Original Articles
Computed Tomography-Guided Radiofrequency Ablation of Malignant Lung Lesions: Early Experience
José M. Galbis-Caravajala,
, Yolanda Pallardó-Calatayudb, Antonio Revert-Venturab, Jesús G. Sales-Badíaa, Rafael Esturi-Navarroc, María Cuenca-Torresd
Corresponding author
josegalbiscar@gmail.com
Correspondence: Dr J.M. Galbis-Caravajal, Servicio de Cirugía Torácica, Hospital Universitario de La Ribera, Ctra. Corbera, km 1, 46600 Alcira, Valencia, Spain
Correspondence: Dr J.M. Galbis-Caravajal, Servicio de Cirugía Torácica, Hospital Universitario de La Ribera, Ctra. Corbera, km 1, 46600 Alcira, Valencia, Spain
a Servicio de Cirugía Torácica, Hospital Universitario de La Ribera, Alcira, Valencia, Spain
b Servicio de Radiología, Hospital Universitario de La Ribera, Alcira, Valencia, Spain
c Servicio de Anestesia, Hospital Universitario de La Ribera, Alcira, Valencia, Spain
d Unidad de Investigatión, Hospital Universitario de La Ribera, Alcira, Valencia, Spain
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Galbis-Caravajal, Yolanda Pallardó-Calatayud, Antonio Revert-Ventura, Jesús G. Sales-Badía, Rafael Esturi-Navarro, María Cuenca-Torres" "autores" => array:6 [ 0 => array:4 [ "nombre" => "José M." "apellidos" => "Galbis-Caravajal" "email" => array:1 [ 0 => "josegalbiscar@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Yolanda" "apellidos" => "Pallardó-Calatayud" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 2 => array:3 [ "nombre" => "Antonio" "apellidos" => "Revert-Ventura" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:3 [ "nombre" => "Jesús G." "apellidos" => "Sales-Badía" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 4 => array:3 [ "nombre" => "Rafael" "apellidos" => "Esturi-Navarro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] ] ] 5 => array:3 [ "nombre" => "María" "apellidos" => "Cuenca-Torres" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Cirugía Torácica, Hospital Universitario de La Ribera, Alcira, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Radiología, Hospital Universitario de La Ribera, Alcira, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "Servicio de Anestesia, Hospital Universitario de La Ribera, Alcira, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff3" ] 3 => array:3 [ "entidad" => "Unidad de Investigatión, Hospital Universitario de La Ribera, Alcira, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff4" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr J.M. Galbis-Caravajal, Servicio de Cirugía Torácica, Hospital Universitario de La Ribera, Ctra. Corbera, km 1, 46600 Alcira, Valencia, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-04-16" "fechaAceptado" => "2008-01-08" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155312" "palabras" => array:4 [ 0 => "Radiofrequency ablation" 1 => "Stage I lung cancer" 2 => "Lung metastases" 3 => "CT-guidedpuncture" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155311" "palabras" => array:4 [ 0 => "Ablación por radiofrecuencia" 1 => "Carcinoma pulmonar estadio I" 2 => "Metástasis pulmonares" 3 => "Punción dirigidapor TC" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To present our early experience in the treatment of primary malignant and metastatic lung lesions by radiofrequency ablation.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">From August 2004 through January 2007 we treated 19 patients (in 26 procedures) with curative or palliative intent. None of the lesions was amenable to surgery and some had been treated previously. The procedure was performed in the radiology room under conscious sedationanalgesia administered by an anesthesiologist. Fourteen patients were treated for pulmonary lesions and 5 for metastatic lung disease in a context of controlled primary disease. Treatment was with curative intent in 15 cases and palliative in 4.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The radiofrequency technique was applicable in 26 procedures and the mean follow-up was 8.68 months. The principal complications of radiofrequency treatment were pneumothorax in 4 patients, requiring drainage in only 2 cases; pneumonitis in 4; self-limiting pulmonary hemorrhage in 1; and pleural effusion in 5. There were no procedure-related deaths. Six patients died during the follow-up period.