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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis01:30

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Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
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Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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Kidney Transplant II: Surgical Procedure01:26

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Acute Kidney Injury V: Interprofessional Care01:20

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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Imaging Studies VII: Vascular Imaging01:19

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DefinitionRenal angiography, also known as renal arteriography, is an imaging technique used to obtain a comprehensive view of blood flow and the vascular structure of blood vessels in the kidneys and surrounding areas.PurposeRenal angiography detects blood vessel abnormalities in the kidneys, such as aneurysms, stenosis, thrombosis, vascular tumors, and renal artery stenosis. It evaluates kidney function and guides interventional treatments like angioplasty or stent placement.Pre-Procedure...
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Thermal Ablation for the Treatment of Abdominal Tumors
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Percutaneous Renal Ablation.

Amit Gupta1, Besma Musaddaq2, Conrad von Stempel3

  • 1Department of Radiology, Guy's and St Thomas' NHS Foundation Trust, London, UK.

Seminars in Ultrasound, CT, and MR
|July 5, 2020
PubMed
Summary
This summary is machine-generated.

Percutaneous ablation is an option for small renal cell cancers found incidentally. This review covers when to use ablation, which technologies to choose, and follow-up imaging.

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Area of Science:

  • Urology
  • Oncology
  • Radiology

Background:

  • Small renal cell cancers are frequently discovered incidentally through cross-sectional imaging.
  • The increasing diagnosis rate necessitates clear management guidelines for these tumors.

Purpose of the Study:

  • To review the indications for percutaneous ablation in small renal cell cancers.
  • To discuss the selection of appropriate ablation technologies.
  • To outline imaging follow-up protocols after ablation.

Main Methods:

  • Literature review of studies on percutaneous ablation for small renal cell cancers.
  • Analysis of current guidelines and expert opinions.
  • Comparison of different ablation modalities (e.g., radiofrequency ablation, cryoablation, microwave ablation).

Main Results:

  • Percutaneous ablation is indicated for specific small renal cell cancers, often in patients with comorbidities or as a nephron-sparing alternative.
  • Technology choice depends on tumor characteristics, patient factors, and local expertise.
  • Standardized imaging follow-up is crucial for monitoring treatment response and detecting recurrence.

Conclusions:

  • Percutaneous ablation offers a viable treatment option for select small renal cell cancers.
  • Careful patient selection and appropriate technology choice are key to successful outcomes.
  • Adherence to recommended follow-up schedules ensures effective long-term management.