Purpose: Acute kidney injury (AKI), especially oliguric AKI, is a recognized complication following microwave ablation (MWA) of large liver tumors. This study evaluated the clinical features, mechanisms, risk factors and prevention strategies for oliguric AKI after MWA of large liver tumors.
Methods: From March 2011 to May 2015, 441 patients with liver tumors ≧5 cm received MWA in our hospital. The clinical features, prevention strategies, further mechanisms and possible risk factors for oliguric AKI after MWA were analyzed.
Results: One hundred four (23.6%) patients had AKI after MWA; 11 (10.6%) patients had oliguric AKI, and 93 (89.4%) patients had nonoliguric AKI. All patients with nonoliguric AKI recovered without any special treatments. The eleven patients with oliguric AKI received appropriate treatments and had completely normal renal function three months later. Using double needles for ablation was a risk factor for nonoliguric AKI, while high preoperative levels of red blood cells (RBC), hemoglobin (HGB) and albumin (Alb) were risk factors for oliguric AKI. The decrease levels of hemoglobin were significantly high in oliguric AKI patients (p < .05). Patients with oliguric AKI had abnormally high postoperative transaminase and renal function indicators. Compared to postoperative prevention, intraoperative prevention significantly lowered the occurrence of oliguric AKI (0% vs. 3.7%, p = .018) and shortened the hospital stay.
Conclusions: Patients who underwent MWA for large liver tumors are prone to develop oliguric AKI. Implementation of intraoperative strategies during MWA can effectively prevent the occurrence of this severe complication.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1080/02656736.2018.1487589 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Real World Testing of a Clinical Strategy to Start Early Peritoneal Dialysis for High-Risk Newborns Following Cardiac Surgery.
Kidney360
January 2025
Division of Pediatric Nephrology, Batson Children's Hospital of Mississippi, University of Mississippi, Jackson, MS.
Background: The beneficial impact of peritoneal dialysis (PD) catheter placement following cardiopulmonary bypass in young infants has been demonstrated. But the indications to start early peritoneal dialysis are not agreed upon.
Methods: This retrospective single center study was conducted to evaluate the performance of a clinical strategy for early PD start.
Non-oliguric acute renal failure secondary to a potentially lethal dose of caffeine with acute intoxication: a case report.
BMC Nephrol
December 2024
Kidney Disease and Transplant Center, Shonan Kamakura General Hospital, 1370-1 Okamoto, Kamakura, 247-8533, Kanagawa, Japan.
Background: Recently, the incidence of caffeine intoxication has been on an upward trend, with severe outcomes. However, acute kidney injury (AKI) resulting from renal pathologies secondary to caffeine intoxication is rare, and the pathophysiological mechanisms underlying AKI are unclear.
Case Presentation: A female patient in her 20s ingested an over-the-counter drug containing caffeine.
Coronary stent infection and acute stent occlusion with peri-stent abscess: a case report.
Indian J Thorac Cardiovasc Surg
January 2025
Department of Cardio Thoracic and Vascular Surgery, Care Hospital, Exhibition Ground Road, Nampally, Hyderabad, 500001 Telangana India.
Coronary stent infection is considered the rarest complication of percutaneous coronary intervention, occurring in less than 0.1% of the cases. In this article, a case of coronary stent infection and acute stent occlusion with surrounding peri-stent coronary abscess has been reported.
View Article and Find Full Text PDFPostoperative oliguria after intermediate and high-risk surgeries in critical care, A cohort analysis.
J Crit Care
February 2025
General ICU, Hospital Vila Nova Star - Rede D'OR, São Luiz, Brazil; Oncological ICU, Hospital São Luiz Itaim - Rede D'OR, São Luiz, Brazil; Nephrology department, ABC medical school, Av. Lauro Gomes, 2000 - Santo André - SP, 09060-870, Brazil; Research and teaching institute - Rede D'OR, São Paulo, Brazil. Electronic address:
Article Synopsis
- Oliguria, a condition characterized by decreased urine output, may be misinterpreted as acute kidney injury (AKI) in patients post-surgery, despite being a potential adaptive response during surgery.
- A study analyzing 1,476 patients revealed that 34.4% exhibited oliguria within the first 24 hours after surgery, with certain factors like vasopressor use and non-elective procedures linked to increased risk.
- Although oliguria was associated with a higher rate of AKI development compared to non-oliguric patients, 87.6% of oliguric patients did not show kidney dysfunction based on serum creatinine levels, questioning the accuracy of oliguria as an indicator for AKI.
Macroscopic hematuria-associated severe acute kidney injury triggered by kidney stone formation in a patient with thin basement membrane and no history of microscopic hematuria.
CEN Case Rep
October 2024
Department of Pathology, Itabashi Chuo Medical Center, Itabashi, Japan.
Macroscopic hematuria (MH)-associated acute kidney injury (AKI) is a rare condition that causes acute tubular damage due to severe glomerular bleeding with MH. A 66-year-old Japanese woman with no significant past medical history was referred for severe kidney injury with oliguric MH. Her prior medical checkup results showed no occult blood in her urine.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!