经皮肾冷冻消融术并发出血。
Percutaneous renal cryoablation complicated by hemorrhage.
作者信息
Critchfield Jeffrey, Harb Joe
机构信息
Detroit Medical Center, Wayne State University, Karmanos Cancer Institute, Detroit, Michigan.
出版信息
Semin Intervent Radiol. 2011 Jun;28(2):137-41. doi: 10.1055/s-0031-1280651.
Abstract
The authors describe a case in which a patient underwent percutaneous cryoablation of a suspected right renal cell carcinoma complicated by bleeding. Urgent angiography revealed a lower renal pole arteriovenous (AV) fistula, correlating with the recent treatment site. This AV fistula was successfully treated with coil and Gelfoam embolization. Three days later, the patient's hemoglobin dropped following dialysis. Computed tomography (CT) imaging revealed an increase in the size of the pararenal hematoma. There were multiple pseudoaneurysms as well as a small AV fistula on repeat angiography. The right main renal artery was coil embolized.
摘要
作者描述了一例患者，该患者接受了经皮冷冻消融疑似右肾细胞癌的治疗，但出现了出血并发症。紧急血管造影显示肾下极动静脉瘘，与近期治疗部位相关。该动静脉瘘通过弹簧圈和明胶海绵栓塞成功治疗。三天后，患者透析后血红蛋白下降。计算机断层扫描（CT）成像显示肾周血肿大小增加。再次血管造影显示有多个假性动脉瘤以及一个小的动静脉瘘。右肾主动脉通过弹簧圈进行了栓塞。
相似文献
1
Percutaneous renal cryoablation complicated by hemorrhage.经皮肾冷冻消融术并发出血。
Semin Intervent Radiol. 2011 Jun;28(2):137-41. doi: 10.1055/s-0031-1280651.
2
Embolization of spontaneous intratumoral hemorrhage with the hemodynamic characteristics of arteriovenous fistula in renal angiomyolipoma.肾血管平滑肌脂肪瘤中具有动静脉瘘血流动力学特征的自发性瘤内出血的栓塞治疗
Case Rep Nephrol Dial. 2015 Jan 27;5(1):54-9. doi: 10.1159/000371844. eCollection 2015 Jan-Apr.
3
[Congenital renal arteriovenous fistula complicated with multiple renal arteries malformation: case analysis].先天性肾动静脉瘘合并多发性肾动脉畸形：病例分析
Beijing Da Xue Xue Bao Yi Xue Ban. 2018 Aug 18;50(4):722-728.
4
Acute presentation of renal pseudoaneurysms in a patient with systemic lupus erythematosus after percutaneous renal biopsy.系统性红斑狼疮患者经皮肾活检后肾假性动脉瘤的急性表现
Radiol Case Rep. 2023 Jun 17;18(9):2935-2938. doi: 10.1016/j.radcr.2023.06.010. eCollection 2023 Sep.
5
[Renal artery computed tomography angiography for the application of severe bleeding after PCNL].[肾动脉计算机断层扫描血管造影在经皮肾镜取石术后严重出血中的应用]
Zhonghua Yi Xue Za Zhi. 2014 Sep 16;94(34):2687-9.
6
Superselective renal artery embolization for bleeding complications after percutaneous renal biopsy: a single-center experience.经皮肾活检后出血并发症的超选择性肾动脉栓塞术：单中心经验
J Int Med Res. 2019 Apr;47(4):1649-1659. doi: 10.1177/0300060519828528. Epub 2019 Feb 14.
7
A case of percutaneous cryoablation complicated by subcapsular hemorrhage managed conservatively.1例经皮冷冻消融术并发包膜下出血，采取保守治疗。
Radiol Case Rep. 2022 Apr 8;17(6):2014-2017. doi: 10.1016/j.radcr.2022.03.061. eCollection 2022 Jun.
