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肺癌射频消融禁忌症

时间:2020-03-01 22:34来源:未知 作者:admin 点击:
PERCUTANEOUS ABLATIONS Clinical Criteria: Exclusion Contraindications: - Pulmonary hypertension - Malignant Effusion Abbas G, et al. Surg Oncol 2009;100(8):645-50 Relative contraindications: - Poor lung function: FEV11L respiratory failure
PERCUTANEOUS ABLATIONS
Clinical Criteria: Exclusion




Contraindications:
 
- Pulmonary hypertension
- Malignant Effusion
 
Abbas G, et al. Surg Oncol 2009;100(8):645-50

Relative contraindications:
 
- Poor lung function: FEV1<1L – respiratory failure is much more  likely to occur
- Pacemaker: electrical current can result in thermal injury;  feasible if lesion is remote from the wires and the pacemaker is  switched off during the procedure
- Presence of a coagulopathy: the procedure should not be performed if INR>1.8 and platelets < 50x10³/μL

  Volume 38, Issue 1, January–February 2009, Pages 44-52
Roy AM. Radiofrequency Ablation of Lung Lesions: Practical Applications and Tips. Curr Probl Diagn Radiol 2009;38(1):44-52.
 
Exclusion criteria
 
- Life-expectancy <3 months
- Performance status >2
- Unmanageable coagulation disorders
- Infection

不能确定的排除标准

- Central tumors?
- After pneumonectomy?
- Tumors abutting vasculature?
 
Crocetti L et al.,Radiofrequency Ablation of Pulmonary Tumors 2010, Eur J Radiol
 
 

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