Zoe Anne Miller MD, Presenter: Nothing to Disclose

Bradley Bryan Pua MD, Abstract Co-Author: Nothing to Disclose

Jonathan Jo, Abstract Co-Author: Nothing to Disclose

Daisy Qinjun Huang MD, Abstract Co-Author: Nothing to Disclose

Kyungmouk Steve Lee MD, Abstract Co-Author: Nothing to Disclose

David Craig Madoff MD, Abstract Co-Author: Nothing to Disclose

Percutaneous ablation in the adrenal gland is less well-studied compared to the liver and lung. Ablation techniques in these organs are not always applicable because of the unique anatomy and physiology of the adrenal gland. The purpose of this exhibit will review:   Indications for adrenal ablation from primary neoplasms to pheochromocytomas Pre-ablation planning appropriate for various adrenal lesions Ablation tehcniques and complications unique to adrenal gland anatomy and physiology 

1) Anatomy and physiology of adrenal gland 2) Indications for adrenal ablation Adrenal neoplasms Adrenal metastases Pheochromocytoma 3)Pre-Ablation Planning pre-ablation biopsy urine/serum hormone assays premedication protocol with alpha-adrenergic blocking drugs 4) Ablation types of ablation: RF, cryoablation, microwave appropriate intraprocedural monitoring (central and arterial lines) thermal protection of surrounding organs avoiding hypertensive crisis using a "stepwise RF ablation protocol" (incremental RF current) 5) Post-Ablation Imaging    

http://abstract.rsna.org/uploads/2014/14005389/14005389_jf6u.pdf

Miller, Z, Pua, B, Jo, J, Huang, D, Lee, K, Madoff, D, Small But Volatile: Review of Indications, Technical Considerations and Complications of Percutaneous Ablation of Adrenal Tumors.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14005389.html