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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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| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | Radiology and Oncology | ||||
| Verlag: | WALTER DE GRUYTER GMBH | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | BERLIN | ||||
| Band: | 53 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 1 | ||||
| Seitenbereich: | S. 116-122 | ||||
| Datum | 3 März 2019 | ||||
| Institutionen | Medizin > Lehrstuhl für Chirurgie Medizin > Lehrstuhl für Röntgendiagnostik Medizin > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien | ||||
| Identifikationsnummer |
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| Stichwörter / Keywords | MALIGNANT 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-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-401477 | ||||
| Dokumenten-ID | 40147 |
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