Abstract
Although radio-frequency (RF) ablation has been accepted as a promising and safe technique for treatment of unresectable hepatic tumors, investigation of its complications has been limited. According to the multicenter (1,139 patients in 11 institutions) survey data of the Korean Study Group of Radiofrequency Ablation, a spectrum of complications occurred after RF ablation of hepatic tumors. The prevalence of major complications was 2.43%. The most common complications were hepatic abscess (0.66%), peritoneal hemorrhage (0.46%), biloma (0.20%), ground pad burn (0.20%), pneumothorax (0.20%), and vasovagal reflex (0.13%). Other complications were biliary stricture, diaphragmatic injury, gastric ulcer, hemothorax, hepatic failure, hepatic infarction, renal infarction, sepsis, and transient ischemic attack. One procedure-related death (0.09%) occurred (due to peritoneal hemorrhage). Three important strategies for decreasing the rate of complications are prevention, early detection, and proper management. A physician who performs RF ablation of hepatic malignancies should be aware of the broad spectrum of major complications so that these strategies can be used.
| Original language | English |
|---|---|
| Pages (from-to) | 123-134 |
| Number of pages | 12 |
| Journal | Radiographics |
| Volume | 23 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2003 Jan 1 |
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Keywords
- Interventional procedures, complications, 761.1269
- Liver neoplasms, therapy, 761.1269, 761.30
- Liver, interventional procedures, 761.1269
- Radiofrequency (RF) ablation, 761.1269
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Major Complications after Radio-frequency Thermal Ablation of Hepatic Tumors : Spectrum of Imaging Findings. / Rhim, Hyunchul; Yoon, Kwon Ha; Lee, Jeong Min; Cho, Yoonkoo; Cho, June Sik; Kim, Seung Hoon; Lee, Won Jae; Lim, Hyo Keun; Nam, Gyoung Jin; Han, Sang Suk; Kim, Yun Hwan; Park, Cheol Min; Kim, Pyo Nyun; Byun, Jae Young.
In: Radiographics, Vol. 23, No. 1, 01.01.2003, p. 123-134.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Major Complications after Radio-frequency Thermal Ablation of Hepatic Tumors
T2 - Spectrum of Imaging Findings
AU - Rhim, Hyunchul
AU - Yoon, Kwon Ha
AU - Lee, Jeong Min
AU - Cho, Yoonkoo
AU - Cho, June Sik
AU - Kim, Seung Hoon
AU - Lee, Won Jae
AU - Lim, Hyo Keun
AU - Nam, Gyoung Jin
AU - Han, Sang Suk
AU - Kim, Yun Hwan
AU - Park, Cheol Min
AU - Kim, Pyo Nyun
AU - Byun, Jae Young
PY - 2003/1/1
Y1 - 2003/1/1
N2 - Although radio-frequency (RF) ablation has been accepted as a promising and safe technique for treatment of unresectable hepatic tumors, investigation of its complications has been limited. According to the multicenter (1,139 patients in 11 institutions) survey data of the Korean Study Group of Radiofrequency Ablation, a spectrum of complications occurred after RF ablation of hepatic tumors. The prevalence of major complications was 2.43%. The most common complications were hepatic abscess (0.66%), peritoneal hemorrhage (0.46%), biloma (0.20%), ground pad burn (0.20%), pneumothorax (0.20%), and vasovagal reflex (0.13%). Other complications were biliary stricture, diaphragmatic injury, gastric ulcer, hemothorax, hepatic failure, hepatic infarction, renal infarction, sepsis, and transient ischemic attack. One procedure-related death (0.09%) occurred (due to peritoneal hemorrhage). Three important strategies for decreasing the rate of complications are prevention, early detection, and proper management. A physician who performs RF ablation of hepatic malignancies should be aware of the broad spectrum of major complications so that these strategies can be used.
AB - Although radio-frequency (RF) ablation has been accepted as a promising and safe technique for treatment of unresectable hepatic tumors, investigation of its complications has been limited. According to the multicenter (1,139 patients in 11 institutions) survey data of the Korean Study Group of Radiofrequency Ablation, a spectrum of complications occurred after RF ablation of hepatic tumors. The prevalence of major complications was 2.43%. The most common complications were hepatic abscess (0.66%), peritoneal hemorrhage (0.46%), biloma (0.20%), ground pad burn (0.20%), pneumothorax (0.20%), and vasovagal reflex (0.13%). Other complications were biliary stricture, diaphragmatic injury, gastric ulcer, hemothorax, hepatic failure, hepatic infarction, renal infarction, sepsis, and transient ischemic attack. One procedure-related death (0.09%) occurred (due to peritoneal hemorrhage). Three important strategies for decreasing the rate of complications are prevention, early detection, and proper management. A physician who performs RF ablation of hepatic malignancies should be aware of the broad spectrum of major complications so that these strategies can be used.
KW - Interventional procedures, complications, 761.1269
KW - Liver neoplasms, therapy, 761.1269, 761.30
KW - Liver, interventional procedures, 761.1269
KW - Radiofrequency (RF) ablation, 761.1269
UR - http://www.scopus.com/inward/record.url?scp=0038192394&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0038192394&partnerID=8YFLogxK
U2 - 10.1148/rg.231025054
DO - 10.1148/rg.231025054
M3 - Article
C2 - 12533647
AN - SCOPUS:0038192394
VL - 23
SP - 123
EP - 134
JO - Radiographics
JF - Radiographics
SN - 0271-5333
IS - 1
ER -