RF Ablation of Giant Hemangiomas Inducing Acute Renal Failure
| العنوان: | RF Ablation of Giant Hemangiomas Inducing Acute Renal Failure |
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| المؤلفون: | Hester J. Scheffer, Helena F. Dresselaars, Colin Sietses, Aukje A. J. M. van Tilborg, Martijn R. Meijerink, Karin Nielsen, Petrousjka van den Tol |
| المساهمون: | Radiology and nuclear medicine, Internal medicine, Surgery, AGEM - Re-generation and cancer of the digestive system, Other Research |
| المصدر: | van Tilborg, A A J M, Dresselaars, H F, Scheffer, H J, Nielsen, K, Sietses, C, van den Tol, P M & Meijerink, M R 2016, ' RF Ablation of Giant Hemangiomas Inducing Acute Renal Failure : A Report of Two Cases ', CardioVascular and Interventional Radiology, vol. 39, no. 11, pp. 1644-1648 . https://doi.org/10.1007/s00270-016-1415-1 CardioVascular and Interventional Radiology, 39(11), 1644-1648. Springer Verlag Cardiovascular and Interventional Radiology |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Adult, Tachycardia, medicine.medical_specialty, Radiofrequency ablation, medicine.medical_treatment, Catheter ablation, Hemolysis, Tachypnea, law.invention, 03 medical and health sciences, 0302 clinical medicine, law, Laparotomy, Technical Note, medicine, Humans, Radiology, Nuclear Medicine and imaging, business.industry, Liver Neoplasms, Acute kidney injury, Acute Kidney Injury, Middle Aged, Giant cavernous hemangioma, Ablation, medicine.disease, Surgery, Hemangioma, Cavernous, Treatment Outcome, Radiology Nuclear Medicine and imaging, 030220 oncology & carcinogenesis, Catheter Ablation, Female, 030211 gastroenterology & hepatology, Hemodialysis, medicine.symptom, business, Cardiology and Cardiovascular Medicine |
| الوصف: | OBJECTIVE: In patients that require treatment for hepatic giant cavernous hemangiomas (GCH), radiofrequency ablation (RFA) has been suggested to represent a safe and effective alternative to invasive surgery. In a recent report of bipolar RFA, using two expandable needle electrodes, was uneventfully performed in patients with large GCH (>10 cm). The objective of this report is to present two cases in which bipolar RFA of symptomatic GCH was complicated by acute kidney injury.MATERIALS AND METHODS: In 2015 we treated two patients for very large symptomatic GCH (15.7 and 25.0 cm) with bipolar RFA during open laparotomy.RESULTS: In both patients the urine showed a red-brown discoloration directly after the ablation. They became anuric and presented with progressive dyspnea, tachypnea, and tachycardia, requiring hemodialysis for a period of 1 month in one case. Lab results revealed hemepigment-induced acute kidney. Both patients fully recovered and both showed a complete relief of symptoms at 3 months following the procedure.CONCLUSION: RFA for large GCHs can cause hemepigment-induced acute kidney injury due to massive intravascular hemolysis. The presented cases suggest that caution is warranted and advocate an upper limit regarding the volume of GCHs that can be safely ablated. |
| اللغة: | English |
| تدمد: | 0174-1551 |
| DOI: | 10.1007/s00270-016-1415-1 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b88a2c1dbded47430a7a98bb53a6e563 https://doi.org/10.1007/s00270-016-1415-1 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b88a2c1dbded47430a7a98bb53a6e563 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 01741551 |
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| DOI: | 10.1007/s00270-016-1415-1 |