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Artículos de revistas sobre el tema "Percutaneous ablation"

Autor: Grafiati

Publicado: 11 de marzo de 2023

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1

Haanschoten, Danielle M., Ahmet Adiyaman, Jaap Jan J. Smit, Peter Paul H. M. Delnoy, Anand R. Ramdat Misier, Fabiano Porta, Robert P. H. Storm van Leeuwen y Arif Elvan. "Hybrid Ventricular Tachycardia Ablation after Failed Percutaneous Endocardial and Epicardial Ablation". Cardiology 145, n.º 2 (8 de noviembre de 2019): 88–94. http://dx.doi.org/10.1159/000503251.

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Introduction: Recurrent ventricular tachycardia (VT) after percutaneous ablation is associated with a high morbidity and mortality. We assessed the feasibility of open chest extracorporeal circulation (ECC)-supported 3D multielectrode mapping and targeted VT substrate ablation in patients with previously failed percutaneous endocardial and epicardial VT ablations. Methods: In patients with previously failed percutaneous endocardial and epicardial VT ablations and a high risk of hemodynamic collapse during the procedure, open chest ECC-supported mapping and ablation were performed in a hybrid EP lab setting. Electro-anatomic maps (3D) were acquired during sinus rhythm and VT using a multielectrode mapping catheter (HD grid; Abbott or Pentaray, Biosense Webster). Irrigated radiofrequency ablations of all inducible VT were performed with a contact force ablation catheter. Results: Hybrid VT ablation was performed in 5 patients with structural heart disease (i.e., 3 with previous old myocardial infarction and 2 with nonischemic cardiomyopathy) and recurrent VT. Acute procedural success was achieved in all patients. Four patients were successfully weaned off the ECC. In 1 patient with a severely reduced LVEF (16%), damage to the venous graft occurred after sternotomy and that patient died after 1 month. Four patients (80%) remained VT free after a median follow-up of 6 (IQR 4–10) months. Conclusion: In high-risk patients with previously failed percutaneous endocardial and epicardial VT ablations, open chest ECC-supported multielectrode epicardial mapping revealed a VT substrate in all of the patients, and targeted epicardial ablation abolished VT substrate in these patients.

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Kurup, A., Matthew Callstrom y Michael Moynagh. "Thermal Ablation of Bone Metastases". Seminars in Interventional Radiology 35, n.º 04 (octubre de 2018): 299–308. http://dx.doi.org/10.1055/s-0038-1673422.

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AbstractImage-guided, minimally invasive, percutaneous thermal ablation of bone metastases has unique advantages compared with surgery or radiation therapy. Thermal ablation of osseous metastases may result in significant pain palliation, prevention of skeletal-related events, and durable local tumor control. This article will describe current thermal ablation techniques utilized to treat bone metastases, summarize contemporary evidence supporting such thermal ablation treatments, and outline an approach to percutaneous ablative treatment.

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Hui, Terrence CH, Justin Kwan y Uei Pua. "Advanced Techniques in the Percutaneous Ablation of Liver Tumours". Diagnostics 11, n.º 4 (24 de marzo de 2021): 585. http://dx.doi.org/10.3390/diagnostics11040585.

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Percutaneous ablation is an accepted treatment modality for primary hepatocellular carcinoma (HCC) and liver metastases. The goal of curative ablation is to cause the necrosis of all tumour cells with an adequate margin, akin to surgical resection, while minimising local damage to non-target tissue. Aside from the ablative modality, the proceduralist must decide the most appropriate imaging modality for visualising the tumour and monitoring the ablation zone. The proceduralist may also employ protective measures to minimise injury to non-target organs. This review article discusses the important considerations an interventionalist needs to consider when performing the percutaneous ablation of liver tumours. It covers the different ablative modalities, image guidance, and protective techniques, with an emphasis on new and advanced ablative modalities and adjunctive techniques to optimise results and achieve satisfactory ablation margins.

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Alşalaldeh, Mohammad. "A right atrial arteriovenous hemangioma excision under a beating heart after percutaneous catheter cardiac ablation". Cardiovascular Surgery and Interventions 9, n.º 2 (7 de julio de 2022): 129–31. http://dx.doi.org/10.5606/e-cvsi.2022.1272.

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Percutaneous catheter ablation treatment is an interventional treatment method for atrial fibrillation. Herein, we report the case of a 38-year-old male patient who developed a right atrial mass after two percutaneous catheter ablations. The mass was excised by the beating heart technique, later diagnosed as arteriovenous hemangioma. Arteriovenous hemangioma had not been encountered before as a complication of catheter ablation.

