Cold saline irrigation of the renal pelvis during Radiofrequency Ablation of a central renal neoplasm: a case report.
BACKGROUND
Thermal destruction mediated by radiofrequency ablation (RFA) is gaining attention as an alternative treatment for patients with renal cell carcinoma (RCC), particularly in those who are not candidates for open surgery. Treatment of central tumours is occasionally associated with complications such as ureteric stricture, injury to the psoas muscle, haematuria and vascular laceration.


METHODS
We have used infusion of cold saline during RFA, through a retrograde ureteric catheter with its tip in the renal pelvis, in a patient with a central renal tumour.


CONCLUSIONS
We believe this process to have successfully avoided the risk of thermal injury.
Morales
Jose P
JP
Department of Interventional Radiology, Guy's and St Thomas' Foundation Hospital NHS Trust, London, UK. jpmorales@doctors.org.uk
Sabharwal
Tarun
T
Georganas
Marios
M
Dourado
Renato
R
Cahill
Declan
D
Adam
Andreas
A