Value of Preoperative Superselective Embolization of the Isthmus in a Patient with Upper Urinary Tract Urothelial Carcinoma and Horseshoe Kidney
Standard treatment for upper urinary tract urothelial carcinoma (UUTUC) implies the radical removal of all urothelium-lined tissue, which requires nephroureterectomy with bladder cuff removal. We report on a patient with a rare coincidence of UUTUC and horseshoe kidney in whom a preoperative angiogr...
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Veröffentlicht in: | Cardiovascular and interventional radiology 2011-02, Vol.34 (Suppl 2), p.98-101 |
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creator | Wilhelmsen, Skadi Janitzky, Andreas Porsch, Markus Liehr, Uwe-Bernd Dudeck, Oliver |
description | Standard treatment for upper urinary tract urothelial carcinoma (UUTUC) implies the radical removal of all urothelium-lined tissue, which requires nephroureterectomy with bladder cuff removal. We report on a patient with a rare coincidence of UUTUC and horseshoe kidney in whom a preoperative angiography helped to identify and subsequently embolize an abberant isthmic feeding artery, which was located in between both collecting systems. Ischemic discoloration of the isthmus area facilitated resection and no major blood loss occurred. Preoperative superselective embolization of the isthmus as the renal split area can be an effective tool to facilitate nephroureterectomy in the case of a horseshoe kidney. |
doi_str_mv | 10.1007/s00270-009-9789-y |
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Preoperative superselective embolization of the isthmus as the renal split area can be an effective tool to facilitate nephroureterectomy in the case of a horseshoe kidney.</description><subject>Aortography</subject><subject>ARTERIES</subject><subject>BIOLOGICAL MATERIALS</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>BLADDER</subject><subject>BLOOD</subject><subject>BLOOD VESSELS</subject><subject>BODY</subject><subject>BODY FLUIDS</subject><subject>Carcinoma, Transitional Cell - blood supply</subject><subject>Carcinoma, Transitional Cell - diagnosis</subject><subject>Carcinoma, Transitional Cell - surgery</subject><subject>CARCINOMAS</subject><subject>Cardiology</subject><subject>CARDIOVASCULAR SYSTEM</subject><subject>Case Report</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>DISEASES</subject><subject>Embolization, Therapeutic</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Imaging</subject><subject>Kidney - abnormalities</subject><subject>KIDNEYS</subject><subject>Male</subject><subject>MATERIALS</subject><subject>MEDICINE</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>NEOPLASMS</subject><subject>Neoplasms, Multiple Primary - 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We report on a patient with a rare coincidence of UUTUC and horseshoe kidney in whom a preoperative angiography helped to identify and subsequently embolize an abberant isthmic feeding artery, which was located in between both collecting systems. Ischemic discoloration of the isthmus area facilitated resection and no major blood loss occurred. Preoperative superselective embolization of the isthmus as the renal split area can be an effective tool to facilitate nephroureterectomy in the case of a horseshoe kidney.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>20058005</pmid><doi>10.1007/s00270-009-9789-y</doi><tpages>4</tpages></addata></record> |
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subjects | Aortography ARTERIES BIOLOGICAL MATERIALS BIOMEDICAL RADIOGRAPHY BLADDER BLOOD BLOOD VESSELS BODY BODY FLUIDS Carcinoma, Transitional Cell - blood supply Carcinoma, Transitional Cell - diagnosis Carcinoma, Transitional Cell - surgery CARCINOMAS Cardiology CARDIOVASCULAR SYSTEM Case Report DIAGNOSTIC TECHNIQUES DISEASES Embolization, Therapeutic Humans Image Processing, Computer-Assisted Imaging Kidney - abnormalities KIDNEYS Male MATERIALS MEDICINE Medicine & Public Health Middle Aged NEOPLASMS Neoplasms, Multiple Primary - blood supply Neoplasms, Multiple Primary - diagnosis Neoplasms, Multiple Primary - surgery Nephrectomy NUCLEAR MEDICINE ORGANS PATIENTS Postoperative Complications - diagnosis Preoperative Care RADIOLOGY RADIOLOGY AND NUCLEAR MEDICINE Renal Artery - abnormalities Tomography, Spiral Computed Ultrasound Ureter - surgery Ureteral Neoplasms - blood supply Ureteral Neoplasms - diagnosis Ureteral Neoplasms - surgery URINARY TRACT Urography |
title | Value of Preoperative Superselective Embolization of the Isthmus in a Patient with Upper Urinary Tract Urothelial Carcinoma and Horseshoe Kidney |
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