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">In our experience, radiofrequency offers a safe and minimally invasive option for the treatment of malignant lung lesions in appropriately selected, nonsurgical patients. Morbidity is low, and in combination with other treatments this technique opens up a wide range of possibilities still to be explored.</p>" ] "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Presentar la experiencia inicial en el tratamiento de las lesiones pulmonares malignas (primarias y metastá-sicas) mediante la ablación por radiofrecuencia (RF).</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">De agosto de 2004 a enero de 2007 tratamos a 19 pacientes (mediante 26 procedimientos) con intención curativa o paliativa. Todos los casos correspondían a lesiones no quirúrgicas, tratadas o no previamente. La técnica se practicó en la sala de radiología, con sedoanalgesia consciente Ilevada a cabo por el anestesiólogo. Se trató a 14 pacientes con lesión pulmonar y a 5 con enfermedad metástasica pulmonar, con la enfermedad primaria controlada. En 15 casos el tratamiento se realizó con intención curativa y en 4 era paliativo.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La técnica de RF pudo realizarse en los 26 procedimientos. La media de seguimiento fue de 8,68 meses. Las principales complicaciones derivadas del tratamiento de RF fueron: neumotórax en 4 pacientes, de los que sólo 2 requirieron drenaje; neumonitis en 4; hemorragia pulmonar autolimitada en 1, y derrame pleural en 5. No hubo mortalidad en relación con el procedimiento. Durante el período de seguimiento fallecieron 6 pacientes.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Según nuestra experiencia, la RF puede ser una opción segura y mínimamente invasiva para el tratamiento de las lesiones pulmonares malignas en pacientes no quirúrgicos adecuadamente seleccionados, con una baja morbilidad. La combinatión con otros tratamientos ofrece un amplio abanico de posibilidades pendientes de discernir.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:30 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Controversies between surgical and percutaneous radiofrequency ablation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "S Evrard" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.ejso.2005.09.002" "Revista" => array:6 [ "tituloSerie" => "Eur J Surg Oncol" "fecha" => "2006" "volumen" => "32" "paginaInicial" => "3" "paginaFinal" => "5" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16274954" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Image-guided radiofrequency ablation as a new treatment option for patients with lung cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "NS Gandhi" 1 => "DE Dupuy" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Semin Roentgenol" "fecha" => "2005" "volumen" => "40" "paginaInicial" => "171" "paginaFinal" => "181" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15898413" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "History and technological aspects of radiofrequency thermoablation" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "A Siperstein" 1 => "A Gotomirski" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Cancer J" "fecha" => "2000" "volumen" => "6" "paginaInicial" => "S293" "paginaFinal" => "S301" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Radiofrequency ablation of pulmonary malignant tumors in non-surgical candidates" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "LJ Herrera" 1 => "HC Fernando" 2 => "Y Perry" 3 => "W Gooding" 4 => "P Buenaventura" 5 => "N Christie" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1067/mtc.2003.18" "Revista" => array:6 [ "tituloSerie" => "J Thorac Cardiovasc Surg" "fecha" => "2003" "volumen" => "125" "paginaInicial" => "929" "paginaFinal" => "937" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12698158" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Imagine-guided radiofrequency tumor ablation: challenges and opportunities II" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "DE Dupuy" 1 => "SN Goldberg" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Vasc Interv Radiol" "fecha" => "2001" "volumen" => "12" "paginaInicial" => "1135" "paginaFinal" => "1148" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11585879" "web" => "Medline" ] ] ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "CT-guided radiofrequency ablation: a potential complementary therapy for patients with unresectable primary lung cancers. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 3 | 4 | 7 |
