CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2015; 25(01): 11-14
DOI: 10.4103/0971-3026.150130
Interventional Radiology

Cryoablation of lung malignancies recurring close to surgical clips following surgery: Report of three cases

Rosario R Grasso
Department of Radiology, Università Campus Bio medico, Rome, Italy
,
Giacomo Luppi
Department of Radiology, Università Campus Bio medico, Rome, Italy
,
Roberto L Cazzato
Department of Radiology, Università Campus Bio medico, Rome, Italy
,
Riccardo Del Vescovo
Department of Radiology, Università Campus Bio medico, Rome, Italy
,
Francesco Giurazza
Department of Radiology, Università Campus Bio medico, Rome, Italy
,
Simona Mercurio
Department of Radiology, Università Campus Bio medico, Rome, Italy
,
Eliodoro Faiella
Department of Radiology, Università Campus Bio medico, Rome, Italy
,
Bruno Beomonte Zobel
Department of Radiology, Università Campus Bio medico, Rome, Italy
› Author Affiliations
Financial support and sponsorship Nil.

Abstract

Background: Minimally ablative therapies are now available for the treatment of lung malignancies. However, selection of the appropriate technique is not always easy and requires accurate preoperative planning. Aims: To describe the treatment of lung tumors with cryoablation. Settings and Design: We report three cases of lung malignancies that recurred close to surgical clips after surgical treatment, successfully treated by cryoablation. Materials and Methods: An initial freezing cycle was performed for 10 min, followed by a 5-min thawing cycle, and an additional 10-min freezing cycle. A final 5-min thaw was necessary to remove the needle from the iceball formed during the freezing cycle. Results: The procedures were completed successfully with no signs of surgical-clip misplacement, and excellent ablation of the lesions. Conclusion: Cryoablation is a relatively new procedure that potentially permits the local treatment of lung tumors with minimal loss of lung parenchyma.



Publication History

Article published online:
30 July 2021

© 2015. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Pua BB, Thornton RH, Solomon SB. Ablation of pulmonary malignancy: Currentstatus. J Vasc Interv Radiol 2010;21:223-32.
  • 2 Kerr JM, Nimhuircheartaigh NM, McEntee GP, Fenlon HM. Extension of hepatic necrosis secondary to current arcing to surgical clips: A potential complication of radiofrequency ablation. Abdom Imaging 2009;34:491-3.
  • 3 Boll DT, Lewin JS, Duerk JL, Merkle EM. Do surgical clips interfere with radiofrequency thermal ablation? AJR Am J Roentgenol 2003;180:1557-60.
  • 4 Livraghi T, Meloni F, Solbiati L, Zanus G; Collaborative Italian Group using AMICA system. Complications of microwave ablation for liver tumors: Results of a multicenter study. Cardiovasc Intervent Radiol 2012;35:868-74.
  • 5 Yamauchi Y, Izumi Y, Yashiro H. Percutaneous cryoablation for pulmonary nodulesin the residual lung after pneumonectomy: Report of two cases. Chest 2011;140:1633-7.
  • 6 Inoue M, Nakatsuka S, Yashiro H, Ito N, Izumi Y, Yamauchi Y, et al. Percutaneous cryoablation of lung tumors: Feasibility and safety. J Vasc Interv Radiol 2012;23:295-302.
  • 7 Sharma A, Moore WH, Lanuti M, Shepard JA. How I do it: Radiofrequency ablation and cryoablation of lung tumors. J Thorac Imaging 2011;26:162-74.