肾上腺肿块冷冻消融术后肋间动脉撕裂。

IF 1 4区医学 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Seminars in Interventional Radiology Pub Date : 2023-07-20 eCollection Date: 2023-06-01 DOI:10.1055/s-0043-1769766

Shantanu Warhadpande, Amber Liles, Daniel Kirkpatrick

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引用次数: 0

摘要

我们报告了一例 69 岁男性患者的病例，他患有严重的库欣综合征和高皮质醇血症，继发于分泌皮质醇的肾上腺皮质癌。患者不适合手术治疗，随后成功接受了后路肿瘤冷冻消融术。手术因 T11 肋间动脉损伤和血气胸而变得复杂。几乎是在第一时间发现了致命伤，快速反应和通过肋间动脉栓塞治疗损伤对于限制患者的发病率和死亡率至关重要。本病例讨论了后入路消融术的技术挑战、应避免的陷阱以及快速止血的重要性。

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Intercostal Artery Laceration after Adrenal Mass Cryoablation.

We present a case of a 69-year-old male with profound Cushing's syndrome and hypercortisolemia secondary to a cortisol-secreting adrenocortical carcinoma. Patient was not a surgical candidate and subsequently underwent a successful posterior approach tumor cryoablation. The procedure was complicated by a T11 intercostal artery injury and hemothorax. The detection of the culprit injury was almost immediate and the quick response time, and treatment of the injury via an intercostal artery embolization was critical to limiting the patient's morbidity and mortality. This case discusses the technical challenges of a posterior-approach ablation, the pitfalls to avoid, and the importance of attaining rapid hemostasis.

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来源期刊

Seminars in Interventional Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING&nb-

CiteScore

1.90

自引率

7.10%

发文量

期刊介绍： Seminars in Interventional Radiology is a review journal that publishes topic-specific issues in the field of radiology and related sub-specialties. The journal provides comprehensive coverage of areas such as cardio-vascular imaging, oncologic interventional radiology, abdominal interventional radiology, ultrasound, MRI imaging, sonography, pediatric radiology, musculoskeletal radiology, metallic stents, renal intervention, angiography, neurointerventions, and CT fluoroscopy along with other areas. The journal''s content is suitable for both the practicing radiologist as well as residents in training.