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
Hauptverfasser: Wilhelmsen, Skadi, Janitzky, Andreas, Porsch, Markus, Liehr, Uwe-Bernd, Dudeck, Oliver
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container_end_page 101
container_issue Suppl 2
container_start_page 98
container_title Cardiovascular and interventional radiology
container_volume 34
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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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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