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Changes in Perioperative Systolic Blood Pressure in Percutaneous Renal Mass Cryoablation

Authors
 Sung Yoon Park  ;  Young Taik Oh  ;  Kyunghwa Han  ;  Dae Chul Jung  ;  Man Deuk Kim  ;  Jong Yun Won 
Citation
 Cardiovascular and Interventional Radiology, Vol.41(2) : 291-297, 2018 
Journal Title
 Cardiovascular and Interventional Radiology 
ISSN
 0174-1551 
Issue Date
2018
MeSH
Adult ; Aged ; 80 and over Aged ; Antihypertensive Agents/therapeutic use ; Blood Pressure/*physiology ; Cryosurgery/*adverse effects ; Female ; Humans ; Hypertension/drug therapy/*etiology ; Kidney/physiopathology ; Kidney Neoplasms/physiopathology/*surgery ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors
Keywords
Blood pressure ; Complication ; Cryoablation ; Kidney ; Renal
Abstract
OBJECTIVES: To analyze changes in systolic blood pressure (SBP) in the perioperative period of percutaneous renal mass cryoablation and risk factors. METHODS: This retrospective study included 54 patients who underwent percutaneous renal cryoablation. SBP before ablation (pre-Tx), during ablation (intra-Tx), immediately after ablation (post-Tx), and before discharge (discharge) were measured using a BP cuff. The highest SBP during cryoablation was regarded as SBP at intra-Tx. Antihypertensive agents were administrated when SBP was 160 mmHg or greater during cryoablation. Relationship between SBP at pre-Tx, pain degree, tumor size, cryoprobe number, or endophytic extension of the radiographic ice-ball, and SBP elevation or administration of antihypertensive agents was investigated. RESULTS: Mean SBP elevation from pre-Tx to intra-Tx was 22.9 +/- 18.0 mmHg (range -6-78 mmHg). SBP of intra-Tx was significantly higher than that of the other periods (p < .001), while SBP of post-Tx or discharge was similar with that of pre-Tx (p > .05). Tumor size (r = .324; p = .016), cryoprobe number (r = .300; p = .027), and endophytic extension (r = .348; p = .009) were correlated with SBP elevation, while SBP at pre-Tx or pain degree were not (p > .05). Antihypertensive agents were administrated for 24 patients (44.4%). In multivariate analysis, SBP at pre-Tx and endophytic ablation was associated with administration of antihypertensive agents during cryoablation (p < .05). CONCLUSIONS: SBP elevation may occur during percutaneous renal mass cryoablation, but be improved before discharge. Endophytic extension of the radiographic ice-ball may be associated with significant BP elevation during ablation.
Full Text
https://link.springer.com/article/10.1007%2Fs00270-017-1772-4
DOI
10.1007/s00270-017-1772-4
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
김만득(Kim, Man Deuk) ORCID logo https://orcid.org/0000-0002-3575-5847
박성윤(Park, Sung Yoon)
오영택(Oh, Young Taik) ORCID logo https://orcid.org/0000-0002-4438-8890
원종윤(Won, Jong Yun) ORCID logo https://orcid.org/0000-0002-8237-5628
정대철(Jung, Dae Chul) ORCID logo https://orcid.org/0000-0001-5769-5083
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/162001
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