Thoracic paravertebral block for treatment of postembolization syndrome

Joseph Atallah , Jihad Abbas , Steven H. Selman , Simmone S. Cooper , Vivian Onyewuche , Patricia Weis , Thomas J. Papadimos , Brenda G. Fahy
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Abstract

Renal artery embolization (angio-infarction) of a large renal cell carcinoma, prior to excision, is an acceptable surgical option. It may reduce the tumour's size and vascularity. However, postembolization syndrome, as characterized by flank pain, fever, nausea, and/or vomiting, is a potential complication of such an approach. The flank pain of this syndrome may be resistant to conventional opioid therapy. Here we report the successful use of a unilateral paravertabral block for the control of the unilateral flank pain of postembolization syndrome secondary to renal artery embolization.

胸椎旁阻滞治疗栓塞后综合征
肾动脉栓塞(血管梗塞)的大肾细胞癌,在切除之前,是一个可接受的手术选择。它可以缩小肿瘤的大小和血管。然而,以腹部疼痛、发热、恶心和/或呕吐为特征的栓塞后综合征是这种入路的潜在并发症。该综合征的侧腹疼痛可能对常规阿片类药物治疗有抵抗性。在这里,我们报告成功地使用单侧椎旁阻滞来控制肾动脉栓塞后继发栓塞综合征的单侧侧腹疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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