Use of a mixture of Lipiodol and Cyanoacrylate in percutaneous embolization treatment of symptomatic renal Angiomyolipomas: Our experience

Simona Caloggero; Francesca Catanzariti; Alberto Stagno; Salvatore Silipigni; Antonio Bottari

doi:10.1016/j.radcr.2018.11.019

Use of a mixture of Lipiodol and Cyanoacrylate in percutaneous embolization treatment of symptomatic renal Angiomyolipomas: Our experience

Radiol Case Rep. 2018 Dec 13;14(3):343-347. doi: 10.1016/j.radcr.2018.11.019. eCollection 2019 Mar.

Authors

Simona Caloggero¹, Francesca Catanzariti², Alberto Stagno², Salvatore Silipigni², Antonio Bottari²

Affiliations

¹ Department of Diagnostic Imaging and Radiotherapy, University Hospital "G. Martino", Messina, Italy.
² Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Via S. Camillo 8, 98122 Messina, Italy.

Abstract

Purpose of this report is to describe safety and effectiveness of selective artery embolization in the treatment of bleeding angiomyolipomas (AMLs) of the kidney using a mixture of Lipiodol and Cyanoacrylate. Two patients with bleeding AMLs underwent to superselective embolization of the lesions using microcatheter and Lipiodol mixed with Cyanoacrylate in the ratio 3:1. Primary bleeding control rate was 100% with no major complications. Follow-up CT (mean time 18 months) demonstrated a significant reduction in size (about 50%) of the lesions. In conclusion, selective artery embolization with Lipiodol and Cyanoacrylate appear to be safe and effective in the treatment of bleeding AMLs.

Keywords: Angiomyolipoma; Embolization.

Publication types

Case Reports