Excessive hyperthermic necrosis of a pulmonary lobe after hypertonic saline-enhanced monopolar radiofrequency ablation.

Kim, Tae Sung; Lim, Hyo K; Kim, Hojoong
Cardiovascular and interventional radiology
2006Jan ; 29 ( 1 ) :160-3.
저자 상세정보
Kim, Tae Sung -
Lim, Hyo K -
Kim, Hojoong -
ABSTRACT
Although there has been a feasibility study of saline-enhanced radiofrequency ablation of the lung in rabbits, there has been no report on hypertonic saline-enhanced radiofrequency ablation of human pulmonary tumors or its complication. We report a case in which a large necrotic cavity was produced in the lung after hypertonic saline-enhanced radiofrequency ablation of recurrent metastatic tumor from hepatocellular carcinoma. Although hypertonic saline-enhanced radiofrequency ablation is powerful and efficient in local ablation, it is difficult to predict the exact extent of ablation, especially in the lungs. This can be dangerous, as there is a high chance of producing an ablation area much larger than expected and, hence, major complications. Special attention is required not to overablate while using this technique.
Aged, Carcinoma, Hepatocellular/*secondary/*surgery, Catheter Ablation/*adverse effects, Humans, Liver Neoplasms/*pathology, Lung Neoplasms/*secondary/*surgery, Male, Necrosis, Neoplasm Recurrence, Local, Reoperation, Saline Solution, Hypertonic/*administration & dosage
MESH
Aged, Carcinoma, Hepatocellular/*secondary/*surgery, Catheter Ablation/*adverse effects, Humans, Liver Neoplasms/*pathology, Lung Neoplasms/*secondary/*surgery, Male, Necrosis, Neoplasm Recurrence, Local, Reoperation, Saline Solution, Hypertonic/*administration & dosage
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주제코드
주제명(Target field)
연구대상(Population)
연구참여(Sample size)
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연구설계(Study Design)
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키워드(Keyword)
유효성결과(Recomendation)
This can be dangerous, as there is a high chance of producing an ablation area much larger than expected and, hence, special attention is required not to overablate while using this technique.
연구비지원(Fund Source)
근거수준평가(Evidence Hierarchy)
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DOI
KCD코드
ICD 03
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