Periarterial papaverine to treat renal artery vasospasm during robot-assisted laparoscopic partial nephrectomy

Igor Sorokin, Sharnae L. Stevens, Jeffrey A Cadeddu

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Renal artery vasospasm can be a troublesome complication during robot-assisted laparoscopic partial nephrectomy. Urologists performing this procedure, especially if utilizing selective arterial vascular microdissection, should be aware of using papaverine for both prevention and treatment of renal artery vasospasm. We present a 33-year-old male who developed severe renal artery vasospasm just with hilar dissection causing the kidney to become ischemic. Papaverine was topically applied on the renal arteries resulting in vasodilation and reperfusion of the kidney. Our objective of this report is to raise awareness of this complication as well as to review the literature on periarterial papaverine use and the dosing for topical applications.

Original languageEnglish (US)
Pages (from-to)1-3
Number of pages3
JournalJournal of Robotic Surgery
DOIs
StateAccepted/In press - Apr 28 2017

Keywords

  • Papaverine
  • Renal artery spasm
  • Robotic partial nephrectomy
  • Segmental renal artery
  • Vasospasm

ASJC Scopus subject areas

  • Surgery
  • Health Informatics

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