Brachial Nerve Injury Caused by Percutaneous Radiofrequency Ablation of Apical Lung Cancer: A Report of Four Cases

Hiraki, Takao; Gobara, Hideo; Mimura, Hidefumi; Sano, Yoshifumi; Toyooka, Shinichi; Shibamoto, Kentaro; Kishi, Ryotaro; Uka, Mayu; Kanazawa, Susumu

doi:10.1016/j.jvir.2010.03.007

Cited by 39 publications

(25 citation statements)

References 13 publications

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“…Because the brachial plexus is located deep in the neck, thermal injury is unusual, but this complication has been reported during the ablation of apical lung cancer ( 37 ). Continuous moving of the electrode without tracing the electrode tip and echogenic microbubbles that prevent the electrode tip from being clearly visualized may result in penetration of the RF electrode beyond the thyroid capsule.…”

Section: Vascular and Interventional Radiology: Us-guided Rf Ablationmentioning

confidence: 99%

Complications Encountered in the Treatment of Benign Thyroid Nodules with US-guided Radiofrequency Ablation: A Multicenter Study

et al. 2012

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Section: Vascular and Interventional Radiology: Us-guided Rf Ablationmentioning

confidence: 99%

Complications Encountered in the Treatment of Benign Thyroid Nodules with US-guided Radiofrequency Ablation: A Multicenter Study

et al. 2012

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“…Additionally, it has become a useful tool for palliation of painful metastases ( 15 ). Numerous case reports and series have cited nerve damage as a complication of thermal ablation techniques ( 3,5,16–22 ). Nerves adjacent to ablation zones are susceptible to both hot and cold thermal damage ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Feasibility of Intraoperative Nerve Monitoring in Preventing Thermal Damage to the “Nerve at Risk” During Image-Guided Ablation of Tumors

Marshall

Avila

Solomon

et al. 2015

Cardiovasc Intervent Radiol

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Purpose To assess feasibility of intraoperative neurophysiologic monitoring (IONM) during image-guided, percutaneous thermal ablation of tumors. Materials and Methods From February 2009 to October 2013, a retrospective review of all image-guided percutaneous thermal ablation interventions using IONM was performed and data was compiled using electronic medical records and imaging studies. Results Twelve patients were treated in 13 ablation interventions. In 4 patients, real-time feedback from the monitoring neurologist was used to adjust applicator placement and ablation settings. IONM was technically feasible in all procedures and there were no complications related to monitoring or ablation. All nerves at risk remained intact and of the 11 patients who could be followed, none developed new nerve deficit up to a minimum of 2 months after ablation. Conclusion IONM is safe and feasible for use during image guided thermal ablation of tumors in the vicinity of nerves. Outcomes in this study demonstrate its potential utility in image guided ablation interventions.

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“…Infections (2-5%) are connected with the formation of a cavity after the successful ablation and occur in the case of a lung abscess or aspergillosis in immunocompromised patients 8,9 . Rare complications of percutaneous RFA of lung tumors, include injury to the ganglion stellatum 10 or lesion of the brachial plexus 11 .…”

Section: Discussionmentioning

confidence: 99%

Radiofrequency ablation of non-resectable lung tumors

Simanek¹,

Klečka²,

Třeška³

et al. 2014

BIOMED PAP

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Background. Radiofrequency thermal ablation (RFA) is a minimally invasive, image guided technique for destroying tumour cells without damage to adjacent healthy tissue. It is used for partial or complete ablation of non resectable lung cancers and cancers of metastases to lung, providing an effective, relatively safe option for patients ineligible for surgery. We describe our experience with it. Methods. In 2005 and 2006, we performed radiofrequency ablation of 7 lung lesions in 6 patients. RFA was done percutaneously under image guided CT scan in 5 patients and in one patient during thoracotomy when we found a radically unresectable tumor necessitating debulking. CT lung screening was performed after 6 months and PET/CT was done within 12 months. Results. In the course of the screening, we diagnosed regression in 2 patients, a stationary state in 2 cases and local tumor progression in 2 patients, using computed tomography within 6 months after RFA. Using PET/CT within 12 months, we diagnosed non-ablation and liver metastases (there were none before) in one of the two patients with a stationary state diagnosed by means of CT before and recurrence of primary tumor in another patient. In one case of diagnosed regression, we diagnosed tumor progression. The patients survived an average of 30 months (range 9 to 60 months). Conclusion. RFA of lung tumors is an easy method with little patient discomfort. It can be performed percutaneously using guided CT under general anaesthesia. RFA of lung tumors possibly alone or in combination with oncology treatment can prolong patient life.

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Brachial Nerve Injury Caused by Percutaneous Radiofrequency Ablation of Apical Lung Cancer: A Report of Four Cases

Cited by 39 publications

References 13 publications

Complications Encountered in the Treatment of Benign Thyroid Nodules with US-guided Radiofrequency Ablation: A Multicenter Study

Complications Encountered in the Treatment of Benign Thyroid Nodules with US-guided Radiofrequency Ablation: A Multicenter Study

Feasibility of Intraoperative Nerve Monitoring in Preventing Thermal Damage to the “Nerve at Risk” During Image-Guided Ablation of Tumors

Radiofrequency ablation of non-resectable lung tumors

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