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Dumolard, Lucile, Julien Ghelfi, Gael Roth, Thomas Decaens y Zuzana Macek Jilkova. "Percutaneous Ablation-Induced Immunomodulation in Hepatocellular Carcinoma". International Journal of Molecular Sciences 21, n.º 12 (20 de junio de 2020): 4398. http://dx.doi.org/10.3390/ijms21124398.

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Hepatocellular carcinoma (HCC) is one of the most common causes of cancer-related deaths worldwide and its incidence is rising. Percutaneous locoregional therapies, such as radiofrequency ablation and microwave ablation, are widely used as curative treatment options for patients with small HCC, but their effectiveness remains restricted because of the associated high rate of recurrence, occurring in about 70% of patients at five years. These thermal ablation techniques have the particularity to induce immunomodulation by destroying tumours, although this is not sufficient to raise an effective antitumour immune response. Ablative therapies combined with immunotherapies could act synergistically to enhance antitumour immunity. This review aims to understand the different immune changes triggered by radiofrequency ablation and microwave ablation as well as the interest in using immunotherapies in combination with thermal ablation techniques as a tool for complementary immunomodulation.

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Gupta, Amit, Besma Musaddaq, Conrad von Stempel y Shahzad Ilyas. "Percutaneous Renal Ablation". Seminars in Ultrasound, CT and MRI 41, n.º 4 (agosto de 2020): 351–56. http://dx.doi.org/10.1053/j.sult.2020.05.004.

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7

He, Xiaofeng, Yueyong Xiao, Xiao Zhang, Peng Du, Xin Zhang, Jie Li, Yunxia An y Patrick Le Pivert. "Percutaneous Tumor Ablation". Technology in Cancer Research & Treatment 15, n.º 4 (9 de julio de 2016): 597–608. http://dx.doi.org/10.1177/1533034615593855.

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8

Alzubaidi, Sadeer J., Harris Liou, Gia Saini, Nicole Segaran, J. Scott Kriegshauser, Sailendra G. Naidu, Indravadan J. Patel y Rahmi Oklu. "Percutaneous Image-Guided Ablation of Lung Tumors". Journal of Clinical Medicine 10, n.º 24 (10 de diciembre de 2021): 5783. http://dx.doi.org/10.3390/jcm10245783.

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Tumors of the lung, including primary cancer and metastases, are notoriously common and difficult to treat. Although surgical resection of lung lesions is often indicated, many conditions disqualify patients from being surgical candidates. Percutaneous image-guided lung ablation is a relatively new set of techniques that offers a promising treatment option for a variety of lung tumors. Although there have been no clinical trials to definitively compare its efficacy to those of traditional treatments, lung ablation is widely practiced and generally accepted to be safe and effective. Especially encouraging results have recently emerged for cryoablation, one of the newer ablative techniques. This article reviews the indications, techniques, contraindications, and complications of percutaneous image-guided ablation of lung tumors with special attention to cryoablation and its recent developments in protocol optimization.

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9

Salahia, Ghali, Sook Cheng Chin, Ian Zealley y Richard D. White. "The Role of Interventional Radiology in the Management of Pancreatic Pathologies". Journal of Gastrointestinal and Abdominal Radiology 3, n.º 01 (enero de 2020): 099–113. http://dx.doi.org/10.1055/s-0039-3401335.

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AbstractPancreatic pathologies are varied and wide-ranging, and a multidisciplinary approach is essential for effective diagnosis and management. We describe image-guided percutaneous (nonendoscopic) interventions in the management of pancreatic disease, with emphasis on inflammatory and neoplastic pancreatic pathologies and on the transplanted pancreas. Image-guided treatments for the complications of pancreatitis include percutaneous interventions on simple and complex peripancreatic collections, pseudocysts, and fistulas. Vascular interventions predominantly focus on the treatment of pseudoaneurysms, hemorrhagic pseudocysts, and arteriovenous malformations. Emerging ablative techniques for pancreatic cancer are promising and include percutaneous radiofrequency ablation, microwave ablation, irreversible electroporation, and electrochemotherapy. Image-guided interventions on the transplanted pancreas commonly include percutaneous biopsy and drainage in addition to endovascular treatments of vascular complications.

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10

Nimsdorf, F., C. Happel, H. Ackermann, F. Grünwald y H. Korkusuz. "Percutaneous microwave ablation of benign thyroid nodules". Nuklearmedizin 54, n.º 01 (2015): 13–19. http://dx.doi.org/10.3413/nukmed-0678-14-06.

