Use of hydrodissection to prevent nerve and muscular damage during radiofrequency ablation of kidney tumors

Muscular complications are uncommon but have been reported after radiofrequency (RF) ablation of renal tumors. Ablation of renal lesions near the psoas muscle may result in paresthesia in the distribution of the genitofemoral nerve. The present report describes a case of sensory and muscular dysfunc...

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Bibliographic Details
Published in:	Journal of vascular and interventional radiology Vol. 17; no. 12; p. 1967
Main Authors:	Lee, S Justin, Choyke, Lynda T, Locklin, Julia K, Wood, Bradford J
Format:	Journal Article
Language:	English
Published:	United States 01-12-2006
Subjects:	Adult Catheter Ablation - adverse effects Female Humans Intraoperative Complications - diagnostic imaging Intraoperative Complications - prevention & control Kidney Neoplasms - diagnostic imaging Kidney Neoplasms - surgery Male Muscle, Skeletal - injuries Tomography, X-Ray Computed von Hippel-Lindau Disease - diagnostic imaging von Hippel-Lindau Disease - surgery
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Summary:	Muscular complications are uncommon but have been reported after radiofrequency (RF) ablation of renal tumors. Ablation of renal lesions near the psoas muscle may result in paresthesia in the distribution of the genitofemoral nerve. The present report describes a case of sensory and muscular dysfunction after RF ablation of a renal lesion lying on top of the psoas muscle that was treated without hydrodissection. To prevent this complication, hydrodissection was effectively used in two other patients during RF ablation of lesions abutting or in close proximity to the psoas muscle.
ISSN:	1051-0443
DOI:	10.1097/01.rvi.0000248829.49442.0e