8
Successful conservative management of colorenal fistula after percutaneous cryoablation of renal-cell carcinoma.
J Endourol. 2007 Jul;21(7):726-9. doi: 10.1089/end.2006.0211.
9
Development of subcapsular hematoma in the pelvic kidney during peripheral angioplasty.盆腔肾周围血管成形术期间包膜下血肿的发生。
Turk Gogus Kalp Damar Cerrahisi Derg. 2022 Oct 31;30(4):627-630. doi: 10.5606/tgkdc.dergisi.2022.22782. eCollection 2022 Oct.
10
Pseudoaneurysm and renal arteriovenous fistula after nephrectomy: two cases treated by transcatheter coil embolization.肾切除术后假性动脉瘤和肾动静脉瘘：两例经导管弹簧圈栓塞治疗的病例
Emerg Radiol. 2008 Mar;15(2):119-22. doi: 10.1007/s10140-007-0646-5. Epub 2007 Jun 26.
本文引用的文献
1
Cryoablation vs. radiofrequency ablation for small renal masses.冷冻消融与射频消融治疗小肾肿瘤的比较。
Acad Radiol. 2011 Jan;18(1):97-100. doi: 10.1016/j.acra.2010.08.006. Epub 2010 Sep 29.
2
Prospective analysis of the safety and efficacy of percutaneous cryoablation for pT1NxMx biopsy-proven renal cell carcinoma.经皮冷冻消融治疗 T1NxMx 期经活检证实的肾细胞癌的安全性和有效性的前瞻性分析。
Cardiovasc Intervent Radiol. 2011 Jun;34(3):573-8. doi: 10.1007/s00270-010-9934-7. Epub 2010 Jul 14.
3
Management and prevention of renal ablative therapy complications.肾消融治疗并发症的管理与预防。
World J Urol. 2010 Oct;28(5):559-64. doi: 10.1007/s00345-010-0550-6. Epub 2010 Apr 10.
4
Clinical practice. Small renal mass.临床实践。小肾肿块。
N Engl J Med. 2010 Feb 18;362(7):624-34. doi: 10.1056/NEJMcp0910041.
5
Cancer statistics, 2009.2009年癌症统计数据。
CA Cancer J Clin. 2009 Jul-Aug;59(4):225-49. doi: 10.3322/caac.20006. Epub 2009 May 27.
6
Perioperative morbidity of laparoscopic cryoablation of small renal masses with ultrathin probes: a European multicentre experience.使用超薄探头的腹腔镜下小肾肿块冷冻消融术的围手术期发病率：一项欧洲多中心经验
Eur Urol. 2009 Aug;56(2):355-61. doi: 10.1016/j.eururo.2009.05.002. Epub 2009 May 13.
7
Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions.经皮影像引导介入治疗中凝血状态和止血风险围手术期管理的共识指南。
J Vasc Interv Radiol. 2009 Jul;20(7 Suppl):S240-9. doi: 10.1016/j.jvir.2008.11.027. Epub 2009 Apr 25.
8
CT-guided percutaneous cryotherapy of renal masses.CT引导下肾肿块的经皮冷冻治疗
J Vasc Interv Radiol. 2007 Mar;18(3):383-92. doi: 10.1016/j.jvir.2006.12.007.
9
Prophylactic gelatin sponge tract injection to prevent bleeding after percutaneous renal cryoablation in a swine model.在猪模型中经皮肾冷冻消融术后预防性明胶海绵通道注射以预防出血
J Vasc Interv Radiol. 2006 Sep;17(9):1505-9. doi: 10.1097/01.RVI.0000235773.23394.51.
10
Percutaneous radiofrequency ablation of renal tumors: technique, complications, and outcomes.经皮肾肿瘤射频消融术：技术、并发症及疗效
J Vasc Interv Radiol. 2005 May;16(5):679-88. doi: 10.1097/01.RVI.0000153589.10908.5F.
Zotero 插件