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SummaryAim: Thyroid nodules represent a common clinical issue. Amongst other minimally invasive procedures, percutaneous microwave ablation (MWA) poses a promising new approach. The goal of this retrospective study is to find out if there is a correlation between volume reduction after 3 months and 99mTcuptake reduction of treated thyroid nodules. Patients, methods: 14 patients with 18 nodules were treated with MWA. Pre-ablative assessment included sonographical and functional imaging of the thyroid with 99mTcpertechnetate and 99mTc-MIBI. Additionally, patients underwent thyroid scintigraphy 24 hours after ablation in order to evaluate the impact of the treatment on a functional level and to ensure sufficient ablation of the targeted area. At a 3-month follow-up, ultrasound examination was performed to assess nodular volume reduction. Results: Mean relative nodular volume reduction after three months was 55.4 ± 17.9% (p < 0.05). 99mTcuptake 24 hours after treatment was 45.2 ± 31.9% (99mTc-MIBI) and 35.7 ± 20.3% (99mTcpertechnetate) lower than prior to ablation (p < 0.05). Correlating reduction of volume and 99mTc-uptake, Pearson's r was 0.41 (p < 0.05) for nodules imaged with 99mTc-MIBI and –0.98 (p < 0.05) for 99mTc-pertechnetate. According to scintigraphy 99.6 ± 22.6% of the determined target area could be successfully ablated. Conclusions: MWA can be considered as an efficient, low-risk and convenient new approach to the treatment of benign thyroid nodules. Furthermore, scintigraphy seems to serve as a potential prognostic tool for the later morphological outcome, allowing rapid evaluation of the targeted area in post-ablative examination.

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Bréhier, Germain, Louis Besnier, Anaïs Delagnes, Frédéric Oberti, Jérôme Lebigot, Christophe Aubé y Anita Paisant. "Imaging after percutaneous thermal and non-thermal ablation of hepatic tumour: normal appearances, progression and complications". British Journal of Radiology 94, n.º 1123 (1 de julio de 2021): 20201327. http://dx.doi.org/10.1259/bjr.20201327.

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The increasing number of liver tumours treated by percutaneous ablation leads all radiologists to be confronted with the difficult interpretation of post-ablation imaging. Radiofrequency and microwave techniques are most commonly used. Recently, irreversible electroporation treatments that do not induce coagulation necrosis but cellular apoptose and respect the collagen architecture of bile ducts and vessels have been introduced and lead to specific post-ablation features and evolution. Ablations cause ‘normal’ changes in ablation and periablation zones. It is necessary to know these post-ablation features to avoid the misinterpretation of recurrence or complication that would lead to unnecessary treatments. Another challenge for the radiologist is to detect as early as possible the residual unablated tumour or the disease progression (local progression and tumour seeding) that will require a new treatment. Finally, the complications, frequent or rarer, should be recognised to be managed adequately. The purpose of this article is therefore to describe the large spectrum of normal and pathological aspects related to the treatment of hepatic tumour by percutaneous thermal ablation and irreversible electroporation ablation.

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Hui, Terrence Chi Hong, Ming Yann Lim, Amit Anand Karandikar, Siu Cheng Loke y Uei Pua. "A Technical Guide to Palliative Ablation of Recurrent Cancers in the Deep Spaces of the Suprahyoid Neck". Seminars in Interventional Radiology 39, n.º 02 (abril de 2022): 184–91. http://dx.doi.org/10.1055/s-0042-1745764.

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AbstractTreatment options for patients with recurrent head and neck cancer, whether locoregional recurrence of previously treated head and neck cancer or secondary primary malignancy, are limited. Percutaneous ablation is a minimally invasive procedure that can be used with palliative intent in the head and neck to achieve symptomatic relief and local tumor control, potentially fulfilling treatment gaps of current standard of care options. Image guidance is key when navigating the deep spaces of the neck with special attention paid to critical structures within the carotid sheath. This review article provides an overview and highlights the important nuances of performing percutaneous ablations in the head and neck. It covers general principles, ablative modalities, image guidance, procedural technique, expected outcomes, and possible complications.

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13

Camacho, Juan C., Elena N. Petre y Constantinos T. Sofocleous. "Thermal Ablation of Metastatic Colon Cancer to the Liver". Seminars in Interventional Radiology 36, n.º 04 (octubre de 2019): 310–18. http://dx.doi.org/10.1055/s-0039-1698754.

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AbstractColorectal cancer (CRC) is responsible for approximately 10% of cancer-related deaths in the Western world. Liver metastases are frequently seen at the time of diagnosis and throughout the course of the disease. Surgical resection is often considered as it provides long-term survival; however, few patients are candidates for resection. Percutaneous ablative therapies are also used in the management of this patient population. Different thermal ablation (TA) technologies are available including radiofrequency ablation, microwave ablation (MWA), laser, and cryoablation. There is growing evidence about the role of interventional oncology and image-guided percutaneous ablation in the management of metastatic colorectal liver disease. This article aims to outline the technical considerations, outcomes, and rational of TA in the management of patients with CRC liver metastases, focusing on the emerging role of MWA.

