Initial angiographic runs showed a significantly ptosed right kidney, with supply to the large upper pole angiomyolipoma via tortuous artery arising from the superior division of the right renal artery.
Selective catheterisation of the branch supplying the angiomyolipoma was achieved via a microcatheter, and contrast runs through this vessel showed tumour filling, but no supply to renal parenchyma. Embolisation was performed using a 50:50 dilution of absolute alcohol in lipiodol. A total of 12 mL was injected under careful angiographic observation to ensure no reflux to vessels supplying renal cortex.
Conclusion: Angiographically successful alcohol embolisation of the right renal angiomyolipoma.