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Verloh, Niklas ; Jensch, Isabel ; Lürken, Lukas ; Haimerl, Michael ; Dollinger, Marco ; Renner, Philipp ; Wiggermann, Philipp ; Werner, Jens Martin ; Zeman, Florian ; Stroszczynski, Christian ; Beyer, Lukas Philipp

Similar complication rates for irreversible electroporation and thermal ablation in patients with hepatocellular tumors

Verloh, Niklas, Jensch, Isabel, Lürken, Lukas, Haimerl, Michael, Dollinger, Marco, Renner, Philipp, Wiggermann, Philipp, Werner, Jens Martin, Zeman, Florian, Stroszczynski, Christian und Beyer, Lukas Philipp (2019) Similar complication rates for irreversible electroporation and thermal ablation in patients with hepatocellular tumors. Radiology and Oncology 53 (1), S. 116-122.

Veröffentlichungsdatum dieses Volltextes: 30 Apr 2019 11:07
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.40147


Zusammenfassung

Background. To compare the frequency of adverse events of thermal microwave (MWA) and radiofrequency ablation (RFA) with non-thermal irreversible electroporation (IRE) in percutaneous ablation of hepatocellular carcinoma (HCC). Patients and methods. We retrospectively analyzed 117 MWA/RFA and 47 IRE procedures (one tumor treated per procedure; 144 men and 20 women; median age, 66 years) regarding ...

Background. To compare the frequency of adverse events of thermal microwave (MWA) and radiofrequency ablation (RFA) with non-thermal irreversible electroporation (IRE) in percutaneous ablation of hepatocellular carcinoma (HCC). Patients and methods. We retrospectively analyzed 117 MWA/RFA and 47 IRE procedures (one tumor treated per procedure; 144 men and 20 women; median age, 66 years) regarding adverse events, duration of hospital and intensive care unit (ICU) stays and occurrence of a post-ablation syndrome. Complications were classified according to the Clavien & Dindo classification system. Results. 70.1% of the RFA/MWA and 63.8% of the IRE procedures were performed without complications. Grade I and II complications (any deviation from the normal postinterventional course, e.g., analgesics) occurred in 26.5% (31/117) of MWA/RFA and 34.0% (16/47) of IRE procedures. Grade III and IV (major) complications occurred in 2.6% (3/117) of MWA/RFA and 2.1% (1/47) of IRE procedures. There was no significant difference in the frequency of complications (p = 0.864), duration of hospital and ICU stay and the occurrence of a post-ablation syndrome between the two groups. Conclusions. Our results suggest that thermal (MWA and RFA) and non-thermal IRE ablation of malignant liver tumors have comparable complication rates despite the higher number of punctures and the lack of track cauterization in IRE.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftRadiology and Oncology
Verlag:WALTER DE GRUYTER GMBH
Ort der Veröffentlichung:BERLIN
Band:53
Nummer des Zeitschriftenheftes oder des Kapitels:1
Seitenbereich:S. 116-122
Datum3 März 2019
InstitutionenMedizin > Lehrstuhl für Chirurgie
Medizin > Lehrstuhl für Röntgendiagnostik
Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien
Identifikationsnummer
WertTyp
10.2478/raon-2019-0011DOI
Stichwörter / KeywordsMALIGNANT LIVER-TUMORS; PERCUTANEOUS RADIOFREQUENCY ABLATION; TISSUE ABLATION; MICROWAVE ABLATION; HEPATIC-TUMORS; BLOOD-FLOW; CARCINOMA; EFFICACY; SAFETY; MANAGEMENT; tumor ablation; interventional oncology; complications; adverse events; RFA; MWA; IRE
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-401477
Dokumenten-ID40147

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