Cold saline irrigation of the renal pelvis during Radiofrequency Ablation of a central renal neoplasm: A case report

被引：8
作者：
Morales J.P. [1 ]
Sabharwal T. [1 ]
Georganas M. [1 ]
Dourado R. [1 ]
Cahill D. [2 ]
Adam A. [1 ]
机构：
[1] Department of Interventional Radiology, Guy's and St Thomas' Foundation Hospital NHS Trust, London
[2] Department of Urology, Guy's and St Thomas' Foundation Hospital NHS Trust, London
来源：
Journal of Medical Case Reports | / 2卷 / 1期
关键词：
Renal Cell Carcinoma; Radiofrequency Ablation; Partial Nephrectomy; Renal Pelvis; Cold Saline;
D O I：
10.1186/1752-1947-2-40
中图分类号：
学科分类号：
摘要：
Introduction: Thermal destruction mediated by radiofrequency ablation (RFA) is gaining attention as an alternative treatment for patients with renal cell carcinoma (RCC), particularly in those who are not candidates for open surgery. Treatment of central tumours is occasionally associated with complications such as ureteric stricture, injury to the psoas muscle, haematuria and vascular laceration. Case presentation: We have used infusion of cold saline during RFA, through a retrograde ureteric catheter with its tip in the renal pelvis, in a patient with a central renal tumour. Conclusion: We believe this process to have successfully avoided the risk of thermal injury. © 2008 Morales et al; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 11 条
  • [1] McGovern F.J., Wood B.J., Goldberg N., Mueller P.R., Radiofrequency ablation of renal cell carcinoma via image guided needle electrodes, J Urol, 161, pp. 599-600, (1999)
  • [2] Brown D.B., Concepts, considerations, and concerns on the cutting edge of radiofrequency ablation, J Vasc Interv Radiol, 16, pp. 597-613, (2005)
  • [3] Homma Y., Kawabe K., Kitamura T., Nishimura Y., Shinohara M., Kondo Y., Saito I., Minowada S., Asakage Y., Increased incidental detection and reduced mortality in renal cancer: Recent retrospective analysis at eight institutions, Int J Urol, 2, pp. 77-80, (1995)
  • [4] Jayson M., Sander H., Increased incidence of serendipitously discovered renal cell carcinoma, Urology, 51, pp. 203-205, (1998)
  • [5] Ahrar K., Matin S., Wood C.G., Wallace M.J., Gupta S., Madoff D.C., Rao S., Tannir N.M., Jonasch E., Pisters L.L., Rozner M.A., Kennamer D.L., Hicks M.E., Percutaneous radiofrequency ablation of renal tumors: Technique, complications, and outcomes, J Vasc Interv Radiol, 16, pp. 679-688, (2005)
  • [6] Chang I., Mikityansky I., Wray-Cahen D., Pritchard W.F., Karanian J.W., Wood B.J., Effects of perfusion on radiofrequency ablation in swine kidneys, Radiology, 231, pp. 500-505, (2004)
  • [7] Dominique E., El Otmany A., Goharin A., Attalah D., de Baere T., Intraductal cooling of the main bile ducts during intraoperative radiofrequency ablation, J Surg Onco, 76, 4, pp. 297-300, (2001)
  • [8] Hiraki T., Yasui K., Mimura H., Gobara H., Mukai T., Hase S., Fujiwara H., Tajiri N., Naomoto Y., Yamatsuji T., Shirakawa Y., Asami S., Nakatsuka H., Hanazaki M., Morita K., Tanaka N., Kanazawa S., Radiofrequency ablation of metastatic mediastinal lymph nodes during cooling and temperature monitoring of the tracheal mucosa to prevent thermal tracheal damge: Initial experience, Radiology, 237, pp. 1068-1074, (2005)
  • [9] Margulis V., Matsumoto E.D., Taylor G., Shaffer S., Kabbani W., Cadeddu J.A., Retrograde renal cooling during radio frequency ablation to protect from renal collecting system injury, J Urol, 174, pp. 350-352, (2005)
  • [10] Schultze D., Morris C.S., Bhave A.D., Worgan B.A., Najarian K.E., Radiofrequency ablation of renal transitional cell carcinoma with protective cold saline infusion, J Vasc Interv Radiol, 14, pp. 489-492, (2003)
12