Document Detail


Effect of CT fluoroscopy-guided transpulmonary radiofrequency ablation of liver tumours on the lung.
MedLine Citation:
PMID:  22374277     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We retrospectively evaluated the effect of transpulmonary radiofrequency ablation (RFA) of liver tumours on the lung.
METHODS: 16 patients (10 males and 6 females; mean age, 65.2 years) with 16 liver tumours (mean diameter 1.5 cm) underwent transpulmonary RFA under CT fluoroscopic guidance. The tumours were either hepatocellular carcinoma (n=14) or liver metastasis (n=12). All 16 liver tumours were undetectable with ultrasonography. The pulmonary function values at 3 months after transpulmonary RFA were compared with baseline (i.e. values before RFA).
RESULTS: In 8 of 16 sessions, minor pulmonary complications occurred, including small pneumothorax (n=8) and small pleural effusion (n=1). In two sessions, major pulmonary complications occurred, including pneumothorax requiring a chest tube (n=2). These chest tubes were removed at 4 and 6 days, and these patients were discharged 7 and 10 days after RFA, respectively, without any sequelae. The pulmonary function values we evaluated were forced expiratory volume in 1 s (FEV1.0) and vital capacity (VC). The mean values of FEV1.0 before and 3 months after RFA were 2.55 l and 2.59 l, respectively; the mean values of VC before and 3 months after RFA were 3.20 l and 3.27 l, respectively. These pulmonary values did not show any significant worsening (p=0.393 and 0.255 for FEV1.0 and VC, respectively).
CONCLUSION: There was no significant lung injury causing a fatal or intractable complication after transpulmonary RFA of liver tumours.
Authors:
T Iguchi; D Inoue; K Yabushita; K Sakaguchi; M Tatsukawa; H Sasaki; S Kanazawa
Related Documents :
8633937 - Selective management of acute type b aortic dissection: long-term follow-up.
17144597 - Predictors of surgical indications for acute type b aortic dissection based on enlargem...
1772677 - Decision-making aspects in the timing of surgical intervention in aortic rupture.
15337007 - Reduction aortoplasty and external wrapping for moderately sized tubular ascending aort...
23187047 - Comparative study between delorme operation with or without postanal repair and levater...
22311867 - Does the site of bleeding matter? a stratified analysis on location of timi-graded bl...
Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2012-02-28
Journal Detail:
Title:  The British journal of radiology     Volume:  85     ISSN:  1748-880X     ISO Abbreviation:  Br J Radiol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-20     Completed Date:  2012-10-01     Revised Date:  2013-08-14    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  e373-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Diagnostic and Interventional Radiology, Fukuyama City Hospital, Fukuyama, Japan. iguchi@ba2.sonet.ne.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Carcinoma, Hepatocellular / surgery*
Catheter Ablation / adverse effects,  methods*
Female
Fluoroscopy / adverse effects,  methods
Forced Expiratory Volume / radiation effects
Humans
Liver Neoplasms / secondary,  surgery*
Male
Middle Aged
Pleural Effusion / etiology*,  physiopathology
Pneumothorax / etiology*,  physiopathology
Radiography, Interventional / adverse effects,  methods
Retrospective Studies
Tomography, X-Ray Computed / adverse effects,  methods
Treatment Outcome
Vital Capacity / radiation effects
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Contrast-enhanced ultrasound of intrahepatic cholangiocarcinoma: correlation with pathological exami...
Next Document:  Carcinoma of unknown primary: key radiological issues from the recent National Institute for Health ...