Cryoablation in Locoregional Management of Complex Unresectable Chest Neoplasms
Rationale and Objectives: The aim of our retrospective study was to assess the safety and feasibility of cryoablation in high-risk patients with complex chest neoplastic lesions. Materials and Methods: Twenty patients with complex chest malignancies, both primary and secondary, located in the medias...
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2021-11-01
|
| Series: | Tomography |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2379-139X/7/4/57 |
| _version_ | 1827669375112445952 |
|---|---|
| author | Roberto Iezzi Andrea Contegiacomo Alessandro Posa Nico Attempati Ernesto Punzi Alessandro Tanzilli Stefano Margaritora Maria Teresa Congedo Alessandra Cassano Emilio Bria Luca Tagliaferri Vincenzo Valentini Cesare Colosimo Riccardo Manfredi |
| author_facet | Roberto Iezzi Andrea Contegiacomo Alessandro Posa Nico Attempati Ernesto Punzi Alessandro Tanzilli Stefano Margaritora Maria Teresa Congedo Alessandra Cassano Emilio Bria Luca Tagliaferri Vincenzo Valentini Cesare Colosimo Riccardo Manfredi |
| author_sort | Roberto Iezzi |
| collection | DOAJ |
| description | Rationale and Objectives: The aim of our retrospective study was to assess the safety and feasibility of cryoablation in high-risk patients with complex chest neoplastic lesions. Materials and Methods: Twenty patients with complex chest malignancies, both primary and secondary, located in the mediastinum, lung, and chest wall, underwent percutaneous CT-guided cryoablation treatments. Procedural success as well as complications were evaluated. Results: A total of 24 neoplastic lesions were treated (mean diameter: 27 mm; range: 7–54 mm). Technical success was obtained in all patients, without major complications or intraprocedural death. A pneumothorax not requiring a drainage tube placement was registered in 50% of patients, while 3/24 patients had a grade 3 pneumothorax requiring a chest tube placement. Conclusion: Percutaneous CT-guided cryoablation seems a safe and feasible treatment for complex thoracic lesions. |
| first_indexed | 2024-03-10T03:59:30Z |
| format | Article |
| id | doaj.art-ea345013b3f147c783e078eded85ea41 |
| institution | Directory Open Access Journal |
| issn | 2379-1381 2379-139X |
| language | English |
| last_indexed | 2024-03-10T03:59:30Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tomography |
| spelling | doaj.art-ea345013b3f147c783e078eded85ea412023-11-23T10:49:06ZengMDPI AGTomography2379-13812379-139X2021-11-017468869610.3390/tomography7040057Cryoablation in Locoregional Management of Complex Unresectable Chest NeoplasmsRoberto Iezzi0Andrea Contegiacomo1Alessandro Posa2Nico Attempati3Ernesto Punzi4Alessandro Tanzilli5Stefano Margaritora6Maria Teresa Congedo7Alessandra Cassano8Emilio Bria9Luca Tagliaferri10Vincenzo Valentini11Cesare Colosimo12Riccardo Manfredi13Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Scienze Mediche e Chirurgiche, Unità Operativa Complessa di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Scienze Mediche e Chirurgiche, Unità Operativa Complessa di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Scienze Mediche e Chirurgiche, Unità Operativa Complessa di Oncologia Medica, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Scienze Mediche e Chirurgiche, Unità Operativa Complessa di Oncologia Medica, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Unità Operativa Complessa di Radioterapia Oncologica, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyIstituto di Radiologia, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Istituto di Radiologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, L.go A Gemelli 8, 00168 Rome, ItalyRationale and Objectives: The aim of our retrospective study was to assess the safety and feasibility of cryoablation in high-risk patients with complex chest neoplastic lesions. Materials and Methods: Twenty patients with complex chest malignancies, both primary and secondary, located in the mediastinum, lung, and chest wall, underwent percutaneous CT-guided cryoablation treatments. Procedural success as well as complications were evaluated. Results: A total of 24 neoplastic lesions were treated (mean diameter: 27 mm; range: 7–54 mm). Technical success was obtained in all patients, without major complications or intraprocedural death. A pneumothorax not requiring a drainage tube placement was registered in 50% of patients, while 3/24 patients had a grade 3 pneumothorax requiring a chest tube placement. Conclusion: Percutaneous CT-guided cryoablation seems a safe and feasible treatment for complex thoracic lesions.https://www.mdpi.com/2379-139X/7/4/57cryoablationlung tumorsinterventional radiology |
| spellingShingle | Roberto Iezzi Andrea Contegiacomo Alessandro Posa Nico Attempati Ernesto Punzi Alessandro Tanzilli Stefano Margaritora Maria Teresa Congedo Alessandra Cassano Emilio Bria Luca Tagliaferri Vincenzo Valentini Cesare Colosimo Riccardo Manfredi Cryoablation in Locoregional Management of Complex Unresectable Chest Neoplasms Tomography cryoablation lung tumors interventional radiology |
| title | Cryoablation in Locoregional Management of Complex Unresectable Chest Neoplasms |
| title_full | Cryoablation in Locoregional Management of Complex Unresectable Chest Neoplasms |
| title_fullStr | Cryoablation in Locoregional Management of Complex Unresectable Chest Neoplasms |
| title_full_unstemmed | Cryoablation in Locoregional Management of Complex Unresectable Chest Neoplasms |
| title_short | Cryoablation in Locoregional Management of Complex Unresectable Chest Neoplasms |
| title_sort | cryoablation in locoregional management of complex unresectable chest neoplasms |
| topic | cryoablation lung tumors interventional radiology |
| url | https://www.mdpi.com/2379-139X/7/4/57 |
| work_keys_str_mv | AT robertoiezzi cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT andreacontegiacomo cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT alessandroposa cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT nicoattempati cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT ernestopunzi cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT alessandrotanzilli cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT stefanomargaritora cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT mariateresacongedo cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT alessandracassano cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT emiliobria cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT lucatagliaferri cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT vincenzovalentini cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT cesarecolosimo cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms AT riccardomanfredi cryoablationinlocoregionalmanagementofcomplexunresectablechestneoplasms |