Arterial embolization in the management of connective tissue tumours
A 61-year-old man presented with a painful hypervascular metastatic renal tumour in the left femur, with extensive bony erosion and risk of imminent fracture. SACE was performed, using PVA particles to branches of the superficial and deep femoral arteries, to reduce the risk of bleeding during surgery. This produced immediate angiographic stasis, and enabled uncomplicated intramedullary nail insertion. The patient recovered well from surgery with normal use of the left lower limb, but died 18 months later of disease progression.