@Article{,
AUTHOR = {Franklin Lee, David S. Aaronson, Sarah Blaschko, Phil Barbosa, Alex K. Wu, Michael Eisenberg, Bradley A. Erickson, Jack W. McAninch},
TITLE = {Selective arterial embolization of angiomyolipoma leading to pulmonary hypertension},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {17},
YEAR = {2010},
NUMBER = {3},
PAGES = {5232--5235},
URL = {http://www.techscience.com/CJU/v17n3/62053},
ISSN = {1488-5581},
ABSTRACT = {<b>Objectives:</b> To report two cases of secondary pulmonary hypertension resulting from microsphere extravasation following selective arterial embolization of renal angiomyolipoma, its diagnosis, and management.<br/>

<b>Methods:</b> We reviewed the cases of two patients at the University of California, San Francisco, treated with selective arterial embolization for management of their angiomyolipoma (AML) using Tris-Acryl Gelatin Microspheres.<br/>

<b>Results:</b> Both patients were women, ages 51 and 77. Indications for treatment were the following: Patient 1 was treated for a large asymptomatic AML. Patient 2 was treated for a symptomatic, bleeding AML. Both patients developed progressive hypoxia following selective arterial embolization using Tris-Acryl Gelatin Microspheres. Each patient underwent a subsequent work up including a CT chest, echocardiogram, and chest x-ray. Both demonstrated significant pulmonary hypertension following their procedure and were discharged with supplemental oxygen.<br/>

<b>Conclusions:</b> Selective arterial embolization of AML with microsphere extravasation into the pulmonary vasculature can lead to pulmonary hypertension and hypoxemia.},
DOI = {}
}