RFA in the management of pulmonary tumours

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Presentation transcript:

RFA in the management of pulmonary tumours Dr John Hughes University Hospitals Bristol

Radiofrequency and Microwave Heat tissue to > 60°C RFA Heat induced with 500 kHz AC MICROWAVE ablation Microwave frequency 950 MHz Better penetration of air Better heat sink effects Much shorter ablation times

Indications Treatment of bronchogenic carcinoma with curative intent in patients not suitable for surgery or radical radiotherapy Treatment of pulmonary metastases with curative intent

Indications But we can’t guarantee cure…. so it’s more curative hope-ish

SABRT and VATS…

Technique Standard biopsy technique LA (deep conscious sedation) or GA Day case

Complications Pain Pneumothorax Haemorrhage Infection Death Treatment failure Failure to achieve control Recurrence