title: Cold saline irrigation of the renal pelvis during Radiofrequency Ablation of a central renal neoplasm: a case report.
abstract: 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.
authors.affiliation: Department of Interventional Radiology, Guy's and St Thomas' Foundation Hospital NHS Trust, London, UK. jpmorales@doctors.org.uk
authors.forename: Jose P
authors.initials: JP
authors.lastname: Morales
authors.forename: Tarun
authors.initials: T
authors.lastname: Sabharwal
authors.forename: Marios
authors.initials: M
authors.lastname: Georganas
authors.forename: Renato
authors.initials: R
authors.lastname: Dourado
authors.forename: Declan
authors.initials: D
authors.lastname: Cahill
authors.forename: Andreas
authors.initials: A
authors.lastname: Adam