Complications of Percutaneous Radiofrequency Thermal Ablation of Primary and Secondary Lesions of the Liver
Hepatocellular carcinoma is one of the most common malignancies in the world, with the liver being the second most frequently involved organ in metastatic disease. Although the gold standard treatment for malignant liver disease is surgical resection, only few patients can undergo such an interventi...
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| Veröffentlicht in: | Anticancer research 2007-07, Vol.27 (4C), p.2911-2916 |
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| creator | POGGI, Guido RICCARDI, Alberto CANTO, Andrea BERNIERI, Simone BERNARDO, Giovanni QUARETTI, Pietro TERAGNI, Cristina DELMONTE, Angelo AMATU, Alessio SAINI, Gaia MAZZUCCO, Mauro BERNARDO, Antonio PALUMBO, Raffaella |
| description | Hepatocellular carcinoma is one of the most common malignancies in the world, with the liver being the second most frequently
involved organ in metastatic disease. Although the gold standard treatment for malignant liver disease is surgical resection,
only few patients can undergo such an intervention. This explains the current great interest in various loco-regional therapies,
of which radiofrequency thermal ablation (RFA) is the most common. To date, only a few studies have evaluated the complications
associated with this treatment. The aim of this study was to determine the rate of complications, divided into major and minor,
in patients treated with RFA. A total of 373 hepatic lesions in 250 patients were treated with 292 sessions of percutaneous
ultrasound-guided RFA. According to our data, ten patients (4%) had major complications, twelve patients (4.8%) had minor
complications, no deaths occurred. Around 30% of patients had a body temperature increase of up to 38ÃC. All complications,
except one, were treated with non-surgical therapies. One patient with massive hemoperitoneum required surgery. In conclusion,
percutaneous RFA is a loco-regional therapy associated with a low incidence of side-effects and a negligible risk of death. |
| format | Article |
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involved organ in metastatic disease. Although the gold standard treatment for malignant liver disease is surgical resection,
only few patients can undergo such an intervention. This explains the current great interest in various loco-regional therapies,
of which radiofrequency thermal ablation (RFA) is the most common. To date, only a few studies have evaluated the complications
associated with this treatment. The aim of this study was to determine the rate of complications, divided into major and minor,
in patients treated with RFA. A total of 373 hepatic lesions in 250 patients were treated with 292 sessions of percutaneous
ultrasound-guided RFA. According to our data, ten patients (4%) had major complications, twelve patients (4.8%) had minor
complications, no deaths occurred. Around 30% of patients had a body temperature increase of up to 38ÃC. All complications,
except one, were treated with non-surgical therapies. One patient with massive hemoperitoneum required surgery. In conclusion,
percutaneous RFA is a loco-regional therapy associated with a low incidence of side-effects and a negligible risk of death.</description><identifier>ISSN: 0250-7005</identifier><identifier>EISSN: 1791-7530</identifier><identifier>PMID: 17695470</identifier><language>eng</language><publisher>Attiki: International Institute of Anticancer Research</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Carcinoma, Hepatocellular - secondary ; Carcinoma, Hepatocellular - surgery ; Catheter Ablation - adverse effects ; Catheter Ablation - methods ; Gastroenterology. Liver. Pancreas. Abdomen ; Hemothorax - etiology ; Humans ; Infarction - etiology ; Liver - blood supply ; Liver Abscess - etiology ; Liver Neoplasms - secondary ; Liver Neoplasms - surgery ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Middle Aged ; Tumors</subject><ispartof>Anticancer research, 2007-07, Vol.27 (4C), p.2911-2916</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18962762$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17695470$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>POGGI, Guido</creatorcontrib><creatorcontrib>RICCARDI, Alberto</creatorcontrib><creatorcontrib>CANTO, Andrea</creatorcontrib><creatorcontrib>BERNIERI, Simone</creatorcontrib><creatorcontrib>BERNARDO, Giovanni</creatorcontrib><creatorcontrib>QUARETTI, Pietro</creatorcontrib><creatorcontrib>TERAGNI, Cristina</creatorcontrib><creatorcontrib>DELMONTE, Angelo</creatorcontrib><creatorcontrib>AMATU, Alessio</creatorcontrib><creatorcontrib>SAINI, Gaia</creatorcontrib><creatorcontrib>MAZZUCCO, Mauro</creatorcontrib><creatorcontrib>BERNARDO, Antonio</creatorcontrib><creatorcontrib>PALUMBO, Raffaella</creatorcontrib><title>Complications of Percutaneous Radiofrequency Thermal Ablation of Primary and Secondary Lesions of the Liver</title><title>Anticancer research</title><addtitle>Anticancer Res</addtitle><description>Hepatocellular carcinoma is one of the most common malignancies in the world, with the liver being the second most frequently
involved organ in metastatic disease. Although the gold standard treatment for malignant liver disease is surgical resection,
only few patients can undergo such an intervention. This explains the current great interest in various loco-regional therapies,
of which radiofrequency thermal ablation (RFA) is the most common. To date, only a few studies have evaluated the complications
associated with this treatment. The aim of this study was to determine the rate of complications, divided into major and minor,
in patients treated with RFA. A total of 373 hepatic lesions in 250 patients were treated with 292 sessions of percutaneous
ultrasound-guided RFA. According to our data, ten patients (4%) had major complications, twelve patients (4.8%) had minor
complications, no deaths occurred. Around 30% of patients had a body temperature increase of up to 38ÃC. All complications,
except one, were treated with non-surgical therapies. One patient with massive hemoperitoneum required surgery. In conclusion,
percutaneous RFA is a loco-regional therapy associated with a low incidence of side-effects and a negligible risk of death.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Hepatocellular - secondary</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Catheter Ablation - adverse effects</subject><subject>Catheter Ablation - methods</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Hemothorax - etiology</subject><subject>Humans</subject><subject>Infarction - etiology</subject><subject>Liver - blood supply</subject><subject>Liver Abscess - etiology</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - surgery</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Tumors</subject><issn>0250-7005</issn><issn>1791-7530</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkEtLxDAUhYMozjj6FyQb3RXyTrocii8oKDquQ5qmNtrHmLTK_HvrPJjV5cJ3zr3nnIA5lilOJKfoFMwR4SiRCPEZuIjxEyEhUkXPwQxLkXIm0Rx8ZX27brw1g--7CPsKvrhgx8F0rh8jfDWl76vgvkfX2Q1c1S60poHLotkKtnzwrQkbaLoSvjnbd-X_lrt4MBxqB3P_48IlOKtME93Vfi7A-_3dKntM8ueHp2yZJzWRaEiwcExIyjkjZYqMqChGrLS0EJiVRBFnpeIVTpG1ljJisTJYSWOIYVRUBaYLcLvzXYd-ejwOuvXRuqbZhdJCYYERVxN4vQfHonWlXu-i6EM9E3CzB0y0pqmC6ayPR06lgkhBjhdr_1H_-uB0nGpqJluqTSBSs0yTFGP6B_TCfIQ</recordid><startdate>20070701</startdate><enddate>20070701</enddate><creator>POGGI, Guido</creator><creator>RICCARDI, Alberto</creator><creator>CANTO, Andrea</creator><creator>BERNIERI, Simone</creator><creator>BERNARDO, Giovanni</creator><creator>QUARETTI, Pietro</creator><creator>TERAGNI, Cristina</creator><creator>DELMONTE, Angelo</creator><creator>AMATU, Alessio</creator><creator>SAINI, Gaia</creator><creator>MAZZUCCO, Mauro</creator><creator>BERNARDO, Antonio</creator><creator>PALUMBO, Raffaella</creator><general>International Institute of Anticancer Research</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20070701</creationdate><title>Complications of Percutaneous Radiofrequency Thermal Ablation of Primary and Secondary Lesions of the Liver</title><author>POGGI, Guido ; RICCARDI, Alberto ; CANTO, Andrea ; BERNIERI, Simone ; BERNARDO, Giovanni ; QUARETTI, Pietro ; TERAGNI, Cristina ; DELMONTE, Angelo ; AMATU, Alessio ; SAINI, Gaia ; MAZZUCCO, Mauro ; BERNARDO, Antonio ; PALUMBO, Raffaella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h270t-16e46735542d90a6f3104dc3b614d282ec785f190ccc342c18a187aa2a436fb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Hepatocellular - secondary</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Catheter Ablation - adverse effects</topic><topic>Catheter Ablation - methods</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Hemothorax - etiology</topic><topic>Humans</topic><topic>Infarction - etiology</topic><topic>Liver - blood supply</topic><topic>Liver Abscess - etiology</topic><topic>Liver Neoplasms - secondary</topic><topic>Liver Neoplasms - surgery</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>POGGI, Guido</creatorcontrib><creatorcontrib>RICCARDI, Alberto</creatorcontrib><creatorcontrib>CANTO, Andrea</creatorcontrib><creatorcontrib>BERNIERI, Simone</creatorcontrib><creatorcontrib>BERNARDO, Giovanni</creatorcontrib><creatorcontrib>QUARETTI, Pietro</creatorcontrib><creatorcontrib>TERAGNI, Cristina</creatorcontrib><creatorcontrib>DELMONTE, Angelo</creatorcontrib><creatorcontrib>AMATU, Alessio</creatorcontrib><creatorcontrib>SAINI, Gaia</creatorcontrib><creatorcontrib>MAZZUCCO, Mauro</creatorcontrib><creatorcontrib>BERNARDO, Antonio</creatorcontrib><creatorcontrib>PALUMBO, Raffaella</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Anticancer research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>POGGI, Guido</au><au>RICCARDI, Alberto</au><au>CANTO, Andrea</au><au>BERNIERI, Simone</au><au>BERNARDO, Giovanni</au><au>QUARETTI, Pietro</au><au>TERAGNI, Cristina</au><au>DELMONTE, Angelo</au><au>AMATU, Alessio</au><au>SAINI, Gaia</au><au>MAZZUCCO, Mauro</au><au>BERNARDO, Antonio</au><au>PALUMBO, Raffaella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complications of Percutaneous Radiofrequency Thermal Ablation of Primary and Secondary Lesions of the Liver</atitle><jtitle>Anticancer research</jtitle><addtitle>Anticancer Res</addtitle><date>2007-07-01</date><risdate>2007</risdate><volume>27</volume><issue>4C</issue><spage>2911</spage><epage>2916</epage><pages>2911-2916</pages><issn>0250-7005</issn><eissn>1791-7530</eissn><abstract>Hepatocellular carcinoma is one of the most common malignancies in the world, with the liver being the second most frequently
involved organ in metastatic disease. Although the gold standard treatment for malignant liver disease is surgical resection,
only few patients can undergo such an intervention. This explains the current great interest in various loco-regional therapies,
of which radiofrequency thermal ablation (RFA) is the most common. To date, only a few studies have evaluated the complications
associated with this treatment. The aim of this study was to determine the rate of complications, divided into major and minor,
in patients treated with RFA. A total of 373 hepatic lesions in 250 patients were treated with 292 sessions of percutaneous
ultrasound-guided RFA. According to our data, ten patients (4%) had major complications, twelve patients (4.8%) had minor
complications, no deaths occurred. Around 30% of patients had a body temperature increase of up to 38ÃC. All complications,
except one, were treated with non-surgical therapies. One patient with massive hemoperitoneum required surgery. In conclusion,
percutaneous RFA is a loco-regional therapy associated with a low incidence of side-effects and a negligible risk of death.</abstract><cop>Attiki</cop><pub>International Institute of Anticancer Research</pub><pmid>17695470</pmid><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Carcinoma, Hepatocellular - secondary Carcinoma, Hepatocellular - surgery Catheter Ablation - adverse effects Catheter Ablation - methods Gastroenterology. Liver. Pancreas. Abdomen Hemothorax - etiology Humans Infarction - etiology Liver - blood supply Liver Abscess - etiology Liver Neoplasms - secondary Liver Neoplasms - surgery Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Middle Aged Tumors |
| title | Complications of Percutaneous Radiofrequency Thermal Ablation of Primary and Secondary Lesions of the Liver |
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