOTHERAPY OF KIDNEY TUMOR IN A PATIENT WITH HIGH ANESTHESIOLOGIC RISK
https://doi.org/10.38181/2223-2427-2021-4-61-67
Abstract
Introduction: Renal artery embolization is a minimally invasive X-ray endovascular operation that is used in the treatment of various urological diseases. This operation is of increasing interest due to its ability to occlude not only proximal, but also distal renal vessels with a low risk of complications. Recent developments in endovascular technology make embolization one of the effective and safe methods applicable to stop renal bleeding, preoperative preparation for surgical treatment of renal malignant tumors, and first-line treatment for angiomyolipomas. For a certain category of patients, renal artery embolization is practically no alternative method of treatment. This applies to comorbid patients with kidney tumors and aggravated somatic status, in whom the anesthetic risk makes open or laparoscopic surgical treatment impossible, and embolization can reduce symptoms, improve the quality of life of such patients and prolong the patient's life.
Clinical case: we demonstrate the experience of X-ray surgical treatment of cT1aN0M0 left kidney cancer in an 80-year-old patient.
Conclusion: Embolization of renal arteries in some cases can be an effective and safe alternative treatment for renal cell carcinoma in somatically burdened patients who cannot perform surgical treatment.
About the Authors
V. K. Karpov
Lomonosov Moscow State University
Russian Federation
Russian Federation
Valery K. Karpov – M.D., Ph.D. doctoral candidate (M), Faculty of Fundamental Medicine, Urology and Andrology Department
D. M. Kamalov
Lomonosov Moscow State University
Russian Federation
Russian Federation
David M. Kamalov – M.D., Ph.D. doctoral candidate (M), Faculty of Fundamental
Medicine, Urology and Andrology Department
B. M. Shaparov
Lomonosov Moscow State University
Russian Federation
Russian Federation
Boris M. Shaparov – M.D.; Post-graduate student, Dept. of Urology and Andrology, Faculty of Fundamental Medicine
O. A. Osmanov
Lomonosov Moscow State University; GBUZ «GKB №31 DZM»
Russian Federation
Russian Federation
Omar A. Osmanov – M.D.; Post-graduate student, Dept. of Urology and Andrology, Faculty of Fundamental Medicine
A. А. Kamalov
Lomonosov Moscow State University
Russian Federation
Russian Federation
Armais A. Kamalov – Academician of the Russian Academy of Sciences, M.D., Dr.Sc.(M), Full Prof.; Head, Dept. of Urology and Andrology, Faculty of Fundamental Medicine; Headmaster, Lomonosov Moscow State University Clinic
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Review
For citations:
Karpov V.K., Kamalov D.M., Shaparov B.M., Osmanov O.A., Kamalov A.А. SUPERSELECTIVE EMBOLIZATION OF THE RENAL ARTERIES AS A MONOTHERAPY OF KIDNEY TUMOR IN A PATIENT WITH HIGH ANESTHESIOLOGIC RISK. Surgical practice (Russia). 2021;(4):61-67. (In Russ.) https://doi.org/10.38181/2223-2427-2021-4-61-67
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