Image-Guided Renal Intervention

Radiol Clin North Am. 2015 Sep;53(5):1005-19. doi: 10.1016/j.rcl.2015.05.002.

Abstract

The role of interventional radiology in the management of renal malignancy has expanded in the past 2 decades, largely because of the efficacy of image-guided ablation in treating renal cell carcinoma (RCC). Clinical guidelines now incorporate ablation into standardized RCC management algorithms. Importantly, both radiofrequency ablation and cryoablation have shown long-term durability in the definitive treatment of RCC, and early outcomes following microwave ablation are equally promising. While selective renal artery embolization has a role in the palliation of select patients with RCC, it can also be used to minimize complications in the ablation of larger renal masses.

Keywords: Complications; Cryoablation; Embolization; Microwave ablation; Radiofrequency ablation; Renal ablation.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Carcinoma, Renal Cell / pathology
  • Carcinoma, Renal Cell / therapy*
  • Catheter Ablation / methods
  • Contrast Media
  • Cryosurgery
  • Embolization, Therapeutic / methods
  • Humans
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / therapy*
  • Neoplasm Staging
  • Practice Guidelines as Topic
  • Radiography, Interventional*
  • Tomography, X-Ray Computed

Substances

  • Contrast Media