Educational Exhibit Abstract No. 355 - Transcatheter renal interventions: a critical review of established and emerging procedures

Abstract

Learning Objectives To detail the increasing number of transcatheter renal interventions that can be performed by Interventional Radiologists. -To critically review the scientific literature supporting the most commonly performed transcatheter renal interventions. Background Transcatheter renal interventions play an important role in the treatment of patients with a wide variety of renal pathologies. With the recent development of catheter-based renal denervation for select patients with arterial hypertension, there is an increasing number of transcatheter therapies that Interventional Radiologists can perform. The goal of this exhibit is to critically review the most commonly performed transcatheter renal interventions, with a detailed review of the literature and case examples of the included procedures. Clinical Findings/Procedure Details For each of the following procedures, we will include brief epidemiology data, brief pathophysiology, and detailed review of the scientific literature. Each procedure will be illustrated with case examples from our institution: 1. Renal artery stenosis: angioplasty +/- stenting 2. Renal artery (pseudo)aneurysm embolization 3. Renal arteriovenous fistula embolization 4. Renal vein thrombosis thrombectomy 5. (Pre-surgical) embolization of renal tumors 6. Catheter-based renal denervation 7. Miscellaneous Conclusion and/or Teaching Points • Transcatheter renal interventions are used to treat a wide variety of disease that affect the kidneys, including renal vascular pathologies, renovascular and arterial hypertension, and renal neoplasms. • There is an increasing number of transcatheter renal interventions that can be performed by interventional radiologists. • This exhibit critically reviews the most commonly performed transcatheter renal interventions.