Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Hemorrhagic Cardiac Tamponade: Rare Complication of Radiofrequency Ablation of Hepatocellular Carcinoma

  • Published : 2012.10.01
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Abstract

Local treatment for hepatocellular carcinoma (HCC) has been widely used in clinical practice due to its minimal invasiveness and high rate of cure. Percutaneous radiofrequency ablation (RFA) is widely used because its treatment effectiveness. However, some serious complications can arise from percutaneous RFA. We present here a rare case of hemorrhagic cardiac tamponade secondary to an anterior cardiac vein (right marginal vein) injury during RFA for treatment of HCC.

Keywords

References

  1. Omata M, Tateishi R, Yoshida H, Shiina S. Treatment of hepatocellular carcinoma by percutaneous tumor ablation methods: ethanol injection therapy and radiofrequency ablation. Gastroenterology 2004;127:S159-S166 https://doi.org/10.1053/j.gastro.2004.09.030
  2. Rhim H, Yoon KH, Lee JM, Cho Y, Cho JS, Kim SH, et al. Major complications after radio-frequency thermal ablation of hepatic tumors: spectrum of imaging findings. Radiographics 2003;23:123-134; discussion 134-136 https://doi.org/10.1148/rg.231025054
  3. Moumouh A, Hannequin J, Chagneau C, Rayeh F, Jeanny A, Weber-Holtzscherer A, et al. A tamponade leading to death after radiofrequency ablation of hepatocellular carcinoma. Eur Radiol 2005;15:234-237 https://doi.org/10.1007/s00330-004-2485-z
  4. Gao J, Sun WB, Tong ZC, Ding XM, Ke S. Successful treatment of acute hemorrhagic cardiac temponade in a patient with hepatocellular carcinoma during percutaneous radiofrequency ablation. Chin Med J (Engl) 2010;123:1470-1472
  5. Chen EA, Neeman Z, Lee FT, Kam A, Wood B. Thermal protection with 5% dextrose solution blanket during radiofrequency ablation. Cardiovasc Intervent Radiol 2006;29:1093-1096 https://doi.org/10.1007/s00270-004-6216-2
  6. Yamakado K, Nakatsuka A, Akeboshi M, Takeda K. Percutaneous radiofrequency ablation of liver neoplasms adjacent to the gastrointestinal tract after balloon catheter interposition. J Vasc Interv Radiol 2003;14:1183-1186 https://doi.org/10.1097/01.RVI.0000086530.86489.05
  7. Buy X, Tok CH, Szwarc D, Bierry G, Gangi A. Thermal protection during percutaneous thermal ablation procedures: interest of carbon dioxide dissection and temperature monitoring. Cardiovasc Intervent Radiol 2009;32:529-534 https://doi.org/10.1007/s00270-009-9524-8
  8. Steinke K, King J, Glenn D, Morris DL. Percutaneous radiofrequency ablation of lung tumors: difficulty withdrawing the hooks resulting in a split needle. Cardiovasc Intervent Radiol 2003;26:583-585

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  1. Irreversible Electroporation for Unresectable Hepatocellular Carcinoma: Initial Experience and Review of Safety and Outcomes vol.12, pp.3, 2012, https://doi.org/10.7785/tcrt.2012.500317
  2. Ablation of hepatocellular carcinoma vol.28, pp.5, 2014, https://doi.org/10.1016/j.bpg.2014.08.011
  3. Hemorrhagic cardiac tamponade complicated by acute type A aortic dissection : A case report with critical care ultrasound findings vol.96, pp.49, 2012, https://doi.org/10.1097/md.0000000000008773
  4. An unusual cause of right ventricular wall rupture during radiofrequency ablation of hepatocellular carcinoma vol.12, pp.3, 2012, https://doi.org/10.4103/sja.sja_731_17
  5. Cardiac tamponade after radiofrequency ablation for hepatocellular carcinoma : Case report and literature review vol.97, pp.49, 2012, https://doi.org/10.1097/md.0000000000013532
  6. Radiofrequency ablation for subcardiac hepatocellular carcinoma: therapeutic outcomes and risk factors for technical failure vol.29, pp.5, 2012, https://doi.org/10.1007/s00330-018-5868-2
  7. Percutaneous Argon-Helium Cryoablation for Small Hepatocellular Carcinoma Located Adjacent to a Major Organ or Viscus: A Retrospective Study of 92 Patients at a Single Center vol.27, pp.None, 2012, https://doi.org/10.12659/msm.931473