CardioVascular and Interventional Radiology

, Volume 42, Issue 3, pp 475–477 | Cite as

Ice Ball Crack During CT-Guided Renal Cryoablation Using 1.5-mm-Diameter Cryoprobes

  • Yusuke IchijoEmail author
  • Hiroshi Miura
  • Tatsuya Hirota
  • Tadashi Tanaka
  • Tatsuya Yoshikawa
  • Shunsuke Asai
  • Fumiya Hongo
  • Osamu Ukimura
  • Kei Yamada
Case Report


Ice ball fracture and massive hemorrhage are serious complications associated with renal cryoablation. When cracks occur in an ice ball, it is usually associated with adjacent renal parenchymal fracture, leading to massive hemorrhage. However, few studies have examined ice ball fracture under image-guided percutaneous renal cryoablation. We herein describe an 80-year-old male patient who had undergone CT-guided cryoablation for a left renal tumor using four cryoprobes (1.5 mm diameter each). Ice ball cracks were observed on CT images during cryoablation. However, there was no massive hemorrhage and further treatments were not necessary. This is the first report of ice ball cracks with a smaller diameter cryoprobe, which has not been considered to be associated with ice ball fracture.


Renal cryoablation Complication Ice ball crack 


Compliance with Ethical Standards

Conflict of interest

No authors have any conflict of interest related to this manuscript.

Ethical Approval

Formal consent is not required for this type of study.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  1. 1.Department of RadiologyKyoto Yamashiro General Medical CenterKizugawaJapan
  2. 2.Department of RadiologyKyoto Prefectural University of MedicineKamigyo-kuJapan
  3. 3.Department of UrologyKyoto Prefectural University of MedicineKamigyo-kuJapan

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