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Objective <p>To improve treatment options for acute kidney injury (AKI) after microwave ablation (MWA) of hepatic hemangioma (HH).</p> Methods <p>From January 1, 2021, to October 28, 2024, 117 patients with HH were treated by MWA at our center, and 2 of them occurred AKI after operation. The preoperative and postoperative data of 2 patients were retrospectively analyzed.</p> Results <p>During the MWA for patients with HH, hemoglobinuria may occur during and after surgery, which may even lead to AKI. A sequential treatment consisting of sodium bicarbonate alkalization, rapid fluid replacement, diuresis and dialysis treatment were given to the patient as early and timely. And their renal function returned to normal.</p> Conclusion <p>Patients with AKI after MWA of HH can fully recover. It suggested that MWA is an effective and safe treatment for HH patients.</p>

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Perioperative management of acute kidney injury after microwave ablation of hepatic hemangioma

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月30日

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  • Bin Hu,
  • Hong-Bo Huan,
  • Yu-Liang Tu,
  • Jun Gao,
  • Chang-Le Wu,
  • Wei Zhao,
  • Li-Yuan Sun,
  • Xin Jin,
  • Zi-Man Zhu,
  • Da-Dong Wang,
  • Kai Jiang

摘要

Objective

To improve treatment options for acute kidney injury (AKI) after microwave ablation (MWA) of hepatic hemangioma (HH).

Methods

From January 1, 2021, to October 28, 2024, 117 patients with HH were treated by MWA at our center, and 2 of them occurred AKI after operation. The preoperative and postoperative data of 2 patients were retrospectively analyzed.

Results

During the MWA for patients with HH, hemoglobinuria may occur during and after surgery, which may even lead to AKI. A sequential treatment consisting of sodium bicarbonate alkalization, rapid fluid replacement, diuresis and dialysis treatment were given to the patient as early and timely. And their renal function returned to normal.

Conclusion

Patients with AKI after MWA of HH can fully recover. It suggested that MWA is an effective and safe treatment for HH patients.