Thermal protection with 5% dextrose solution blanket during radiofrequency ablation.
A serious complication for any thermal radiofrequency ablation is thermal injury to adjacent structures, particularly the bowel, which can result in additional major surgery or death. Several methods using air, gas, fluid, or thermometry to protect adjacent structures from thermal injury have been reported. In the cases presented in this report, 5% dextrose water (D5W) was instilled to prevent injury to the bowel and diaphragm during radiofrequency ablation. Creating an Insulating envelope or moving organs with D5W might reduce risk for complications such as bowel perforation.
Chen
Enn Alexandria
EA
Radiology Department, Warren G. Magmison Clinical Center, National Institutes of Health, Bethesda, MD 20892, USA. echen@cc.nih.gov
Neeman
Ziv
Z
Lee
Fred T
FT
Kam
Anthony
A
Wood
Brad
B
D000306:Adrenal Cortex Neoplasms / Q000473:pathology; D018268:Adrenocortical Carcinoma / Q000556:secondary; D000328:Adult; D001650:Bile Duct Neoplasms / Q000473:pathology; D001653:Bile Ducts, Intrahepatic / Q000473:pathology; D002292:Carcinoma, Renal Cell / Q000473:pathology; D017115:Catheter Ablation; D018281:Cholangiocarcinoma / Q000473:pathology; D003131:Combined Modality Therapy; D005260:Female; D005947:Glucose / Q000008:administration & dosage*; D006358:Hot Temperature; D006801:Humans; D007552:Isotonic Solutions; D007680:Kidney Neoplasms / Q000473:pathology; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D008297:Male; D013549:Sweetening Agents / Q000008:administration & dosage*; D014057:Tomography, X-Ray Computed
D007552:Isotonic Solutions; D013549:Sweetening Agents; D005947:Glucose