Image-guided Percutaneous Radiofrequency Ablation and Incidence of Post–Radiofrequency Ablation Syndrome: Prospective Survey

医学 烧蚀 射频消融术 前瞻性队列研究 无症状的 入射(几何) 机构审查委员会 经皮 外科 内科学 放射科 物理 光学
作者
Tze Min Wah,Ronald S. Arellano,Debra A. Gervais,Catherine A. Saltalamacchia,Joanne Martino,Elken F. Halpern,Michael M. Maher,Peter R. Müeller
出处
期刊:Radiology [Radiological Society of North America]
卷期号:237 (3): 1097-1102 被引量:79
标识
DOI:10.1148/radiol.2373042008
摘要

To evaluate prospectively the incidence of post-radiofrequency (RF) ablation syndrome and determine its impact on the quality of life in the 10 days after percutaneous RF ablation.This study was approved by the institutional review board and was HIPAA compliant. Informed consent was obtained for this survey in all patients by the interventional nurse coordinators. Thirty-six patients (20 men, 16 women; mean age, 69.3 years; range, 40-88 years) underwent RF ablation for 26 liver tumors and 17 renal tumors. Twenty control patients (11 men, nine women; mean age, 60.8 years; range, 35-76 years) underwent biopsy of focal liver lesions or renal lesions. With a standardized questionnaire, a telephone survey was conducted on days 1, 3, 5, and 10 after RF ablation or biopsy. The symptoms and interference with lifestyle were documented prospectively with a numeric intensity scale by using grades 0-10. Statistical analysis with Fisher exact test and analysis of variance was performed.After RF ablation, 15 (42%) patients developed low-grade fever (P < .001), 29 (81%) had flulike symptoms (P < .001), and four were asymptomatic. Symptoms peaked on day 3 and mainly resolved by day 10. Twelve (33%) patients had complete post-RF ablation syndrome: fever and flulike symptoms (P = .005). Flulike symptoms were more prolonged when they were accompanied with fever, peaked on day 5, and resolved more quickly for patients with renal lesions than they did for patients with liver lesions. Four patients had persistent fever caused by pneumonia (n = 2), pleural effusion and atelectasis (n = 1), or liver abscess (n = 1). No control patients developed both fever and flulike symptoms. Post-RF ablation patients with symptoms experienced significantly greater pain and interference with general and work activities, which peaked on day 1, than did control patients (P = .01 [pain], P < .001 [general and work activities]).Complete post-RF ablation syndrome occurs in approximately one-third of patients but is self-limiting within 10 days after the procedure. Persistent or late-onset fever may indicate concurrent infection elsewhere or possible abscess formation.radiology.rsnajnls.org/cgi/content/full/237/3/1097/DC1
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
zz发布了新的文献求助10
1秒前
zzq778发布了新的文献求助10
3秒前
黄怡婷完成签到 ,获得积分10
3秒前
Daisy应助科研通管家采纳,获得10
4秒前
机智苗应助科研通管家采纳,获得10
4秒前
香蕉觅云应助科研通管家采纳,获得10
4秒前
FashionBoy应助科研通管家采纳,获得10
4秒前
赘婿应助科研通管家采纳,获得10
4秒前
大模型应助科研通管家采纳,获得10
4秒前
yanmu2010应助科研通管家采纳,获得10
4秒前
kingwill应助科研通管家采纳,获得20
5秒前
银包铜应助科研通管家采纳,获得10
5秒前
共享精神应助科研通管家采纳,获得10
5秒前
5秒前
情怀应助科研通管家采纳,获得10
5秒前
李爱国应助科研通管家采纳,获得10
5秒前
所所应助科研通管家采纳,获得10
5秒前
5秒前
Orange应助科研通管家采纳,获得10
5秒前
5秒前
5秒前
Lucas完成签到,获得积分10
7秒前
C胖胖完成签到,获得积分10
7秒前
舒心的完成签到,获得积分10
7秒前
zz完成签到,获得积分10
8秒前
9秒前
9秒前
9秒前
10秒前
luozejun完成签到,获得积分10
10秒前
ycp完成签到,获得积分10
11秒前
dawang完成签到 ,获得积分10
11秒前
洁净的智宸完成签到 ,获得积分10
11秒前
zhaopeipei发布了新的文献求助10
11秒前
eternity136完成签到,获得积分10
11秒前
12秒前
SciGPT应助zz采纳,获得10
12秒前
科研欣路完成签到,获得积分10
13秒前
bulingbuling发布了新的文献求助10
14秒前
斯文败类应助Y123采纳,获得10
14秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038368
求助须知:如何正确求助?哪些是违规求助? 3576068
关于积分的说明 11374313
捐赠科研通 3305780
什么是DOI,文献DOI怎么找? 1819322
邀请新用户注册赠送积分活动 892672
科研通“疑难数据库(出版商)”最低求助积分说明 815029