PURPOSE: To identify retrospectively predictors of @entity5733 surge during image-guided ablation of metastases to the adrenal gland. MATERIALS AND METHODS: Between 2001 and 2014, 57 @entity1 (39 @entity1 , 18 @entity1 ; mean age, 65 y    10; age range, 41-81 y) at two academic medical centers underwent ablation of 64 metastatic @entity5 from @entity1358 (n = 27), @entity2 (n = 23), @entity320 (n = 4), @entity14 (n = 3), and other @entity5 (n = 7). @entity5 measured 0.7-11.3 cm (mean, 4 cm    2.5). Modalities included cryoablation (n = 38), radiofrequency (RF) ablation (n = 20), RF ablation with injection of dehydrated @entity1068 (n = 10), and microwave ablation (n = 4). Fisher exact test, univariate, and multivariate logistical regression analysis was used to evaluate factors predicting @entity101 ( @entity101 ). RESULTS: @entity101 occurred in 31 sessions (43%). @entity1165 (n = 1), @entity955 (n = 2), and troponin leak (n = 4) developed during @entity101 episodes. @entity101 was significantly associated with maximum @entity5 diameter  <= 4.5 cm (odds ratio [OR], 26.36; 95% confidence interval [CI], 5.26-131.99; P < .0001) and visualization of normal adrenal tissue on computed tomography (CT) or magnetic resonance (MR) imaging before the procedure (OR, 8.38; 95% CI, 2.67-25.33; P < .0001). No @entity101 occurred during ablation of metastases in previously irradiated or ablated adrenal glands. CONCLUSIONS: @entity1 at high risk of @entity5733 surge during ablation of non-hormonally active adrenal metastases can be identified by the presence of normal adrenal tissue and @entity5 diameter  <= 4.5 cm on pre-procedure CT or MR imaging.

XXXX Surge during Image-Guided Ablation of Adrenal Gland Metastases: Predictors, Consequences, and Recommendations for Management.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'Patients', 'men'] @entity1165 :: ('MESH:D017180', 'Disease') :: ['Ventricular tachycardia'] @entity101 :: ('MESH:D006973', 'Disease') :: ['HC', 'hypertensive crisis'] @entity5733 :: ('D002395', 'Chemical') :: ['catecholamine'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Tumors', 'tumor', 'adrenal tumors', 'tumors'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['renal cell carcinoma'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial fibrillation'] @entity1068 :: ('MESH:D000431', 'Chemical') :: ['ethanol'] @entity320 :: ('MESH:D008545', 'Disease') :: ['melanoma']
@entity5733 :: (D002395,Chemical) :: ['Catecholamine']
