Lung radiofrequency ablation
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  • 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

Dupuy DE.

Radiology. 2011 Sep;260(3):633-55.

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

Palussière J, Marcet B, Descat E, Deschamps F, Rao P, Ravaud A, Brouste V, de Baère T.

Cardiovasc Intervent Radiol. 2011 Oct;34(5):989-97. Epub 2010 Dec 3.
PMID: 21127867 [PubMed - indexed for MEDLINE]

Early indicators of treatment success after percutaneous radiofrequency of pulmonary tumors

Anderson EM, Lees WR, Gillams AR.

Cardiovasc Intervent Radiol. 2009 May;32(3):478-83. Epub 2009 Jan 6.

Imaging appearances following thermal ablation.

Smith S, Gillams A.

Clin Radiol. 2008 Jan;63(1):1-11. Epub 2007 Oct 1. Review.

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.

Radiology. 2011 Jan;258(1):270-6. Epub 2010 Nov 2.

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).

Lencioni R, Crocetti L, Cioni R, Suh R, Glenn D, Regge D, Helmberger T, Gillams AR, Frilling A, Ambrogi M, Bartolozzi C, Mussi A.

Lancet Oncol. 2008 Jul;9(7):621-8. Epub 2008 Jun 17.

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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Phrenic nerve injury after radiofrequency ablation of lung tumors: retrospective evaluation of the incidence and risk factors.

Matsui Y, Hiraki T, Gobara H, Uka M, Masaoka Y, Tada A, Toyooka S, Mitsuhashi T, Mimura H, Kanazawa S.

J Vasc Interv Radiol. 2012 Jun;23(6):780-5. Epub 2012 Apr 17.

Percutaneous radiofrequency ablation of clinical stage I non-small cell lung cancer.

Hiraki T, Gobara H, Mimura H, Matsui Y, Toyooka S, Kanazawa S.

J Thorac Cardiovasc Surg. 2011 Jul;142(1):24-30. Epub 2011 Apr 29.

Does tumor type affect local control by radiofrequency ablation in the lungs?

Hiraki T, Gobara H, Mimura H, Sano Y, Tsuda T, Iguchi T, Fujiwara H, Kishi R, Matsui Y, Kanazawa S.

Eur J Radiol. 2010 Apr;74(1):136-41. Epub 2009 Feb 23.

Charlson Comorbidity Index predicts patient outcome, in cases of inoperable non-small cell lung cancer treated with radiofrequency ablation.

Simon TG, Beland MD, Machan JT, Dipetrillo T, Dupuy DE.

Eur J Radiol. 2012 Jul 24. [Epub ahead of print]

Current status of thermal ablation treatments for lung malignancies.

Dupuy DE, Shulman M.

Semin Intervent Radiol. 2010 Sep;27(3):268-75.