Malignant hypertension during cryoablation of an adrenal gland tumor

Thomas D. Atwell, Charles T. Wass, J. William Charboneau, Matthew R. Callstrom, Michael A. Farrell, Shomik Sengupta

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49 Citations (Scopus)

Abstract

The authors report a case of hypertensive crisis during cryoablation of an adrenal metastasis. This case is of particular interest not only because of the nature of the complication but also because of the timing of the hypertensive crisis. Based on their observations, the authors suggest that it may be prudent to pretreat this patient population with α-adrenergic blocking medications (eg, phenoxybenzamine), as is typically done for patients with neuroendocrine tumors such as pheochromocytoma. Preemptive intervention with these medications requires close collaboration between radiology and anesthesia care teams.

Original languageEnglish
Pages (from-to)573-575
Number of pages3
JournalJournal of Vascular and Interventional Radiology
Volume17
Issue number3
DOIs
Publication statusPublished - 1 Mar 2006
Externally publishedYes

Keywords

  • Adrenal Gland Neoplasms/diagnostic imaging/*surgery Aged Aged, 80 and over Cryosurgery/*adverse effects Humans Hypertension, Malignant/*etiology Male Radiography, Interventional Tomography, X-Ray Computed

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