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Changes in Perioperative Systolic Blood Pressure in Percutaneous Renal Mass Cryoablation
DC Field | Value | Language |
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dc.contributor.author | 김만득 | - |
dc.contributor.author | 박성윤 | - |
dc.contributor.author | 오영택 | - |
dc.contributor.author | 원종윤 | - |
dc.contributor.author | 정대철 | - |
dc.date.accessioned | 2018-08-28T16:50:47Z | - |
dc.date.available | 2018-08-28T16:50:47Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 0174-1551 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/162001 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Springer Verlag | - |
dc.relation.isPartOf | CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | 80 and over Aged | - |
dc.subject.MESH | Antihypertensive Agents/therapeutic use | - |
dc.subject.MESH | Blood Pressure/*physiology | - |
dc.subject.MESH | Cryosurgery/*adverse effects | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hypertension/drug therapy/*etiology | - |
dc.subject.MESH | Kidney/physiopathology | - |
dc.subject.MESH | Kidney Neoplasms/physiopathology/*surgery | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.title | Changes in Perioperative Systolic Blood Pressure in Percutaneous Renal Mass Cryoablation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Radiology | - |
dc.contributor.googleauthor | Sung Yoon Park | - |
dc.contributor.googleauthor | Young Taik Oh | - |
dc.contributor.googleauthor | Kyunghwa Han | - |
dc.contributor.googleauthor | Dae Chul Jung | - |
dc.contributor.googleauthor | Man Deuk Kim | - |
dc.contributor.googleauthor | Jong Yun Won | - |
dc.identifier.doi | 10.1007/s00270-017-1772-4 | - |
dc.contributor.localId | A00420 | - |
dc.contributor.localId | A01509 | - |
dc.contributor.localId | A02390 | - |
dc.contributor.localId | A02443 | - |
dc.contributor.localId | A03592 | - |
dc.relation.journalcode | J00459 | - |
dc.identifier.eissn | 1432-086X | - |
dc.identifier.pmid | 28828515 | - |
dc.identifier.url | https://link.springer.com/article/10.1007%2Fs00270-017-1772-4 | - |
dc.subject.keyword | Blood pressure | - |
dc.subject.keyword | Complication | - |
dc.subject.keyword | Cryoablation | - |
dc.subject.keyword | Kidney | - |
dc.subject.keyword | Renal | - |
dc.contributor.alternativeName | Kim, Man Deuk | - |
dc.contributor.alternativeName | Park, Sung Yoon | - |
dc.contributor.alternativeName | Oh, Young Taik | - |
dc.contributor.alternativeName | Won, Jong Yun | - |
dc.contributor.alternativeName | Jung, Dae Chul | - |
dc.contributor.affiliatedAuthor | Kim, Man Deuk | - |
dc.contributor.affiliatedAuthor | Park, Sung Yoon | - |
dc.contributor.affiliatedAuthor | Oh, Young Taik | - |
dc.contributor.affiliatedAuthor | Won, Jong Yun | - |
dc.contributor.affiliatedAuthor | Jung, Dae Chul | - |
dc.citation.volume | 41 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 291 | - |
dc.citation.endPage | 297 | - |
dc.identifier.bibliographicCitation | CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.41(2) : 291-297, 2018 | - |
dc.identifier.rimsid | 59591 | - |
dc.type.rims | ART | - |
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