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Semin intervent Radiol 2023; 40(03): 286-289
DOI: 10.1055/s-0043-1769766
Review Article

Intercostal Artery Laceration after Adrenal Mass Cryoablation

Shantanu Warhadpande
1   Department of Vascular and Interventional Radiology, University of Michigan Medical Center, Frankel Cardiovascular Center, Ann Arbor, Michigan
,
Amber Liles
1   Department of Vascular and Interventional Radiology, University of Michigan Medical Center, Frankel Cardiovascular Center, Ann Arbor, Michigan
,
Daniel Kirkpatrick
1   Department of Vascular and Interventional Radiology, University of Michigan Medical Center, Frankel Cardiovascular Center, Ann Arbor, Michigan
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Abstract

We present a case of a 69-year-old male with profound Cushing's syndrome and hypercortisolemia secondary to a cortisol-secreting adrenocortical carcinoma. Patient was not a surgical candidate and subsequently underwent a successful posterior approach tumor cryoablation. The procedure was complicated by a T11 intercostal artery injury and hemothorax. The detection of the culprit injury was almost immediate and the quick response time, and treatment of the injury via an intercostal artery embolization was critical to limiting the patient's morbidity and mortality. This case discusses the technical challenges of a posterior-approach ablation, the pitfalls to avoid, and the importance of attaining rapid hemostasis.

Keywords

cryoablation - intercostal artery - hemorrhage - hemothorax


Publikationsverlauf

Artikel online veröffentlicht:
20. Juli 2023

© 2023. Thieme. All rights reserved.

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