Percutaneous radiofrequency ablation of pulmonary tumors—Is there a difference between treatment under general anaesthesia and under conscious sedation?

Hoffmann, Ralf‐Thorsten; Jakobs, Tobias; Lubienski, Andreas; Schrader, Angelika; Trumm, C.; Reiser, Maximilian; Helmberger, Thomas

doi:10.1016/j.ejrad.2006.04.010

Cited by 57 publications

(37 citation statements)

References 10 publications

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“…No difference in outcome was reported by Hoffmann et al 33 when comparing procedures performed under GA or sedation; however, several of the treatments could not be completed under sedation and a second GA was needed. A review of the liver RFA literature describes GA as an independent factor associated with complete tumour ablation.…”

Section: Ablation Techniquementioning

confidence: 87%

Lung radiofrequency and microwave ablation: a review of indications, techniques and post-procedural imaging appearances

Smith¹,

Jennings²

2015

BJR

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Lung ablation can be used to treat both primary and secondary thoracic malignancies. Evidence to support its use, particularly for metastases from colonic primary tumours, is now strong, with survival data in selected cases approaching that seen after surgery. Because of this, the use of ablative techniques (particularly thermal ablation) is growing and the Royal College of Radiologists predict that the number of patients who could benefit from such treatment may reach in excess of 5000 per year in the UK. Treatment is often limited to larger regional centres, and general radiologists often have limited awareness of the current indications and the techniques involved. Furthermore, radiologists without any prior experience are frequently expected to interpret post-treatment imaging, often performed in the context of acute complications, which have occurred after discharge. This review aims to provide an overview of the current indications for pulmonary ablation, together with the techniques involved and the range of post-procedural appearances.

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Section: Ablation Techniquementioning

confidence: 87%

Lung radiofrequency and microwave ablation: a review of indications, techniques and post-procedural imaging appearances

Smith¹,

Jennings²

2015

BJR

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“…In a comparison of ablation procedures performed under conscious sedation or under general anesthesia, no differences in local tumor control were reported in a series of 26 treatments [42].…”

Section: Pretreatment Assessment Procedural Features and Postprocedmentioning

confidence: 99%

Standards of Practice: Guidelines for Thermal Ablation of Primary and Secondary Lung Tumors

Pereira

Salvatore²

2012

Cardiovasc Intervent Radiol

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“…Patients under pain-free conditions during treatment may have a decreased rate of local tumor recurrence. Recently, it was reported that there were no differences in tumor control and complications under general anesthesia and analog-sedation in RFA treatment of pulmonary tumors [30] . This result is not in accordance with our results obtained during treatment of HCC.…”

Section: Discussionmentioning

confidence: 99%

A combination therapy of ethanol injection and radiofrequency ablation under general anesthesia for the treatment of hepatocellular carcinoma

Kurokohchi¹,

Watanabe²,

Yoneyama³

et al. 2008

WJG

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AIM:To summarize the effects of laparoscopic ethanol injection and radiofrequency ablation (L-EI-RFA), thoracoscopic (T-EI-RFA) and open-surgery assisted EI-RFA (O-EI-RFA) under general anesthesia for the treatment of hepatocellular carcinoma (HCC). METHODS:Time-lag performance of RFA after ethanol injection (Time-lag PEI-RFA) was performed in all cases. The volume of coagulated necrosis and the applied energy for total and per unit volume coagulated necrosis were examined in the groups treated under general (group G) or local anesthesia (group L). RESULTS:The results showed that the total applied energy and the applied energy per unit volume of whole and marginal, coagulated necrosis were significantly larger in group G than those in the group L, resulting in a larger volume of coagulated necrosis in the group G. The rate of local tumor recurrence within one year was extremely low in group G. CONCLUSION:These results suggest that EI-RFA, under general anesthesia, may be effective for the treatment of HCC because a larger quantity of ethanol and

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Percutaneous radiofrequency ablation of pulmonary tumors—Is there a difference between treatment under general anaesthesia and under conscious sedation?

Cited by 57 publications

References 10 publications

Lung radiofrequency and microwave ablation: a review of indications, techniques and post-procedural imaging appearances

Lung radiofrequency and microwave ablation: a review of indications, techniques and post-procedural imaging appearances

Standards of Practice: Guidelines for Thermal Ablation of Primary and Secondary Lung Tumors

A combination therapy of ethanol injection and radiofrequency ablation under general anesthesia for the treatment of hepatocellular carcinoma

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