Image-Guided Radiofrequency Ablation (RFA) of Unresectable Hepatic Tumors Using a Triple-Spiral-Shaped Electrode Needle: Initial Experience in 34 Patients

被引:4
作者
Thanos, Loukas [1 ,2 ]
Poulou, Loukia S. [1 ]
Ziakas, Panayiotis D. [3 ]
Kelekis, Alexis D. [2 ]
Pomoni, Maria [2 ]
Kelekis, Dimitrios A. [2 ]
机构
[1] Gen Hosp Chest Dis Sotiria, Dept Med Imaging & Intervent Radiol, Athens 11527, Greece
[2] Univ Athens, Sch Med, Eugenid Hosp, Dept Radiol 2, GR-11527 Athens, Greece
[3] Univ Athens, Sch Med, Dept Hematol, GR-11527 Athens, Greece
关键词
Radiofrequency ablation; Percutaneous; Hepatic lesions; Triple-spiral electrode; HEPATOCELLULAR-CARCINOMA; LIVER METASTASES; THERMAL ABLATION; COMPLICATIONS;
D O I
10.1007/s00270-009-9649-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We evaluated the safety and efficacy of image-guided radiofrequency ablation (RFA) using a triple-spiral-shaped electrode needle for unresectable primary or metastatic hepatic tumors. Thirty-four patients with 46 index tumors were treated. Ablation zone, morbidity, and complications were assessed. The lesions were completely ablated with an ablative margin of about 1 cm. Five patients (14.7%) with a lesion larger than 4.5 cm had local tumor progression after 1 month and were retreated. Hemothorax, as a major complication, occurred in 1 of 34 patients (3.0%) or 1 of 46 lesions ablated (2.2%). RFA using this new electrode needle can be effective in the treatment of large unresectable hepatic tumors.
引用
收藏
页码:107 / 112
页数:6
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