Injection of subphrenic saline during radiofrequency ablation to minimize diaphragmatic injury.
An 82-year-old man with a history of colorectal cancer presented with metastatic disease to the liver (Couinaud segment 8). We describe the techniques that we employed to successfully perform radiofrequency ablation of a liver metastasis near the dome of the diaphragm utilizing subphrenic infusion of normal saline. The aim of this technique was to prevent thermal injury of the diaphragm.
Kapoor
Baljendra S
BS
Cardiovascular and Interventional Radiology, University of Minnesota School of Medicine, 420 Delaware Street SE, Minneapolis, MN 55455, USA.
Hunter
David W
DW
D000368:Aged; D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D017115:Catheter Ablation; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000601:surgery; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000293:injuries*; D005471:Fluoroscopy; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000517:prevention & control*; D006801:Humans; D007262:Infusions, Intravenous; D007430:Intraoperative Care; D008113:Liver Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery; D008297:Male; D012965:Sodium Chloride / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D012965:Sodium Chloride