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Shapiro, Robert S. "Cryotherapy and Percutaneous Ablation". American Journal of Roentgenology 182, n.º 6 (junio de 2004): 1597. http://dx.doi.org/10.2214/ajr.182.6.1821597a.

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Robert Sheu, Yun y Kelvin Hong. "Percutaneous Lung Tumor Ablation". Techniques in Vascular and Interventional Radiology 16, n.º 4 (diciembre de 2013): 239–52. http://dx.doi.org/10.1053/j.tvir.2013.09.001.

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16

Miller, Mickey. "Percutaneous ablation of gallstones". Annals of Emergency Medicine 20, n.º 7 (julio de 1991): 826. http://dx.doi.org/10.1016/s0196-0644(05)80866-2.

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17

Saksena, Mansi y D. Gervais. "Percutaneous renal tumor ablation". Abdominal Imaging 34, n.º 5 (17 de diciembre de 2008): 582–87. http://dx.doi.org/10.1007/s00261-008-9478-3.

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18

Filippiadis, Dimitrios K., Sean Tutton y Alexis Kelekis. "Percutaneous bone lesion ablation". La radiologia medica 119, n.º 7 (4 de junio de 2014): 462–69. http://dx.doi.org/10.1007/s11547-014-0418-8.

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19

Dempsey, Daniel T., Catherine Contreras, Richard Milner, Cyril Abrahams y John V. White. "Percutaneous ablation of gallstones". Journal of Surgical Research 49, n.º 2 (agosto de 1990): 116–20. http://dx.doi.org/10.1016/0022-4804(90)90248-z.

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20

Folch, Erik, Yanglin Guo y Michal Senitko. "Therapeutic Bronchoscopy for Lung Nodules: Where Are We Now?" Seminars in Respiratory and Critical Care Medicine 43, n.º 04 (agosto de 2022): 480–91. http://dx.doi.org/10.1055/s-0042-1749368.

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AbstractLobar resection has been the established standard of care for peripheral early-stage non—small cell lung cancer (NSCLC). Over the last few years, surgical lung sparing approach (sublobar resection [SLR]) has been compared with lobar resection in T1N0 NSCLC. Three nonsurgical options are available in those patients who have a prohibitive surgical risk, and those who refuse surgery: stereotactic body radiotherapy (SBRT), percutaneous ablation, and bronchoscopic ablation. Local ablation involves placement of a probe into a tumor, and subsequent application of either heat or cold energy, pulsing electrical fields, or placement of radioactive source under an image guidance to create a zone of cell death that encompasses the targeted lesion and an ablation margin. Despite being in their infancy, the bronchoscopic ablative techniques are undergoing rapid research, as they extrapolate a significant knowledge-base from the percutaneous techniques that have been in the radiologist's armamentarium since 2000. Here, we discuss selected endoscopic and percutaneous thermal and non-thermal therapies with the focus on their efficacy and safety.

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Sparchez, Zeno, Tudor Mocan, Nadim All Hajjar, Adrian Bartos, Claudia Hagiu, Daniela Matei, Rares Craciun, Lavinia Patricia Mocan, Mihaela Sparchez y Daniel Corneliu Leucuta. "Percutaneous ultrasound guided radiofrequency and microwave ablation in the treatment of hepatic metastases. A monocentric initial experience." Medical Ultrasonography 21, n.º 3 (31 de agosto de 2019): 217. http://dx.doi.org/10.11152/mu-1957.

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Aim: Percutaneous radiofrequency (RFA) and microwave ablation (MWA) are currently the best treatment options forpatients with liver metastases (LM) who cannot undergo a liver resection procedure. Presently, few studies have evaluated theefficacy of tumor ablation in beginner’s hands but none at all in hepatic metastasis. Our aim was to report the initial experiencewith ultrasound as a tool to guide tumor ablation in a low volume center with no experience in tumor ablation.Material and methods: We conducted a retrospective cohort study, on a series of 61 patients who had undergone percutaneous US-guided ablations for 82 LM between 2010 and 2015. Long term outcome predictors were assessed using univariate and multivariate analysis.Results: Complete ablation was achieved in 86.9% of cases (53/61). All MWA sessions (20/20) attained ablation margins >5mm, compared to 79% (49/62) for RFA sessions (p=0.031). Ablation time was significantly shorter for MWA, with a median duration of 10 minutes (range: 6-12) vs. 14 minutes (range: 10-19.5, p=0.003). There was no statistically significant difference in local tumor progression (LTP)-free survival rates between MWA and RFA (p=0.154). On univariate analysis, significant predictors for local recurrence were multiple metastases (p=0.013) and ablation margins <5 mm (p<.001), both retaining significance on multivariate analysis. Significant predictors for distant recurrence on both univariate and multivariate analysis were multiple metastases (p<0.001) and non-colorectal cancer metastases (p<0.05).Conclusion: A larger than 5 mm ablation size is critical for local tumor control. We favor the use of MWA due to its ability to achieve ablation in significantlyshorter times with less incomplete ablations.

