Percutaneous Microwave Tumor Ablation Is Safe in Patients with Cardiovascular Implantable Electronic Devices: A Single-Institutional Retrospective Review

被引：3

作者：

Swietlik, John F. ^{[1
]}

Longo, Katherine C. ^{[1
]}

Knott, Emily A. ^{[1
]}

Hinshaw, J. Louis ^{[1
]}

Brace, Christopher L. ^{[2
]}

Alexander, Marci ^{[1
]}

Lubner, Meghan G. ^{[1
]}

Wells, Shane A. ^{[1
]}

Lee, Fred T., Jr. ^{[1
]}

Ziemlewicz, Timothy J. ^{[1
]}

机构：

[1] Univ Wisconsin, Dept Radiol, 600 Highland Ave, Madison, WI 53792 USA

[2] Univ Wisconsin, Dept Med Phys, 600 Highland Ave, Madison, WI 53792 USA

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2019年 / 30卷 / 03期

关键词：

RADIOFREQUENCY ABLATION; CARDIAC DEVICES; INTERFERENCE; EFFICACY;

D O I：

10.1016/j.jvir.2018.12.001

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The risk of electromagnetic interference between microwave (MW) ablation and cardiac implantable electronic devices (CIEDs), ie, pacemakers and defibrillators, has not been fully evaluated. Fourteen MW ablations (kidney, n = 8; liver, n = 5; lung, n = 1) were performed in 13 patients with CIEDs in normal operating mode. Electrocardiography tracings, cardiovascular complications, tumor size, tumor-to-CIED distance, and tumor-to-device lead distance were recorded. Mean tumor size was 2.9 cm, mean tumor-to-CIED distance was 26.4 cm (range, 9-30 cm), and mean tumor-to-lead distance was 12.1 cm (range, 3.5-20 cm). No device-based cardiovascular complications or class C or higher complications per Society of Interventional Radiology criteria were identified. MW ablation appears to be safe in select patients with CIEDs.

引用

页码：396 / 400

页数：5