Table 5 Postoperative course in 4 patients with complications
Pt | Site of Metastatic Lesion | Preoperative Blockade | Intraoperative Course | Postoperative Course | Complication Outcome |
|---|---|---|---|---|---|
1 | T3, T6, T12, L1, L3, and right pubic symphysis functional PPGL | PBZ 20 mg/d Metoprolol 100 mg/d | Profound hypotension treated with phenylephrine | Transferred to ICU; hypotensive with blood pressures 70/50 mm Hg | Hypotension resolved with 6 L crystalloids and repeated doses of midodrine; LOS, 3 d |
2 | T11 vertebral body functional PPGL | Metyrosine escalating dose 1 to 4 g/d Metoprolol 75 mg/d PBZ 30 mg/d | Hypertension treated with nitroprusside and hydralazine (4 mg) | Transferred to ICU; hypertensive urgency (blood pressures ≈220/100 mm Hg) | Hypertension treated with esmolol 70 mg, hydralazine 9 mg, and metoprolol 7 mg; LOS, 2 d |
3 | Lumbar and sacral vertebral lesions; functional PPGL | Metyrosine escalating dose 1 to 4 g/d Metoprolol 50 mg/d PBZ 20 mg/d | Equipment malfunction resulting in argon gas embolism | NA | Intraprocedural death |
4 | Liver and rib lesions; nonfunctional PPGL | None | Bleeding and chest hematoma | Received 3 U of red blood cells and 6 U of platelets for thrombocytopenia | Bleeding was well controlled; LOS, 3 d |