Ultrasound-guided percutaneous laser ablation is safe and effective in the treatment of small renal tumors in patients at increased bleeding risk

International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group
Sergio SartoriClaudio Maurizio Pacella

Abstract

The aim of this retrospective study was to assess the safety and effectiveness of laser ablation (LA) in patients with small renal cell carcinomas (RCC) and increased risk of bleeding. From 2013 to 2017, nine patients (six males, three females, aged 68.5 ± 12.2 years) at high risk of bleeding underwent ultrasonography-guided LA for an RCC. Patients were considered at increased risk of bleeding because of impairment of coagulation parameters, concomitant antiplatelet therapy, or at-risk location of the tumor (one, five, and three patients, respectively). RCC diameter ranged from 11 to 23 mm. According to tumor size, two or three laser fibers were introduced through 21-gauge needles and 1800 J per fiber were delivered in 6 min with a fixed power of 5 W. Major and minor complications, technical success, and primary and secondary technical effectiveness and tumor recurrence were recorded. Just one Grade 1 complication was observed: a small asymptomatic hematoma that spontaneously resolved. Technical success was 100%, 1 month technical efficacy was 88.9% (8/9 patients). One patient with residual tumor was successfully retreated 1 month later, and secondary efficacy rate was 100%. No local tumor recurrence occurred during a median fo...Continue Reading

References

Dec 4, 2002·BJU International·E A DickW M W Gedroyc
Jun 23, 2004·AJR. American Journal of Roentgenology·Ronald J ZagoriaMichael Y Chen
Jan 29, 2005·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Th J VoglK Eichler
Jul 1, 2005·Radiology·Andrew S WrightFred T Lee
Dec 2, 2005·Journal of Vascular and Interventional Radiology : JVIR·Claudio Maurizio PacellaRoberto Stasi
Dec 26, 2008·Journal of Vascular and Interventional Radiology : JVIR·Ralf PulsNorbert Hosten
Apr 1, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Claudio Maurizio PacellaRoberto Stasi
Apr 13, 2010·Acta Radiologica·Juho KariniemiRoberto Blanco Sequeiros
Feb 24, 2012·AJR. American Journal of Roentgenology·Erica M KnavelChristopher L Brace
Apr 28, 2012·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Kristin M CorapiCraig E Gordon
Apr 16, 2013·BJU International·David J BreenSteve L George
Jun 14, 2013·Acta Radiologica·Giovan Giuseppe Di CostanzoClaudio Maurizio Pacella
Oct 15, 2013·BJU International·Matvey TsivianThomas J Polascik
Jan 5, 2014·Cardiovascular and Interventional Radiology·Christos S Georgiades, Ron Rodriguez
Mar 4, 2014·Journal of Vascular and Interventional Radiology : JVIR·Jeremy C HornAaron M Fischman
Sep 25, 2014·Journal of Gastroenterology and Hepatology·Giovan Giuseppe Di CostanzoClaudio Maurizio Pacella
Oct 29, 2014·World Journal of Hepatology·Giovan Giuseppe Di CostanzoClaudio Maurizio Pacella
Dec 3, 2014·Journal of Vascular and Interventional Radiology : JVIR·Muneeb AhmedUNKNOWN Standard of Practice Committee of the Cardiovascular and Interventional Radiological Society of Europe
Jan 27, 2015·European Urology·Borje LjungbergAxel Bex
Oct 4, 2016·Cardiovascular and Interventional Radiology·Ali Babaei JandaghiRamin Pourghorban
Dec 18, 2016·Cardiovascular and Interventional Radiology·Miltiadis E KrokidisAndy Adam
Jun 7, 2017·Cardiovascular and Interventional Radiology·D K FilippiadisP L Pereira

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Citations

Nov 18, 2018·Ultrasonography·Giovanni MauriLuca Maria Sconfienza
Feb 26, 2019·Thyroid : Official Journal of the American Thyroid Association·Giovanni MauriLuca Maria Sconfienza
Feb 8, 2020·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Giovanni Mauri, Giovanni Gambelunghe
Sep 21, 2019·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·D FilippiadisF De Cobelli
Jun 20, 2020·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Giovanni MauriFranco Orsi
Jul 21, 2020·World Journal of Gastroenterology : WJG·Sergio SartoriPaola Tombesi
Jan 1, 2021·Cancer Management and Research·Yu MinGuobing Yin
Jan 23, 2021·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Giovanni Mauri, Giovanni Gambelunghe
May 12, 2021·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Giovanni MauriFranco Orsi
Nov 2, 2021·International Journal of Hyperthermia : the Official Journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group·Yuan ZuLinxue Qian

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