Safety and efficacy of CT-guided percutaneous cryoablation for renal cell carcinoma

Journal of Vascular and Interventional Radiology : JVIR
Christos S GeorgiadesRonald Rodriguez

Abstract

Image-guided percutaneous cryoablation is a treatment alternative for selected patients with renal cell carcinoma (RCC). The objective of the present study was to present the safety and efficacy of percutaneous cryoablation. The study included 51 lesions in 46 consecutive patients treated with computed tomography (CT)-guided percutaneous cryoablation. Results were based on 40 RCCs with follow-up. Patients had baseline history and physical and laboratory examinations and renal CT or magnetic resonance (MR) imaging and were followed every 3 months. Biopsy of all lesions was performed before or at the time of the procedure. Efficacy was defined as a complete lack of enhancement on follow-up contrast agent-enhanced CT or MR imaging. Lesion size was also followed and correlated with lack of enhancement. Short- and long-term complications were tabulated. The technical success rate was 100%, with 20% of cases requiring some form of thermal protection of an adjacent organ. During follow-up (median, 28 weeks; range, 4-81 weeks), the efficacy rate was 100% for lesions smaller than 7 cm. The incidence of significant complications was 18% (8% CTAE), mostly (10%) intercostal or genitofemoral nerve injury. All patients with complications rec...Continue Reading

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Citations

Jun 15, 2010·Cardiovascular and Interventional Radiology·David J Breen, Nicholas J Railton
Jul 16, 2010·Cardiovascular and Interventional Radiology·Ronald RodriguezChristos Georgiades
Aug 31, 2012·Cardiovascular and Interventional Radiology·Christos GeorgiadesGeorge Netto
Apr 13, 2010·Journal of Endourology·Grant D SchmitJ William Charboneau
Nov 26, 2010·AJR. American Journal of Roentgenology·Grant D SchmitJ William Charboneau
Oct 21, 2011·Radiology·Aradhana M VenkatesanDebra A Gervais
Jun 14, 2014·Radiology·Muneeb AhmedUNKNOWN Standard of Practice Committee of the Cardiovascular and Interventional Radiological Society of Europe
Jan 29, 2011·Radiology·Muneeb AhmedS Nahum Goldberg
Mar 25, 2014·Journal of Vascular and Interventional Radiology : JVIR·Jason B HartmanJ David Prologo
Mar 4, 2014·Journal of Vascular and Interventional Radiology : JVIR·Jeremy C HornAaron M Fischman
Nov 1, 2011·Journal of Vascular and Interventional Radiology : JVIR·Thomas D AtwellDavid E Patterson
Jun 8, 2011·European Journal of Radiology·Byung Kwan ParkStuart G Silverman
Jan 13, 2016·Journal of Vascular and Interventional Radiology : JVIR·Benjamin H GeS William Stavropoulos
Aug 7, 2010·Journal of Vascular and Interventional Radiology : JVIR·Adeep B ThumarDaniel B Brown
Jul 14, 2010·Journal of Vascular and Interventional Radiology : JVIR·Grant D SchmitJ William Charboneau
May 19, 2010·The Journal of Urology·Abhinav SidanaRonald Rodriguez
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Apr 5, 2015·Journal of Vascular and Interventional Radiology : JVIR·Michael R MoynaghThomas D Atwell
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Jul 21, 2016·Cardiovascular and Interventional Radiology·Bharat KakaralaChristos S Georgiades
Nov 6, 2018·Cardiovascular and Interventional Radiology·Yusuke IchijoKei Yamada
Sep 10, 2020·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Hitomi MaedaTakuji Yamagami
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