CT-guided percutaneous cryoterapy of renal masses
CT-guided percutaneous cryoterapy of renal masses
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DOI:
10.1016/j.jvir.2006.12.007
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发表时间:
2007-03-01
影响因子:
2.9
通讯作者:
Heilbrun, Lance K.
中科院分区:
文献类型:
--
作者:
Littrup, Peter J.;Ahmed, Abraham;Heilbrun, Lance K.
PURPOSE: To assess the results of initial and current techniques for percutaneous renal cryotherapy, including long-term imaging outcomes.MATERIALS AND METHODS: Computed tomography (CT)-guided percutaneous cryotherapy was performed on 49 masses in 48 outpatients and procedure comfort noted for each. These 49 masses included 36 primary renal cell carcinomas (RCCs), 3 oncocytomas, 1 angiomyolipoma, 6 renal inflammatory lesions, 2 benign parenchymal changes, and 1 colon cancer metastasis. All complications were graded according to standardized criteria.RESULTS: Patients received only local anesthesia and moderate sedation during the procedure and were discharged with minimal discomfort within 4-6 hours. All cryotherapy zones were well defined by CT during ablation as hypodense ice with an average diameter of 5.3 cm, covering an average tumor size of 3.3 cm. Average ablation zone diameters showed significant reduction over time (P