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Title: Excessive Hyperthermic Necrosis of a Pulmonary Lobe after Hypertonic Saline-Enhanced Monopolar Radiofrequency Ablation

Journal Article · · Cardiovascular and Interventional Radiology
 [1];  [2]
  1. Sungkyunkwan University School of Medicine, Department of Radiology and Center for Imaging Science, Samsung Medical Center (Korea, Republic of)
  2. Sungkyunkwan University School of Medicine, Division of Pulmonary and Critical Care Medicine, The Department of Medicine, Samsung Medical Center (Korea, Republic of)

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.

OSTI ID:
21091291
Journal Information:
Cardiovascular and Interventional Radiology, Vol. 29, Issue 1; Other Information: DOI: 10.1007/s00270-004-0348-2; Copyright (c) 2006 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
Country of Publication:
United States
Language:
English

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