Percutaneous cryoablation of an upper pole renal mass: use of contralateral single lung ventilation to avoid pleural and pulmonary puncture

Sarah D Blaschko; Leslie A Deane; James F Borin; Duane Vajgrt; Elspeth M McDougall; Ralph V Clayman

doi:10.1016/j.urology.2006.11.003

Percutaneous cryoablation of an upper pole renal mass: use of contralateral single lung ventilation to avoid pleural and pulmonary puncture

Urology. 2007 Feb;69(2):384.e1-3. doi: 10.1016/j.urology.2006.11.003.

Authors

Sarah D Blaschko¹, Leslie A Deane, James F Borin, Duane Vajgrt, Elspeth M McDougall, Ralph V Clayman

Affiliation

¹ Department of Urology, University of California, Irvine, School of Medicine, Irvine, California, USA.

PMID: 17320686
DOI: 10.1016/j.urology.2006.11.003

Abstract

A percutaneous approach to cryoablation of renal masses is not without a risk of complications. We describe a case in which selective, single lung intubation of an obese patient with an upper pole left renal mass allowed for percutaneous cryoablation with avoidance of pleural and pulmonary injury. We accomplished this by minimizing the ventilation-induced renal motion and collapsing the ipsilateral lung so that it remained out of harm's way.

Publication types

Case Reports

MeSH terms

Aged
Body Mass Index
Cryosurgery / adverse effects
Cryosurgery / methods*
Follow-Up Studies
Humans
Kidney Neoplasms / pathology
Kidney Neoplasms / surgery*
Lung Diseases / prevention & control
Male
Nephrostomy, Percutaneous / adverse effects
Nephrostomy, Percutaneous / methods
Obesity / physiopathology
Pleural Diseases / prevention & control
Posture
Punctures / adverse effects
Respiration, Artificial
Risk Factors
Treatment Outcome