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Maria, Tsitskari y Christos Georgiades. "Percutaneous Cryoablation for Renal Cell Carcinoma". Journal of Kidney Cancer and VHL 2, n.º 3 (9 de junio de 2015): 105–13. http://dx.doi.org/10.15586/jkcvhl.2015.34.

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Renal cell carcinoma (RCC) is the most common type of kidney cancer in adults. Nephron sparing resection (partial nephrectomy) has been the “gold standard” for the treatment of resectable disease. With the widespread use of cross sectional imaging techniques, more cases of renal cell cancers are detected at an early stage, i.e. stage 1A or 1B. This has provided an impetus for expanding the nephron sparing options and especially, percutaneous ablative techniques. Percutaneous ablation for RCC is now performed as a standard therapeutic nephron-sparing option in patients who are poor candidates for resection or when there is a need to preserve renal function due to comorbid conditions, multiple renal cell carcinomas, and/or heritable renal cancer syndromes. During the last few years, percutaneous cryoablation has been gaining acceptance as a curative treatment option for small renal cancers. Clinical studies to date indicate that cryoablation is a safe and effective therapeutic method with acceptable short and long term outcomes and with a low risk, in the appropriate setting. In addition it seems to offer some advantages over radio frequency ablation (RFA) and other thermal ablation techniques for renal masses.

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Puijk, Robbert S., Alette H. Ruarus, Hester J. Scheffer, Laurien G. P. H. Vroomen, Aukje A. J. M. van Tilborg, Jan J. J. de Vries, Ferco H. Berger, Petrousjka M. P. van den Tol y Martijn R. Meijerink. "Percutaneous Liver Tumour Ablation: Image Guidance, Endpoint Assessment, and Quality Control". Canadian Association of Radiologists Journal 69, n.º 1 (febrero de 2018): 51–62. http://dx.doi.org/10.1016/j.carj.2017.11.001.

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Liver tumour ablation nowadays represents a routine treatment option for patients with primary and secondary liver tumours. Radiofrequency ablation and microwave ablation are the most widely adopted methods, although novel techniques, such as irreversible electroporation, are quickly working their way up. The percutaneous approach is rapidly gaining popularity because of its minimally invasive character, low complication rate, good efficacy rate, and repeatability. However, matched to partial hepatectomy and open ablations, the issue of ablation site recurrences remains unresolved and necessitates further improvement. For percutaneous liver tumour ablation, several real-time imaging modalities are available to improve tumour visibility, detect surrounding critical structures, guide applicators, monitor treatment effect, and, if necessary, adapt or repeat energy delivery. Known predictors for success are tumour size, location, lesion conspicuity, tumour-free margin, and operator experience. The implementation of reliable endpoints to assess treatment efficacy allows for completion-procedures, either within the same session or within a couple of weeks after the procedure. Although the effect on overall survival may be trivial, (local) progression-free survival will indisputably improve with the implementation of reliable endpoints. This article reviews the available needle navigation techniques, evaluates potential treatment endpoints, and proposes an algorithm for quality control after the procedure.

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Gunn, Andrew J., Benjamin J. Mullenbach, May M. Poundstone, Jennifer B. Gordetsky, Edgar S. Underwood y Soroush Rais-Bahrami. "Trans-Arterial Embolization of Renal Cell Carcinoma prior to Percutaneous Ablation: Technical Aspects, Institutional Experience, and Brief Review of the Literature". Current Urology 12, n.º 1 (2018): 43–49. http://dx.doi.org/10.1159/000447230.

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This report describes the technical aspects of trans-arterial embolization (TAE) of renal cell carcinoma prior to percutaneous ablation. All patients (n = 11) had a single renal mass (mean tumor diameter = 50.2 mm; range: 28-84 mm). Selective TAE was performed via the common femoral artery. Embolic materials included: particles alone (n = 4), coils alone (n = 1), particles + ethiodized oil (n = 2), particles + coils (n = 1), ethiodized oil + ethanol (n = 2), and particles + ethanol (n = 1). All embolizations were technically successful and no complications have been reported. After embolization, 10 patients underwent cryoablation while 1 patient underwent microwave ablation. Ablations were technically successful in 10 of the 11 patients. Only 3 minor complications were identified but none required treatment. No adverse effect on the patient's glomerular filtration rate was seen from the additional procedure (p = 0.84). TAE of renal cell carcinoma prior to percutaneous ablation is safe and technically-feasible.

