Perkutánní radiofrekvenční temoablace (RFA) - současný stav a první klinické zkušenosti s multipolárním systémem
| Title in English | Percutaneous Radiofrequency thermoablation (RFA) - Present State and First Clinical Experience with a Multipolar system |
|---|---|
| Authors | |
| Year of publication | 2006 |
| Type | Article in Periodical |
| Magazine / Source | Česká Radiologie |
| MU Faculty or unit | |
| Citation | |
| Field | Other medical specializations |
| Keywords | RFA - thermoablation-liver-monopolar- bipolar - multipolar-HCC-metastasis |
| Description | Percutanous radiofrequencyy ablation (thermoablation, RFA) is presently a routine method not only in Western Europe and the U.S.A. but also in this country. Although the funding of this intervention is not covered by general medical insurance it has been performed at a series of hospitals from more than two years. The optimal indication for this intervention is particularly in patients with malignant tumors of the liver (primary and secondary) where the size reached 5 cm at the maximum and the number is three five foci in case of smaller sizes. The larger the focus is the lower number can be successfully destroyed. At the presented time the literature indicates that it is possible to destroy a lerge solitary locus of colorectal cencer metastasis up to 8 cm in diameter and up to 9 cm large hepatocečllular cencer in a cerrhotic terrain (if the nodular form is concerned). The intervention is performed less frequently in malignant tumors of the kidney lungs and bones. In this review the authors present the present state of RFA modern trends and descaribe their first experience with multipolar thermoablation of liver metastases. |