Percutaneous cryoablation of an upper pole renal mass: use of contralateral single lung ventilation to avoid pleural and pulmonary puncture.
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.
Blaschko
Sarah D
SD
Department of Urology, University of California, Irvine, School of Medicine, Irvine, California, USA.
Deane
Leslie A
LA
Borin
James F
JF
Vajgrt
Duane
D
McDougall
Elspeth M
EM
Clayman
Ralph V
RV
D000368:Aged; D015992:Body Mass Index; D003452:Cryosurgery / Q000009:adverse effects / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008171:Lung Diseases / Q000517:prevention & control; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects / Q000379:methods; D009765:Obesity / Q000503:physiopathology; D010995:Pleural Diseases / Q000517:prevention & control; D011187:Posture; D011677:Punctures / Q000009:adverse effects; D012121:Respiration, Artificial; D012307:Risk Factors; D016896:Treatment Outcome