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Mahnken, Andreas, Alexander König y Jens Figiel. "Current Technique and Application of Percutaneous Cryotherapy". RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren 190, n.º 09 (17 de abril de 2018): 836–46. http://dx.doi.org/10.1055/a-0598-5134.

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Purpose Local ablative therapies have become an established treatment option in interventional oncology. Radiofrequency ablation (RFA) and microwave ablation (MWA) are a standard of care in the treatment of hepatocellular carcinoma (HCC). Currently, there is an increasing interest in cryotherapy, one of the oldest ablation techniques. It has some unique characteristics with regard to technology and mechanism of action. Materials and Methods A systematic literature search using the terms cryotherapy, cryosurgery and cryoablation was performed. Selected studies are presented dealing with the mechanism of action, cryobiology and clinical use of percutaneous, image-guided cryoablation. Recent developments and perspectives are presented. Results Cryotherapy is increasingly used and has been included in guidelines for selected tumor entities such as renal cell carcinoma. Cryo-immunotherapy and combination treatments are future areas of interest. Conclusion Cryoabalation may be used in many indications. Its major advantages are its unique visualization and the anesthesiologic effects of cold. While there are only a few prospectively randomized trials, the existing data on the use of cryoablation is promising. Its use appears to be justified in selected tumors, oligometastatic patients and for palliative indications. Key Points Citation Format

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Wai, Ophelia Ka Heng, Lawrence Fung Him Ng, Peter San Ming Yu y James Chi Sang Chan. "Post biopsy Liver Hemorrhage Successfully Controlled by Ultrasound-guided Percutaneous Microwave Ablation". Journal of Clinical Imaging Science 6 (19 de septiembre de 2016): 34. http://dx.doi.org/10.4103/2156-7514.190859.

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Percutaneous microwave coagulation therapy has been one of the major new developments in tumor ablation. Microwave ablation has also been used intraoperatively to achieve hemostasis at surgical margins in laparotomy. However, the use of microwave ablation for coagulation and hemostasis through percutaneous approach has not been described in the literature. Here, we report a case of hepatic amyloidosis with massive post biopsy liver hemorrhage, which could not be by transarterial embolization, and subsequently controlled by ultrasound-guided percutaneous microwave ablation. To the best of our knowledge, this is the first reported case of this technology application in human.

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D’Onofrio, Mirko, Valentina Ciaravino, Riccardo De Robertis, Emilio Barbi, Roberto Salvia, Roberto Girelli, Salvatore Paiella, Camilla Gasparini, Nicolò Cardobi y Claudio Bassi. "Percutaneous ablation of pancreatic cancer". World Journal of Gastroenterology 22, n.º 44 (2016): 9661. http://dx.doi.org/10.3748/wjg.v22.i44.9661.

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28

Neeman, Ziv, Jay W. Patti y Bradford J. Wood. "Percutaneous Radiofrequency Ablation of Chordoma". American Journal of Roentgenology 179, n.º 5 (noviembre de 2002): 1330–32. http://dx.doi.org/10.2214/ajr.179.5.1791330.

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Albisinni, Ugo, Eugenio Rimondi, Maria Cristina Malaguti y Rosanna Ciminari. "Percutaneous Radiofrequency Ablation of Chordoma". American Journal of Roentgenology 183, n.º 1 (julio de 2004): 245–46. http://dx.doi.org/10.2214/ajr.183.1.1830245.

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30

Weinstein, Jeffrey L. y Muneeb Ahmed. "Percutaneous Ablation for Hepatocellular Carcinoma". American Journal of Roentgenology 210, n.º 6 (junio de 2018): 1368–75. http://dx.doi.org/10.2214/ajr.17.18695.

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31

Gelczer, R. K., J. W. Charboneau, S. Hussain y D. L. Brown. "Complications of percutaneous ethanol ablation." Journal of Ultrasound in Medicine 17, n.º 8 (agosto de 1998): 531–33. http://dx.doi.org/10.7863/jum.1998.17.8.531.

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32

Dalal, Paras. "Percutaneous Ablation for Lung Tumors". Clinical Pulmonary Medicine 20, n.º 2 (marzo de 2013): 97–107. http://dx.doi.org/10.1097/cpm.0b013e318285b936.

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33

Venkatesan, Aradhana M., Julia Locklin, Damian E. Dupuy y Bradford J. Wood. "Percutaneous Ablation of Adrenal Tumors". Techniques in Vascular and Interventional Radiology 13, n.º 2 (junio de 2010): 89–99. http://dx.doi.org/10.1053/j.tvir.2010.02.004.

