Trisacryl Gelatin Microembolism and Metastases in the Lung after Renal Artery Embolization and Nephrectomy for Renal Cell Carcinoma

This is the first report, to our knowledge, of widespread, histologically confirmed trisacryl gelatin pulmonary microembolism after renal artery embolization (RAE). In addition, this is the first report of lung involvement by both metastatic renal cell carcinoma (RCC) and an embolic agent used for R...

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Main Authors: Andres Borja Alvarez, Jack P. Leventhal, Cherise Cortese, Barbara L. McComb, David D. Thiel, Andras Khoor
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2015/916268
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author Andres Borja Alvarez
Jack P. Leventhal
Cherise Cortese
Barbara L. McComb
David D. Thiel
Andras Khoor
author_facet Andres Borja Alvarez
Jack P. Leventhal
Cherise Cortese
Barbara L. McComb
David D. Thiel
Andras Khoor
author_sort Andres Borja Alvarez
collection DOAJ
description This is the first report, to our knowledge, of widespread, histologically confirmed trisacryl gelatin pulmonary microembolism after renal artery embolization (RAE). In addition, this is the first report of lung involvement by both metastatic renal cell carcinoma (RCC) and an embolic agent used for RAE. The patient was a 63-year-old woman who recently presented with both dyspnea on exertion and productive cough. Her past medical history included clear cell RCC, which was treated with preoperative trisacryl gelatin microsphere RAE and right nephrectomy 9 years earlier. Computed tomography of the chest showed multiple lung nodules, a mass-like density in the left lower lobe, and mediastinal and hilar lymphadenopathy. Wedge resections of the lung showed multiple foci of metastatic RCC and extensive involvement of the muscular pulmonary arteries by trisacryl gelatin microspheres.
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institution Kabale University
issn 2090-696X
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language English
publishDate 2015-01-01
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series Case Reports in Urology
spelling doaj-art-7aea61a6a0cd4617816b3b9ab98510cd2025-02-03T05:46:45ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/916268916268Trisacryl Gelatin Microembolism and Metastases in the Lung after Renal Artery Embolization and Nephrectomy for Renal Cell CarcinomaAndres Borja Alvarez0Jack P. Leventhal1Cherise Cortese2Barbara L. McComb3David D. Thiel4Andras Khoor5Division of Pulmonary and Allergy Medicine, Mayo Clinic, Jacksonville, FL 32224, USADivision of Pulmonary and Allergy Medicine, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Radiology, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Urology, Mayo Clinic, Jacksonville, FL 32224, USADepartment of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, FL 32224, USAThis is the first report, to our knowledge, of widespread, histologically confirmed trisacryl gelatin pulmonary microembolism after renal artery embolization (RAE). In addition, this is the first report of lung involvement by both metastatic renal cell carcinoma (RCC) and an embolic agent used for RAE. The patient was a 63-year-old woman who recently presented with both dyspnea on exertion and productive cough. Her past medical history included clear cell RCC, which was treated with preoperative trisacryl gelatin microsphere RAE and right nephrectomy 9 years earlier. Computed tomography of the chest showed multiple lung nodules, a mass-like density in the left lower lobe, and mediastinal and hilar lymphadenopathy. Wedge resections of the lung showed multiple foci of metastatic RCC and extensive involvement of the muscular pulmonary arteries by trisacryl gelatin microspheres.http://dx.doi.org/10.1155/2015/916268
spellingShingle Andres Borja Alvarez
Jack P. Leventhal
Cherise Cortese
Barbara L. McComb
David D. Thiel
Andras Khoor
Trisacryl Gelatin Microembolism and Metastases in the Lung after Renal Artery Embolization and Nephrectomy for Renal Cell Carcinoma
Case Reports in Urology
title Trisacryl Gelatin Microembolism and Metastases in the Lung after Renal Artery Embolization and Nephrectomy for Renal Cell Carcinoma
title_full Trisacryl Gelatin Microembolism and Metastases in the Lung after Renal Artery Embolization and Nephrectomy for Renal Cell Carcinoma
title_fullStr Trisacryl Gelatin Microembolism and Metastases in the Lung after Renal Artery Embolization and Nephrectomy for Renal Cell Carcinoma
title_full_unstemmed Trisacryl Gelatin Microembolism and Metastases in the Lung after Renal Artery Embolization and Nephrectomy for Renal Cell Carcinoma
title_short Trisacryl Gelatin Microembolism and Metastases in the Lung after Renal Artery Embolization and Nephrectomy for Renal Cell Carcinoma
title_sort trisacryl gelatin microembolism and metastases in the lung after renal artery embolization and nephrectomy for renal cell carcinoma
url http://dx.doi.org/10.1155/2015/916268
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