| Autor: |
SIRACUSA, Fortunato, Luca, Pio, Stefano, Avanzini, Girolamo Mattioli, Giuseppe, Martucciello, Giovanni, Cecchetto, Massimo, Conte, Ernesto,Leva, AnnaMaria,Fagnani, Alessandro,Inserra, Paolo,D'Angelo, Bruno, Noccioli |
| Přispěvatelé: |
Siracusa,Fortunato, Luca, Pio, Stefano, Avanzini, Girolamo Mattioli, Giuseppe, Martucciello, Giovanni, Cecchetto, Massimo, Conte, Ernesto,Leva, AnnaMaria,Fagnani, Alessandro,Inserra, Paolo,D'Angelo, Bruno, Noccioli |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Popis: |
Background: Hypertension (HT) is rarely reported in patients affected by Neuroblastoma (NB), and management guidelines are lacking. Clinical features and perioperativemedical treatment insuchpatientswere reviewed to1) ascertain whether a shared treatment strategy exists among centers and 2) if possible, propose some recommendations for the perioperative management of HT in NB patients. Methods: A retrospectivemulticenter surveywas conducted on patients affected by NBwho presented HT symptoms. Results: From 2006 to 2014, 1126 children were registered in the Italian Registry of Neuroblastoma (RINB). Of these, 21 with HT (1.8%) were included in our analysis. Pre- and intraoperative HT management was somewhat dissimilar among the participating centers, apart from a certain consistency in the intraoperative use of the alpha-1 blocker urapidil. Six of the 21 patients (28%) needed persistent antihypertensive treatment at a median follow-up of 36 months (range 4–-96 months) despite tumor removal. Involvement of the renal pedicle was the only risk factor constantly associated to HT persistency following surgery. A correlation between the presence of HT and the secretion of specific catecholamines and/or compression of the renal vascular pedicle could not be demonstrated. Conclusion: Based on this retrospective review of NB patients with HT, no definite therapeutic protocol can be recommended owing to heterogeneity of adopted treatments in different centers. A proposal of perioperative HT management in NB patients is however presented. Level of evidence: IV. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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