Equipment:

• LeVeen RF needle ( Boston Scientific, Nattick, MA ; chosen at least 1cm, ideally 2cm larger than the target tumor if possible. Co-Access needle is preferred to LeVeen regular needle because user friendly in the CT gantry and make possible biopsy through the guiding cannula if needed ).
• A Veress needle ( Ethicon, Johnson & Johnson ; if a pneumothorax is required to place tumor away from pleura in case of pneumothorax ).
• Yueh needle ( Cook, Bjaeverskov, DK + 3 way stopcock and 50cc syringe for simple aspiration ).
• 0.035 teflon guidewire ( To insert through the Yueh needle "if drainage needed" ).
• 7 and 9 French short dilators ( )
• 7 to 9F French multiple side holes drainage tube ( For pneumothorax + Pleur-Evac (dry suction control) (Genzyme, Neu Ienburg,G) ).
• 21 to 26 French multiple side holes drainage tube ( For hemothorax ).
  
   

Image-guided thermal ablation of lung malignancies

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Lung tumors treated with percutaneous radiofrequency ablation: computed tomography imaging follow-up

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Imaging appearances following thermal ablation.

Smith S, Gillams A.

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Role of FDG PET/CT and chest CT in the follow-up of lung lesions treated with radiofrequency ablation.

Deandreis D, Leboulleux S, Dromain C, Auperin A, Coulot J, Lumbroso J, Deschamps F, Rao P, Schlumberger M, de Baère T.

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Radiofrequency ablation of medically inoperable stage IA non-small cell lung cancer: are early posttreatment PET findings predictive of treatment outcome?

Yoo DC, Dupuy DE, Hillman SL, Fernando HC, Rilling WS, Shepard JA, Siegel BA.

AJR Am J Roentgenol. 2011 Aug;197(2):334-40.

Lung tumor radiofrequency ablation: where do we stand?

De Baere T.

Cardiovasc Intervent Radiol. 2011 Apr;34(2):241-51. Epub 2010 Apr 29. Review.

Response to radiofrequency ablation of pulmonary tumours: a prospective, intention-to-treat, multicentre clinical trial (the RAPTURE study).

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Radiofrequency ablation of small lung metastases by a single application of a 2-cm expandable electrode: determination of favorable responders.

Sakurai J, Hiraki T, Mimura H, Gobara H, Fujiwara H, Tajiri N, Sano Y, Kanazawa S.

J Vasc Interv Radiol. 2010 Feb;21(2):231-6. Epub 2009 Dec 21.

A case of delayed massive hemothorax caused by the rupture of a pulmonary artery pseudoaneurysm after radiofrequency ablation of lung tumors.

Soh J, Toyooka S, Gobara H, Hiraki T, Sugimoto S, Yamane M, Oto T, Kanazawa S, Miyoshi S.

Jpn J Clin Oncol. 2012 Jul;42(7):646-9. Epub 2012 May 11.
PMID: 22581911 [PubMed - in process]
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