Delayed Development of Pneumothorax After Pulmonary Radiofrequency Ablation
| Autor: | Claus D. Claussen, Hermann Aebert, Melanie Schernthaner, Stephan Clasen, Philippe L. Pereira, S. M. Kröber, Bora Kosan, Joachim Kettenbach, Andrea Bomches |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Lung Neoplasms Percutaneous Radiofrequency ablation medicine.medical_treatment Bronchopleural fistula Catheter ablation Radiography Interventional law.invention Postoperative Complications Risk Factors law medicine Humans Radiology Nuclear Medicine and imaging Aged Aged 80 and over Lung business.industry Pneumothorax Middle Aged medicine.disease Ablation Surgery medicine.anatomical_structure Acute Disease Catheter Ablation Female Radiology Tomography X-Ray Computed Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Clasen, Stephan; Kettenbach, Joachim; Kosan, Bora; Aebert, Hermann; Schernthaner, Melanie; Kröber, Stefan-Martin; Bömches, Andrea; Claussen, Claus D; Pereira, Philippe L (2009). Delayed development of pneumothorax after pulmonary radiofrequency ablation. Cardiovascular and interventional radiology, 32(3), pp. 484-90. New York, N.Y.: Springer 10.1007/s00270-008-9489-z |
| ISSN: | 1432-086X 0174-1551 |
| Popis: | Acute pneumothorax is a frequent complication after percutaneous pulmonary radiofrequency (RF) ablation. In this study we present three cases showing delayed development of pneumothorax after pulmonary RF ablation in 34 patients. Our purpose is to draw attention to this delayed complication and to propose a possible approach to avoid this major complication. These three cases occurred subsequent to 44 CT-guided pulmonary RF ablation procedures (6.8%) using either internally cooled or multitined expandable RF electrodes. In two patients, the pneumothorax, being initially absent at the end of the intervention, developed without symptoms. One of these patients required chest drain placement 32 h after RF ablation, and in the second patient therapy remained conservative. In the third patient, a slight pneumothorax at the end of the intervention gradually increased and led into tension pneumothorax 5 days after ablation procedure. Underlying bronchopleural fistula along the coagulated former electrode track was diagnosed in two patients. In conclusion, delayed development of pneumothorax after pulmonary RF ablation can occur and is probably due to underlying bronchopleural fistula, potentially leading to tension pneumothorax. Patients and interventionalists should be prepared for delayed onset of this complication, and extensive track ablation following pulmonary RF ablation should be avoided. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink