Snuff box radial access in transcatheter arterial embolization for unruptured renal angiomyolipoma.
OBJECTIVE
We report the first three cases in which the feasibility and safety of the left snuff box radial access in transcatheter arterial embolization (TAE) for unruptured renal angiomyolipoma (AML) were evaluated.


MATERIAL AND METHODS
Three patients with unruptured renal AMLs underwent TAE via the left snuff box radial artery. We retrospectively evaluated the characteristics of the AMLs, technical success rate, clinical success rate, and complications. Technical success and clinical success were defined as successful insertions of microballoon catheters selectively via the left distal radial artery into all intended arteries in a treatment session and shrinkage of tumor size as evaluated by CT or MRI after the procedure, respectively.


RESULTS
The median size of the renal AMLs was 49 mm. TAE was successfully performed in all cases and all feeding arteries were successfully selected with a microballoon catheter through the left snuff box radial artery. The median amount of the mixture of ethanol and Lipiodol was 1.8 mL. Tumor shrinkage was confirmed in all with a median follow-up period of 6 months. The clinical success rate was 100%. No major complications occurred.


CONCLUSION
The left snuff box access in TAE for an unruptured renal AML is safe and feasible.
['Matsumoto|Tomohiro|T|', 'Hasebe|Terumitsu|T|https://orcid.org/0000-0002-0373-7839', 'Kamei|Shunsuke|S|', 'Tomita|Kosuke|K|', 'Yamamoto|Shota|S|', 'Zakoji|Hidenori|H|', 'Yoshimatsu|Rika|R|', 'Kajiwara|Kenji|K|', 'Karashima|Takashi|T|', 'Yamagami|Takuji|T|']
D018207:Angiomyolipoma D004621:Embolization, Therapeutic D006801:Humans D007680:Kidney Neoplasms D017534:Radial Artery D012189:Retrospective Studies D014030:Tobacco, Smokeless D016896:Treatment Outcome
snuff box radial access renal angiomyolipoma distal radial artery Anatomical snuff box interventional radiology