{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T14:46:23Z","timestamp":1786632383692,"version":"build-2736575974"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate whether embolic agent selection influences outcomes following selective arterial embolisation (SAE) of renal angiomyolipomas (r\u2010AMLs) and to assess procedural safety and effects on renal function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective observational study was performed of all r\u2010AML SAEs undertaken at a tertiary institution between 2015 and 2024. Change in tumour size on pre\u2010 and 3\u20136\u2010month post\u2010procedural imaging was the primary outcome. Secondary outcomes included technical success, re\u2010intervention rates, complications (Clavien\u2013Dindo), renal function change and length of hospital stay. Outcomes were compared across embolic agents including microparticles, liquid embolic agents, coils and combined approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010nine patients (51 lesions) underwent angiography, with SAE attempted in 54 procedures. Technical success was achieved in 91%. Tumour size reduction occurred in 91% of lesions with follow\u2010up imaging, with a mean reduction of 1.75\u2009cm (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.0001). Liquid embolic agents alone demonstrated the greatest mean tumour reduction with a mean reduction of 2.4\u2009cm and a 0% re\u2010intervention rate. Microparticles alone achieved significant size reduction with a low re\u2010intervention rate, while coil\u2010only embolisation was associated with inferior outcomes and higher re\u2010intervention rates. Combined embolisation strategies achieved significant tumour reduction but did not outperform liquid agents alone. Complications occurred in 10% of patients and were predominantly minor. No patient required renal replacement therapy, and the median eGFR did not change significantly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SAE is a safe and effective treatment for r\u2010AML in both elective and emergency settings. Liquid embolic agents achieved the greatest tumour reduction with low re\u2010intervention rates, while coil\u2010only embolisation showed inferior outcomes and should be avoided where possible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1754-9485.70108","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T12:14:12Z","timestamp":1776860052000},"page":"440-446","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Embolic Agent Selection and Outcomes in Renal Angiomyolipoma Embolisation"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7117-9763","authenticated-orcid":false,"given":"Ross","family":"O'Shea","sequence":"first","affiliation":[{"name":"Medical Imaging and Interventional Radiology Department Fiona Stanley Hospital, South Metropolitan Health Service  Perth WA 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