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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 3/2003

01-06-2003 | Case Report

Injection of Subphrenic Saline During Radiofrequency Ablation to Minimize Diaphragmatic Injury

Authors: Baljendra S. Kapoor, David W. Hunter

Published in: CardioVascular and Interventional Radiology | Issue 3/2003

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Abstract

An 82-year-old man with a history of colorectal cancer presented with metastatic disease to the liver (Couinaud segment 8). We describe the techniques that we employed to successfully perform radiofrequency ablation of a liver metastasis near the dome of the diaphragm utilizing subphrenic infusion of normal saline. The aim of this technique was to prevent thermal injury of the diaphragm.
Literature
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Raman, S, Lu, D, Vodopich, D,  et al. 2002Minimizing diaphragmatic injury during radiofrequency ablation: Efficacy of subphrenic peritoneal saline injection in a porcine model.Radiology222819823PubMed
2.
Siperstein, A, Garland, A, Engle, K,  et al. 2000Local recurrence after laparoscopic radiofrequency thermal ablation of hepatic tumors.Ann Surg Oncol7106113PubMed
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Pearson, AS, Izzo, F, Fleming, RY,  et al. 1999Intraoperative radiofrequency ablation or cryoablation for hepatic malignancies.Am J Surg178592599CrossRefPubMed
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Dodd, GD, Soulen, MC, Kane, RA,  et al. 2000Minimally invasive treatment of malignant hepatic tumors: At the threshold of major breakthrough.Radiographics20927PubMed
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McGahan, JP, Dodd, GD 2000Radiofrequency ablation of the liver: Current status.AJR Am J Roentgenol176315
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Ohmoto, K, Tsuzuki, M, Yamamoto, S 1999Percutaneous microwave coagulation therapy with intraperitoneal saline infusion for hepatocellular carcinoma in the hepatic dome.AJR Am J Roentgenol1726566PubMed
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Shibata, T, Iimuro, Y, Ikai, I, Hatano, E, Yamaoka, Y, Konishi, J 2002Percutaneous radiofrequency ablation therapy after intrathoracic saline solution infusion for liver tumor in the hepatic dome.J Vasc Interv Radiol13313315
Metadata
Title
Injection of Subphrenic Saline During Radiofrequency Ablation to Minimize Diaphragmatic Injury
Authors
Baljendra S. Kapoor
David W. Hunter
Publication date
01-06-2003
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2003
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-003-2704-z

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