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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 6/2014

01-12-2014 | Clinical Investigation

Diaphragmatic Hernia After Lung Percutaneous Radiofrequency Ablation: Incidence and Risk Factors

Authors: Nicolas Alberti, Gilbert Ferretti, Xavier Buy, Marie Desjardin, Sultan Al Ammari, Roberto-Luigi Cazzato, Valérie Monnin-Bares, Dominique Bechade, Gregoire Desolneux, Audrey Michot, Jean Palussiere

Published in: CardioVascular and Interventional Radiology | Issue 6/2014

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Abstract

Purpose

To evaluate diaphragmatic hernias (DH) after percutaneous radiofrequency ablation (PRFA) for basal lung nodules and to detect risk factors.

Materials and Methods

Between January 2009 and December 2012, the presence of DH was retrospectively recorded in all of the patients who underwent PRFA with multitine expandable electrodes for ablation of nodules in the lower lobe. All nodules were classified into three groups according to the location of the tines after deployment relative to the diaphragm: In group 1, the tines were at a distance of >1 cm from the diaphragm; in group 2, at least one tine was in contact with the diaphragm without perforation; and in group 3, at least one tine was perforating the diaphragm.

Results

We recorded 4 cases of DH (3 on the left side, 1 on the right side) in 156 patients (2.3 % of procedures). The delay of onset was 7.8 months. DH occurred in groups 2 (n = 1) and 3 (n = 3). Only the 3 cases that occurred on the left side were symptomatic (2 intussusceptions and 1 gastroesophageal reflux) and were surgically repaired. The electrode was positioned in the center of the diaphragm in all cases.

Conclusion

The central position of the electrode and the contact of at least one tine with the diaphragm after deployment seem to be a risk factor to develop DH.
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Metadata
Title
Diaphragmatic Hernia After Lung Percutaneous Radiofrequency Ablation: Incidence and Risk Factors
Authors
Nicolas Alberti
Gilbert Ferretti
Xavier Buy
Marie Desjardin
Sultan Al Ammari
Roberto-Luigi Cazzato
Valérie Monnin-Bares
Dominique Bechade
Gregoire Desolneux
Audrey Michot
Jean Palussiere
Publication date
01-12-2014
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 6/2014
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-014-0854-9

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