Percutaneous Cryoablation and Vertebroplasty: A Case Report

A 70-year-old man with a painful vertebral metastasis was treated with combined percutaneous cryoablation and vertebroplasty therapy (CVT) in one session. The patient was suffering from diffuse visceral metastasized cholangiocarcinoma. After several weeks of back pain, magnetic resonance imaging doc...

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Veröffentlicht in:	Cardiovascular and interventional radiology 2008-05, Vol.31 (3), p.669-672
Hauptverfasser:	Masala, Salvatore, Roselli, Mario, Manenti, Guglielmo, Mammucari, Matteo, Bartolucci, Dario Alberto, Simonetti, Giovanni
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Bile Duct Neoplasms - pathology Bile Duct Neoplasms - therapy Bile Ducts, Intrahepatic Cardiology Case Report Cholangiocarcinoma - secondary Cholangiocarcinoma - therapy Combined Modality Therapy Cryosurgery - methods Humans Imaging Low Back Pain - diagnosis Low Back Pain - etiology Lumbar Vertebrae Male MEDICAL PERSONNEL Medicine Medicine & Public Health METASTASES NMR IMAGING Nuclear Medicine PAIN Pain Measurement Palliative Care - methods PATIENTS Quality of Life Radiology RADIOLOGY AND NUCLEAR MEDICINE Risk Assessment SKELETON Spinal Neoplasms - secondary Spinal Neoplasms - surgery STABILIZATION THERAPY Tomography, X-Ray Computed Treatment Outcome Ultrasound Vertebroplasty - methods
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Zusammenfassung:	A 70-year-old man with a painful vertebral metastasis was treated with combined percutaneous cryoablation and vertebroplasty therapy (CVT) in one session. The patient was suffering from diffuse visceral metastasized cholangiocarcinoma. After several weeks of back pain, magnetic resonance imaging documented a single L2 bone metastasis. In consultation with the oncologists, palliative combined CVT was administered with the aim of obtaining pain relief and bone stabilization. In our experience this combined treatment is safe and effective for immediate pain relief in painful bone metastases when other standard palliative treatments have failed.
ISSN:	0174-1551 1432-086X
DOI:	10.1007/s00270-007-9223-2