Navigation bronchoscopy-guided radiofrequency ablation for nonsurgical peripheral pulmonary tumors

We have recently developed a flexible catheter electrode used for bronchoscopic radiofrequency ablation (RFA). Two patients with nonsurgical stage IA peripheral lung cancer and 1 with lung metastasis underwent treatment with flexible catheter RFA utilizing navigation bronchoscopy. Chest computed tom...

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Hauptverfasser: Xie, Fangfang (VerfasserIn) , Herth, Felix (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2017
In: Respiration
Year: 2017, Jahrgang: 94, Heft: 3, Pages: 293-298
ISSN:1423-0356
DOI:10.1159/000477764
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1159/000477764
Verlag, Volltext: https://www.karger.com/Article/FullText/477764
Volltext
Verfasserangaben:Fangfang Xie, Xiaoxuan Zheng, Bo Xiao, Baohui Han, Felix J. F. Herth, Jiayuan Sun

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520 |a We have recently developed a flexible catheter electrode used for bronchoscopic radiofrequency ablation (RFA). Two patients with nonsurgical stage IA peripheral lung cancer and 1 with lung metastasis underwent treatment with flexible catheter RFA utilizing navigation bronchoscopy. Chest computed tomography (CT) and positron emission tomography/CT (PET/CT) were performed before and after RFA to assess the ablation response of the patients. One patient's tumor had no prior PET uptake and therefore no follow-up PET was obtained. The first and the third patient obtained partial response to RFA, and the second patient obtained complete response 3 months after RFA. The first patient developed progressive disease 6 months after RFA. The second and the third patient achieved one-year progression-free survival. No significant complications occurred in the 3 patients. Navigation bronchoscopy-guided RFA is a safe and feasible procedure for poor surgical candidates with stage IA lung cancer or lung metastasis. 
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