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DOI: 10.1055/s-0031-1280660
Radiofrequency Ablation Complicated by Skin Burn
Publikationsverlauf
Publikationsdatum:
16. Juni 2011 (online)
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ABSTRACT
Radiofrequency (RF) ablation has been increasingly utilized as a minimally invasive treatment for primary and metastatic liver tumors, as well as tumors in the kidneys, bones, and adrenal glands. The development of high-current RF ablation has subsequently led to an increased risk of thermal skin injuries at the grounding pad site. The incidence of skin burns in recent studies ranges from 0.1–3.2% for severe skin burns (second-/third-degree), and from 5–33% for first-degree burns.1–3
KEYWORDS
Colorectal cancer - radiofrequency ablation - complications
REFERENCES
- 1 Mulier S, Mulier P, Ni Y et al.. Complications of radiofrequency coagulation of liver tumours. Br J Surg. 2002; 89 (10) 1206-1222
- 2 Rhim H. Complications of radiofrequency ablation in hepatocellular carcinoma. Abdom Imaging. 2005; 30 (4) 409-418
- 3 Steinke K, Gananadha S, King J, Zhao J, Morris D L. Dispersive pad site burns with modern radiofrequency ablation equipment. Surg Laparosc Endosc Percutan Tech. 2003; 13 (6) 366-371
- 4 Goldberg S N, Solbiati L, Halpern E F, Gazelle G S. Variables affecting proper system grounding for radiofrequency ablation in an animal model. J Vasc Interv Radiol. 2000; 11 (8) 1069-1075
- 5 Thiagalingam A, Pouliopoulos J M, Barry M A et al.. A thermochromic dispersive electrode can measure the underlying skin temperature and prevent burns during radiofrequency ablation. J Cardiovasc Electrophysiol. 2005; 16 (7) 781-788
- 6 Berber E, Flesher N L, Siperstein A E. Initial clinical evaluation of the RITA 5-centimeter radiofrequency thermal ablation catheter in the treatment of liver tumours. Cancer J Sci Am. 2000; 6 319-329
- 7 James W D, Berger T G, Elston D M. Andrews' Diseases of the Skin, Clinical Dermatology. 10th ed. Philadelphia: Saunders; 2000
- 8 Schutt D J, Swindle M M, Bastarrika G A, Haemmerich D. Sequential activation of ground pads reduces skin heating during radiofrequency ablation: initial in vivo porcine results. Conf Proc IEEE Eng Med Biol Soc. 2009; 2009 4287-4290
Robert J LewandowskiM.D.
Assistant Professor, Department of Radiology, Northwestern University Feinberg School of Medicine
676 N St Clair St, Suite 800, Chicago, IL 60611
eMail: r-lewandowski@northwestern.edu