| 2024 October | 30 | 14 | 44 |
| 2024 September | 29 | 20 | 49 |
| 2024 August | 41 | 31 | 72 |
| 2024 July | 25 | 18 | 43 |
| 2024 June | 32 | 24 | 56 |
| 2024 May | 38 | 31 | 69 |
| 2024 April | 24 | 24 | 48 |
| 2024 March | 19 | 14 | 33 |
| 2024 February | 15 | 15 | 30 |
| 2023 March | 4 | 4 | 8 |
| 2023 February | 12 | 12 | 24 |
| 2023 January | 17 | 28 | 45 |
| 2022 December | 19 | 25 | 44 |
| 2022 November | 19 | 20 | 39 |
| 2022 October | 20 | 29 | 49 |
| 2022 September | 20 | 26 | 46 |
| 2022 August | 18 | 20 | 38 |
| 2022 July | 22 | 48 | 70 |
| 2022 June | 14 | 27 | 41 |
| 2022 May | 18 | 21 | 39 |
| 2022 April | 12 | 25 | 37 |
| 2022 March | 16 | 37 | 53 |
| 2022 February | 11 | 23 | 34 |
| 2022 January | 13 | 33 | 46 |
| 2021 December | 14 | 44 | 58 |
| 2021 November | 13 | 46 | 59 |
| 2021 October | 13 | 53 | 66 |
| 2021 September | 14 | 63 | 77 |
| 2021 August | 15 | 31 | 46 |
| 2021 July | 7 | 28 | 35 |
| 2021 June | 12 | 32 | 44 |
| 2021 May | 12 | 25 | 37 |
| 2021 April | 24 | 57 | 81 |
| 2021 March | 15 | 24 | 39 |
| 2021 February | 11 | 18 | 29 |
| 2021 January | 11 | 13 | 24 |
| 2020 December | 12 | 20 | 32 |
| 2020 November | 8 | 7 | 15 |
| 2020 October | 9 | 8 | 17 |
| 2020 September | 9 | 6 | 15 |
| 2020 August | 8 | 10 | 18 |
| 2020 July | 8 | 13 | 21 |
| 2020 June | 12 | 3 | 15 |
| 2020 May | 25 | 20 | 45 |
| 2020 April | 13 | 21 | 34 |
| 2020 March | 13 | 10 | 23 |
| 2020 February | 18 | 14 | 32 |
| 2020 January | 17 | 14 | 31 |
| 2019 December | 19 | 17 | 36 |
| 2019 November | 9 | 9 | 18 |
| 2019 October | 9 | 11 | 20 |
| 2019 September | 3 | 11 | 14 |
| 2019 August | 14 | 12 | 26 |
| 2019 July | 8 | 15 | 23 |
| 2019 June | 5 | 4 | 9 |
| 2019 May | 18 | 11 | 29 |
| 2019 April | 11 | 28 | 39 |
| 2019 March | 14 | 20 | 34 |
| 2019 February | 13 | 10 | 23 |
| 2019 January | 4 | 14 | 18 |
| 2018 December | 7 | 12 | 19 |
| 2018 November | 23 | 16 | 39 |
| 2018 October | 10 | 14 | 24 |
| 2018 September | 10 | 8 | 18 |
| 2018 May | 2 | 0 | 2 |
| 2018 April | 8 | 6 | 14 |
| 2018 March | 3 | 2 | 5 |
| 2018 February | 5 | 7 | 12 |
| 2018 January | 3 | 3 | 6 |
| 2017 December | 5 | 8 | 13 |
| 2017 November | 1 | 2 | 3 |
| 2017 October | 6 | 17 | 23 |
| 2017 September | 3 | 3 | 6 |
| 2017 August | 7 | 9 | 16 |
| 2017 July | 3 | 3 | 6 |
| 2017 June | 7 | 13 | 20 |
| 2017 May | 5 | 7 | 12 |
| 2017 April | 2 | 8 | 10 |
| 2017 March | 3 | 43 | 46 |
| 2017 February | 1 | 3 | 4 |
| 2017 January | 4 | 4 | 8 |
| 2016 December | 5 | 6 | 11 |
| 2016 November | 10 | 6 | 16 |
| 2016 October | 8 | 9 | 17 |
| 2016 September | 8 | 7 | 15 |
| 2016 August | 13 | 5 | 18 |
| 2016 July | 9 | 5 | 14 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 2 | 0 | 2 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 58 | 8 | 66 |
| 2015 September | 57 | 6 | 63 |
| 2015 August | 55 | 8 | 63 |
| 2015 July | 49 | 2 | 51 |
| 2015 June | 30 | 5 | 35 |
| 2015 May | 56 | 8 | 64 |
| 2015 April | 49 | 9 | 58 |
| 2015 March | 44 | 7 | 51 |
| 2015 February | 34 | 1 | 35 |
| 2015 January | 51 | 3 | 54 |
| 2014 December | 53 | 3 | 56 |
| 2014 November | 48 | 6 | 54 |
| 2014 October | 60 | 10 | 70 |
| 2014 September | 56 | 5 | 61 |
| 2014 August | 61 | 13 | 74 |
| 2014 July | 56 | 8 | 64 |
| 2014 June | 62 | 4 | 66 |
| 2014 May | 82 | 10 | 92 |
| 2014 April | 62 | 9 | 71 |
| 2014 March | 85 | 7 | 92 |
| 2014 February | 74 | 7 | 81 |
| 2014 January | 52 | 6 | 58 |
| 2013 December | 69 | 8 | 77 |
| 2013 November | 49 | 3 | 52 |
| 2013 October | 52 | 9 | 61 |
| 2013 September | 64 | 11 | 75 |
| 2013 August | 54 | 8 | 62 |
| 2013 July | 43 | 11 | 54 |
| 2013 June | 56 | 6 | 62 |
| 2013 May | 42 | 7 | 49 |
| 2013 April | 18 | 2 | 20 |
| 2013 March | 8 | 3 | 11 |
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