Abstract
Percutaneous tumor ablations are rather safe and effective treatments in selected patients for non-operable non-small cell lung carcinomas or lung metastases. However, there are major complications such as bronchopleural or bronchocutaneous fistula, which it is important to know in order to manage them safely. We describe in this report a case of bronchocutaneous fistula without pneumothorax following a microwave ablation of a recurrent pulmonary metastasis and its management.
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Dupuy DE, Zagoria RJ, Akerley W, Mayo-Smith WW, Kavanagh PV, Safran H. Percutaneous radiofrequency ablation of malignancies in the lung. AJR Am J Roentgenol. 2000;174(1):57–9.
Smith SL, Jennings PE. Lung radiofrequency and microwave ablation: a review of indications, techniques and post-procedural imaging appearances. Br J Radiol [Internet]. 2015;88(1046). http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4614249/.
Kashima M, Yamakado K, Takaki H, Kodama H, Yamada T, Uraki J, et al. Complications after 1000 lung radiofrequency ablation sessions in 420 patients: a single center’s experiences. AJR Am J Roentgenol. 2011;197(4):W576–80.
Zheng A, Wang X, Yang X, Wang W, Huang G, Gai Y, et al. Major complications after lung microwave ablation: a single-center experience on 204 sessions. Ann Thorac Surg. 2014;98(1):243–8.
Konishi Y, Yamamoto H, Hiraki T, Soh J, Toyooka S, Kanazawa S, et al. Massive subcutaneous and mediastinal emphysema with little pneumothorax treated by surgery after pulmonary radiofrequency ablation. Cardiovasc Intervent Radiol. 2014;37(2):548–51.
Bui JT, Gaba RC, Knuttinen MG, Omene BO, Shon A, Martinez BK, et al. Microwave lung ablation complicated by bronchocutaneous fistula: case report and literature review. Semin Interv Radiol. 2011;28(2):152–5.
Radvany MG, Allan PF, Frey WC, Banks KP, Malave D. Pulmonary radiofrequency ablation complicated by subcutaneous emphysema and pneumomediastinum treated with fibrin sealant injection. Am J Roentgenol. 2005;185(4):894–8.
Macklin CC. Transport of air along sheaths of pulmonic blood vessels from alveoli to mediastinum. Arch Intern Med. 1939;64(5):913–26.
Alberti N, Buy X, Frulio N, Montaudon M, Canella M, Gangi A, et al. Rare complications after lung percutaneous radiofrequency ablation: incidence, risk factors, prevention and management. Eur J Radiol. 2016;85(6):1181–91.
Alexander ES, Healey TT, Martin DW, Dupuy DE. Use of endobronchial valves for the treatment of bronchopleural fistulas after thermal ablation of lung neoplasms. J Vasc Interv Radiol. 2012;23(9):1236–40.
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Thivolet, A., Menassel, B., Chatté, G. et al. Delayed Bronchocutaneous Fistula Without Pneumothorax Following a Microwave Ablation of a Recurrent Pulmonary Metastasis. Cardiovasc Intervent Radiol 41, 340–343 (2018). https://doi.org/10.1007/s00270-017-1797-8
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DOI: https://doi.org/10.1007/s00270-017-1797-8