BY MAYFAIR DIAGNOSTICS

RENAL TUMOUR EMBOLIZATION

Renal tumor embolization is a minimally invasive procedure that blocks the blood supply to a tumor in the kidney. Blocking the tumor’s blood vessels makes the tumor shrink, controls or stops bleeding, and can make other treatments safer.

Renal tumor embolization is a minimally invasive procedure that blocks the blood supply to a tumor in the kidney. Blocking the tumor’s blood vessels makes the tumor shrink, controls or stops bleeding, and can make other treatments safer.

Who we most often use it for

  • Renal angiomyolipomas (AMLs): benign kidney tumours made of blood vessels, muscle, and fat. AMLs can grow and have fragile vessels that may bleed. We commonly offer embolization for AMLs that are large (often >4 cm) or ones with high-risk features (aneurysms within the tumour).
  • Kidney cancer (renal cell carcinoma) or metastatic tumor deposits: embolization can control bleeding, reduce tumor size, or be done before surgery. For cancer it’s usually part of a larger treatment plan (surgery, medical therapy), and is often used to relieve symptoms rather than cure.

Why it may be recommended

  • To stop or prevent sudden bleeding from a tumor
  • To shrink a tumor and lower the chance of future bleeds
  • To preserve as much healthy kidney as possible compared with removing part of the kidney
  • To reduce bleeding risk before surgery or to relieve symptoms from a cancerous tumor
  • A pre-procedural CT angiogram is performed to provide our doctors with a pre-operative map.
  • The procedure itself is done by an interventional radiologist through a small tube placed in the groin or wrist. A thin tube (catheter) is guided into the artery feeding the tumor and tiny particles, ethanol, glue or foam is used to close the small vessels of the tumour.
  • The procedure is done under conscious sedation, avoiding the need for a general anesthetic.
  • The procedure often takes 1–2 hours. Many patients go home the same day, rarely staying overnight for observation.
  • Fast control of bleeding and reduced risk of future bleeding
  • Tumor shrinkage and symptom relief
  • Avoids large open surgery and preserves kidney tissue
  • Shorter recovery time compared with surgery
  • Post-embolization syndrome: fever, pain, nausea, and fatigue for a few days (common)
  • Bruising or bleeding where the catheter was placed
  • Unintended blockage of nearby blood vessels to the kidney that can result in either pain or reduction in kidney function.
  • May need repeat treatment if blood flow returns or the tumor persists

Related in Oncology

Evaluation and minimally invasive treatment of kidney tumors using targeted freezing techniques to destroy cancerous tissue while preserving healthy kidney function through an image-guided approach.

 

Book or inquire about this procedure

Mayfair’s interventional radiologists perform general IR procedures at Rockyview General Hospital and interventional vascular procedures at the Peter Lougheed Centre in Calgary.