Journal of Vascular and Interventional Radiology
Volume 20, Issue 6 , Pages 819-823 , June 2009

Pulmonary Edema as a Complication of Transcatheter Embolization of Renal Angiomyolipoma in a Patient with Pulmonary Lymphangioleiomyomatosis Due to Tuberous Sclerosis Complex

  • Takao Hiraki, MD

      Affiliations

    • Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Okayama 700-8558, Japan
    • Corresponding Author InformationAddress correspondence to T.H.
    • ,
  • Hidefumi Mimura, MD

      Affiliations

    • Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Okayama 700-8558, Japan
    • ,
  • Hideo Gobara, MD

      Affiliations

    • Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Okayama 700-8558, Japan
    • ,
  • Hiroyasu Fujiwara, MD

      Affiliations

    • Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Okayama 700-8558, Japan
    • ,
  • Toshihiro Iguchi, MD

      Affiliations

    • Department of Radiology, Fukuyama City Hospital, Fukuyama, Japan
    • ,
  • Jun Sakurai, MD

      Affiliations

    • Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Okayama 700-8558, Japan
    • ,
  • Seiichiro Norikane, MD

      Affiliations

    • Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Okayama 700-8558, Japan
    • ,
  • Katsuya Kato, MD

      Affiliations

    • Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Okayama 700-8558, Japan
    • ,
  • Susumu Kanazawa, MD

      Affiliations

    • Department of Radiology, Okayama University Medical School, 2-5-1 Shikatacho, Okayama 700-8558, Japan

Received 25 March 2008 ,Revised 17 February 2009 ,Accepted 19 February 2009.

References 

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  2. Steiner MS, Goldman SM, Fishman EK, Marshall FF. The natural history of renal angiomyolipoma. J Urol. 1993;150:1782–1786
  3. Dickinson M, Ruckle H, Beaghler M, Hadley HR. Renal angiomyolipoma: optimal treatment based on size and symptoms. Clin Nephrol. 1998;49:281–286
  4. Lee W, Kim TS, Chung JW, Han JK, Kim SH, Park JH. Renal angiomyolipoma: embolotherapy with a mixture of alcohol and iodized oil. J Vasc Interv Radiol. 1998;9:255–261
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  9. Becker JA, Kinkhabwala M, Pollack H, Bosniak M. Angiomyolipoma (hamartoma) of the kidney. Acta Rad Diagn. 1973;14:561–568
  10. Mitchell SE, Shah AM, Schwengel D. Pulmonary artery pressure changes during ethanol embolization procedures to treat vascular malformations: can cardiovascular collapse be predicted?. J Vasc Interv Radiol. 2006;17:253–262
  11. Hammer FD, Boon LM, Mathurin P, Vanwijck RR. Ethanol sclerotherapy of venous malformations: evaluation of systemic ethanol contamination. J Vasc Interv Radiol. 2001;12:595–600
  12. Garel L, Mareschal JL, Gagnadoux MF, Pariente D, Guilbert M, Sauvegrain J. Fatal outcome after ethanol renal ablation in child with end-stage kidneys. AJR Am J Roentgenol. 1986;146:593–594
  13. Zack JR, Ferral H. Case report: transient complete heart block complicating renal ethanol embolization. Clin Radiol. 2002;57:853–854
  14. Shin BS, Do YS, Lee BB, et al. Multistage ethanol sclerotherapy of soft-tissue arteriovenous malformations: effect on pulmonary arterial pressure. Radiology. 2005;235:1072–1077
  15. Pallisa E, Sanz P, Roman A, Majo J, Andreu J, Caceres J. Lymphangioleiomyomatosis: pulmonary and abdominal findings with pathologic correlation. Radiographics. 2002;22:S185–S198
  16. Chu SC, Horiba K, Usuki J, et al. Comprehensive evaluation of 35 patients with lymphangioleiomyomatosis. Chest. 1999;115:1041–1052
  17. Koehler R. Complications and accidents in lymphography. In:  Ruttimann A editors. Progress in lymphology. New York, NY: Hafner; 1967;p. 306
  18. Peltier LF. Fat embolism, the toxic properties of neutoral fat and free fatty acids. Surgery. 1956;40:665–670
  19. Silvestri RC, Huseby JS, Rughani I, Thorning D, Culver BH. Respiratory distress syndrome from lymphangiography contrast medium. Am Rev Respir Dis. 1980;122:543–549

 None of the authors have identified a conflict of interest.

PII: S1051-0443(09)00205-X

doi: 10.1016/j.jvir.2009.02.019

Journal of Vascular and Interventional Radiology
Volume 20, Issue 6 , Pages 819-823 , June 2009

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