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Brennan, Ian M., Salomao Faintuch y Muneeb Ahmed. "Preparation for Percutaneous Ablation Procedures". Techniques in Vascular and Interventional Radiology 16, n.º 4 (diciembre de 2013): 209–18. http://dx.doi.org/10.1053/j.tvir.2013.08.004.

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Gervais, Debra. "Percutaneous Ablation of Renal Malignancies". Journal of Vascular and Interventional Radiology 16, n.º 2 (febrero de 2005): P210—P212. http://dx.doi.org/10.1016/s1051-0443(05)70170-6.

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Venkatesan, Aradhana M., Bradford J. Wood y Debra A. Gervais. "Percutaneous Ablation in the Kidney". Radiology 261, n.º 2 (noviembre de 2011): 375–91. http://dx.doi.org/10.1148/radiol.11091207.

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Bansal, Devanshu y Rajeev Kumar. "Percutaneous ablation for renal masses". Annals of Translational Medicine 7, S6 (septiembre de 2019): S174. http://dx.doi.org/10.21037/atm.2019.07.96.

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McCarley, James y Michael Soulen. "Percutaneous Ablation of Hepatic Tumors". Seminars in Interventional Radiology 27, n.º 03 (20 de agosto de 2010): 255–60. http://dx.doi.org/10.1055/s-0030-1261783.

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Seggewiss, Hubert. "Percutaneous alcohol ablation in HOCM". Catheterization and Cardiovascular Interventions 48, n.º 2 (octubre de 1999): 241b—242a. http://dx.doi.org/10.1002/(sici)1522-726x(199910)48:2<241b::aid-ccd33>3.0.co;2-4.

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Rubin, David N., E. Murat Tuzcu y Harry M. Lever. "Percutaneous transluminal septal myocardial ablation". Current Cardiology Reports 2, n.º 2 (marzo de 2000): 160–65. http://dx.doi.org/10.1007/s11886-000-0014-5.

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Thakore, Sanket y Juan Carlos Perez Lozada. "Percutaneous Ablation of Intrathoracic Malignancy". Current Pulmonology Reports 9, n.º 4 (21 de octubre de 2020): 171–80. http://dx.doi.org/10.1007/s13665-020-00262-y.

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Tranberg, K. G. "Percutaneous ablation of liver tumours". Best Practice & Research Clinical Gastroenterology 18, n.º 1 (febrero de 2004): 125–45. http://dx.doi.org/10.1016/j.bpg.2003.08.001.

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Deschamps, F., G. Farouil y T. de Baere. "Percutaneous ablation of bone tumors". Diagnostic and Interventional Imaging 95, n.º 7-8 (julio de 2014): 659–63. http://dx.doi.org/10.1016/j.diii.2014.04.004.

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Ioannou, George N. "Percutaneous ablation for hepatocellular carcinoma". Hepatology 41, n.º 4 (2005): 942. http://dx.doi.org/10.1002/hep.20641.

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Wood, Bradford J., Jeffrey R. Ramkaransingh, Tito Fojo, McClellan M. Walther y Stephen K. Libutti. "Percutaneous tumor ablation with radiofrequency". Cancer 94, n.º 2 (15 de enero de 2002): 443–51. http://dx.doi.org/10.1002/cncr.10234.

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Mansur, Arian, Tushar Garg, Apurva Shrigiriwar, Vahid Etezadi, Christos Georgiades, Peiman Habibollahi, Timothy C. Huber et al. "Image-Guided Percutaneous Ablation for Primary and Metastatic Tumors". Diagnostics 12, n.º 6 (24 de mayo de 2022): 1300. http://dx.doi.org/10.3390/diagnostics12061300.

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Resumen

Image-guided percutaneous ablation methods have been further developed during the recent two decades and have transformed the minimally invasive and precision features of treatment options targeting primary and metastatic tumors. They work by percutaneously introducing applicators to precisely destroy a tumor and offer much lower risks than conventional methods. There are usually shorter recovery periods, less bleeding, and more preservation of organ parenchyma, expanding the treatment options of patients with cancer who may not be eligible for resection. Image-guided ablation techniques are currently utilized for the treatment of primary and metastatic tumors in various organs including the liver, pancreas, kidneys, thyroid and parathyroid, prostate, lung, bone, and soft tissue. This article provides a brief review of the various imaging modalities and available ablation techniques and discusses their applications and associated complications in various organs.

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Galambos, David Maxwell, Aliaksei Salei, Soroush Rais-Bahrami y Rakesh K. Varma. "Intrahepatic renal cell carcinoma implantation along a percutaneous biopsy and cryoablation probe tract". BMJ Case Reports 15, n.º 5 (mayo de 2022): e248250. http://dx.doi.org/10.1136/bcr-2021-248250.

