Evidence map›Paper›PMID 34158894›Full record

ArticleRadiology case reports2021

Iatrogenic ureteric stricture post image guided renal cryoablation in a patient with von hippel-lindau syndrome.

Helen Ng, Vinson Wai-Shun Chan, Jon Cartledge, Michael Kimuli, Christy Ralph, Satinder Jagdev, Naveen Vasudev, Selina Bhattarai, James Lenton, Jonathan Smith and 1 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Radiology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Helen NgSchool of Medicine, University of Leeds, Woodhouse, Leeds LS2 9JT, Leeds.
Vinson Wai-Shun ChanSchool of Medicine, University of Leeds, Woodhouse, Leeds LS2 9JT, Leeds.
Jon CartledgeDepartment of Urology, Leeds Teaching Hospitals Trust, St. James's University Hospital, Woodhouse, Leeds LS2 9JT.
Michael KimuliDepartment of Urology, Leeds Teaching Hospitals Trust, St. James's University Hospital, Woodhouse, Leeds LS2 9JT.
Christy RalphDepartment of Medical Oncology, Institute of Oncology, St. James's University Hospital, Leeds Teaching Hospitals NHS Trust, Woodhouse, Leeds LS2 9JT, Leeds.
Satinder JagdevDepartment of Medical Oncology, Institute of Oncology, St. James's University Hospital, Leeds Teaching Hospitals NHS Trust, Woodhouse, Leeds LS2 9JT, Leeds.
Naveen VasudevDepartment of Medical Oncology, Institute of Oncology, St. James's University Hospital, Leeds Teaching Hospitals NHS Trust, Woodhouse, Leeds LS2 9JT, Leeds.
Selina BhattaraiDepartment of Pathology, Institute of Oncology, St. James's University Hospital, Leeds Teaching Hospitals NHS Trust, Woodhouse, Leeds LS2 9JT, Leeds.
James LentonDepartment of Diagnostic and Interventional Radiology, Institute of Oncology, Leeds Teaching Hospitals Trust, St. James's University Hospital, Woodhouse, Leeds LS2 9JT.
Jonathan SmithDepartment of Diagnostic and Interventional Radiology, Institute of Oncology, Leeds Teaching Hospitals Trust, St. James's University Hospital, Woodhouse, Leeds LS2 9JT.
Tze Min WahDepartment of Diagnostic and Interventional Radiology, Institute of Oncology, Leeds Teaching Hospitals Trust, St. James's University Hospital, Woodhouse, Leeds LS2 9JT.
St James's University Hospital · GBLeeds Teaching Hospitals NHS Trust · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 53-year-old lady is known to have Von Hippel-Lindau syndrome with a long history of previous renal cell carcinomas (RCCs) in both kidneys. She was treated by partial nephrectomy for a right peripheral RCC and subsequently image guided radiofrequency ablation (RFA) of a left central RCC. She developed another de novo RCC adjacent to the right pelvic-ureteric junction (PUJ) 4 years after the initial RFA. Due to the close proximity to the PUJ and visibility of an ice ball with cryoablation (CRYO), the consensus from the MDT was that CRYO would be safer than RFA and she subsequently underwent percutaneous image guided CRYO to treat the small de novo RCC. Unfortunately, during the 1-month imaging follow up, she developed moderate hydronephrosis and a ureteric stricture needing long-term ureteric stent management. This case highlights the risk of ureteric injury caused by the thermal effect of the ice ball during image guided renal CRYO. Therefore, it is vital that all interventional radiologists adopt various manoeuvres to protect the ureter from the ice ball during CRYO in order to avoid the development of latent ureteric stricture.

Indexed as

ComplicationCryoablationRenal cell carcinomaUreteric strictureVon-Hippel Lindau

Identifiers

PMID34158894
PMCPMC8203560
OpenAlexW3168815728

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.