Ultrasound-guided percutaneous laser ablation is safe and effective in the treatment of small renal tumors in patients at increased bleeding risk

Abstract

LA is safe and effective in the treatment of small RCC and might represent a valid option in patients with increased risk of bleeding.

Percutaneous ablation techniques for renal cell carcinoma: current status and future trends

“…Since percutaneous ablation in general clinical practice is performed with moderate sedation (not general anesthesia), impairment of lung function or other relative contraindications to surgery, are not patient exclusion criteria. However, in case of absolute contraindications to surgery (i.e., coagulopathies), percutaneous ablation should be considered with caution [10].…”

“…Photoablation/laser ablation has been successfully applied in the treatment of benign and malignant diseases, including the treatment of renal tumors. A collimated, coherent, monochromatic light beam is delivered through a small, precise optical fiber which interacts with biological tissues which determines the focal increase in temperature ( Figure 3) [10]. Cryoablation is another wellestablished technique for renal ablation.…”

“…In current clinical practice, the most often used percutaneous ablation techniques are RFA and CA while microwave ablation (MWA) is increasingly being used in the treatment of RCC [9]. Percutaneous irreversible electroporation is a new emerging focal ablation technique but there is limited experience in its use for RCC treatment and high intensity focused ultrasound is used in experimental settings [10,46]. Each technique has advantages and disadvantages that have to be considered by the interventional radiologist in each particular setting to achieve best patient outcome.…”

In memory of Dr. Claudio Maurizio Pacella: a pioneer in clinical applications of image-guided laser ablation

“…Following on from Pacella' studies, laser ablation is today applied in the treatment of a variety of diseases, including not only liver and benign thyroid nodules, but also kidney, pancreatic and thyroid tumors and, most recently benign, and malignant prostate disease [7][8][9][10][11][12][13][14].…”

Fusion Imaging in the Guidance of Thermal Ablations

“…Today, thermal ablation is increasingly used in a large variety of organs 4,[54][55][56] and is primarily used for the treatment of small, unresectable tumors, or for patients who are poor surgical candidates. These therapies have gained widespread attention and, in many cases, broad clinical acceptance as methods for treating focal malignancies in a wide range of tumor types and tissues, including primary and secondary malignancies of the liver, kidney, lung, and bone.…”