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A man in his 60s underwent percutaneous biopsy and cryoablation of a right upper pole clear cell renal cell carcinoma followed by repeat cryoablation 8 months later for possible residual disease. The patient was followed with imaging with documented stability for 19 months after repeat ablation. However, imaging at 32 months demonstrated intrahepatic nodular enhancing lesions along the initial percutaneous biopsy and ablation tract, consistent with metastatic implantation. The patient underwent repeat percutaneous biopsy and two rounds of microwave ablation for treatment of the intrahepatic implants, with no residual disease at 10 months postablation. While needle tract seeding is a known complication of percutaneous manipulation of various abdominopelvic malignancies, there have been no prior reports of intrahepatic metastatic implants related to percutaneous renal cell carcinoma ablation. Awareness of this potential complication is important for treatment planning, informed consent and surveillance. This report shares our experience of the management of intrahepatic metastatic implants.

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48

Tulaka, Budi, Bradley Jimmy Waleleng y Luciana Rotty. "Purcutaneus Radiofrequency Ablation In Liver Tumor". Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy 23, n.º 2 (6 de septiembre de 2022): 237–43. http://dx.doi.org/10.24871/2322022237-243.

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Tumor ablation is a minimally invasive approach commonly used in the treatment of liver tumors. Over the last two decades, percutaneous radiofrequency ablation (RFA) has been widely used for primary tumors and small metastases, especially in the liver. Effective treatment of RFA can be accomplished by complete ablation of the tumor accompanied by a margin resection of at least 0.5 cm. One of the commonly used methods is percutaneous radiofrequency ablation. The overall and disease-free survival rate of RFA was found to be more effective than that observed with surgical resection. The success rate of RFA is highly dependent on the precision of tumor targeting, which is influenced by two main factors, such as electrode tip placement and angulation for electrode placement. In this literature review, we will discuss about percutaneous radiofrequency ablation.

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Arif, Kamil y Andrew J. Gunn. "Pneumodissection during Percutaneous Renal Ablation Resulting in Air Embolism: Percutaneous Management and a Review of the Literature". Seminars in Interventional Radiology 36, n.º 02 (22 de mayo de 2019): 120–25. http://dx.doi.org/10.1055/s-0039-1688426.

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AbstractPercutaneous renal ablation is a nephron-sparing approach for selected patients with renal cell carcinoma. Common complications include hemorrhage, injury to the urinary collecting system, and abscess formation. The purpose of this article is to present a case of vascular air embolism as a complication of pneumodissection performed during percutaneous ablation of renal cell carcinoma, discuss its successful percutaneous management, review common complications of renal ablation, and outline steps physicians can take to lessen these complications.

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Wimmer, Thomas, Govindarajan Srimathveeravalli, Mikhail Silk, Sebastien Monette, Narendra Gutta, Majid Maybody, Joseph P. Erinjery, Jonathan A. Coleman, Stephen B. Solomon y Constantinos T. Sofocleous. "Feasibility of a Modified Biopsy Needle for Irreversible Electroporation Ablation and Periprocedural Tissue Sampling". Technology in Cancer Research & Treatment 15, n.º 6 (9 de julio de 2016): 749–58. http://dx.doi.org/10.1177/1533034615608739.

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Objectives: To test the feasibility of modified biopsy needles as probes for irreversible electroporation ablation and periprocedural biopsy. Methods: Core biopsy needles of 16-G/9-cm were customized to serve as experimental ablation probes. Computed tomography-guided percutaneous irreversible electroporation was performed in in vivo porcine kidneys with pairs of experimental (n = 10) or standard probes (n = 10) using a single parameter set (1667 V/cm, ninety 100 µs pulses). Two biopsy samples were taken immediately following ablation using the experimental probes (n = 20). Ablation outcomes were compared using computed tomography, simulation, and histology. Biopsy and necropsy histology were compared. Results: Simulation-suggested ablations with experimental probes were smaller than that with standard electrodes (455.23 vs 543.16 mm2), although both exhibited similar shape. Computed tomography (standard: 556 ± 61 mm2, experimental: 515 ± 67 mm2; P = .25) and histology (standard: 313 ± 77 mm2, experimental: 275 ± 75 mm2; P = .29) indicated ablations with experimental probes were not significantly different from the standard. Histopathology indicated similar morphological changes in both groups. Biopsies from the ablation zone yielded at least 1 core with sufficient tissue for analysis (11 of the 20). Conclusions: A combined probe for irreversible electroporation ablation and periprocedural tissue sampling from the ablation zone is feasible. Ablation outcomes are comparable to those of standard electrodes.

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