| Effect of CT fluoroscopy-guided transpulmonary radiofrequency ablation of liver tumours on the lung. | |
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MedLine Citation:
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PMID: 22374277 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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T Iguchi; D Inoue; K Yabushita; K Sakaguchi; M Tatsukawa; H Sasaki; S Kanazawa |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2012-02-28 |
Journal Detail:
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Title: The British journal of radiology Volume: 85 ISSN: 1748-880X ISO Abbreviation: Br J Radiol Publication Date: 2012 Aug |
Date Detail:
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Created Date: 2012-07-20 Completed Date: 2012-10-01 Revised Date: 2013-04-16 |
Medline Journal Info:
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Nlm Unique ID: 0373125 Medline TA: Br J Radiol Country: England |
Other Details:
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Languages: eng Pagination: e373-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Diagnostic and Interventional Radiology, Fukuyama City Hospital, Fukuyama, Japan. iguchi@ba2.sonet.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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