Bowel displacement and protection techniques during percutaneous renal tumor thermal ablation.
Although bowel injury is a rare complication of renal radiofrequency ablation, the potential consequences can be devastating. Therefore, it is prudent to perform bowel displacement/protection procedures when feasible. The main bowel displacement techniques include hydrodissection, gas-insufflation, balloon interposition, and electrode torquing. In this article, these techniques are discussed and the steps involved in performing these procedures are enumerated.
Ginat
Daniel T
DT
Department of Imaging Sciences and Interventional Radiology, University of Rochester Medical Center, Rochester, NY, USA.
Saad
Wael E A
WE
D017115:Catheter Ablation / Q000009:adverse effects / Q000295:instrumentation; D002404:Catheterization; D004210:Dissection / Q000379:methods*; D006801:Humans; D007327:Insufflation; D007422:Intestines / Q000000981:diagnostic imaging / Q000293:injuries*; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed; D019415:Torque; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000517:prevention & control*