Details

Autor(en) / Beteiligte

• Kim, Jong Woo, MD
• Shin, Ji Hoon, MD, PhD
• Kim, Pyo Nyun, MD, PhD
• Shin, Yong Moon, MD, PhD
• Won, Hyung Jin, MD, PhD
• Ko, Gi-Young, MD, PhD
• Yoon, Hyun-Ki, MD, PhD

Titel

Embolization for Bleeding after Hepatic Radiofrequency Ablation

Ist Teil von

• Journal of vascular and interventional radiology, 2017-03, Vol.28 (3), p.356-365.e2

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Abstract Purpose To evaluate safety and clinical efficacy of embolization for management of bleeding after hepatic radiofrequency (RF) ablation. Materials and Methods From January 2000 to December 2014, 5,196 patients with 9,743 tumors underwent 8,303 RF ablation sessions. Of these patients, 62 experienced bleeding after hepatic RF ablation; 15 patients (12 men and 3 women; mean age 62 y; range, 49–76 y) underwent embolization and composed the final study cohort. Tumors were hepatocellular carcinomas in 13 (87%) patients and metastatic adenocarcinomas from colorectal cancer in 2 (13%) patients. Mean number of tumors was 1.5 (22 nodules; range, 1–3). Tumor locations were segment I (n = 1), segment II (n = 2), segment III (n = 1), segment IV (n = 1), segment V (n = 3), segment VI (n = 5), segment VII (n = 1), and segment VIII (n = 9). Mean tumor size was 2.3 cm (range, 0.9–5 cm). Results Median time interval between presentation and angiography was 22 hours (mean 38.4 h; range, 3–168 h). On angiography, contrast extravasation with or without pseudoaneurysm was seen in all 15 patients; 14 patients underwent transarterial embolization, and 1 patient underwent percutaneous transhepatic portal vein embolization. Successful hemostasis was achieved in all patients. There was no rebleeding within 30 days after embolization. No embolization-related major complications were observed. Conclusions Embolization is safe and effective for controlling bleeding related to hepatic RF ablation without the need for surgery.