Plasma-mediated radiofrequency ablation followed by percutaneous cementoplasty under fluoro-CT guidance: a case report.
We report a case of a 81-year-old Caucasian man with colorectal carcinoma, treated by surgery in 1998, referred for palliative treatment of a refractory painful caused by osteolytic metastases of 2.5 cm in back-upper ilium spine. Plasma-mediated radiofrequency ablation was performed under conscious sedation, using Fluoroscopic Computer Tomography guidance. After completing the ablation phase of the procedure, a mixture of bone cement and Biotrace sterile barium sulfate was injected into the ablated cavity.Patient was evaluated by using the Brief Pain Inventory and considering pain interference with daily living at day 1 and 3 and week 1, 2, 3, 4 by means of a telephone interview. A post-procedure Computer Tomography scan was performed to examine the distribution of cement deposition few minutes after the procedure. The plasma mediated RFA and cementoplasty were well tolerated by the patient who did not develop any complication.
Carrafiello
Gianpaolo
G
Department of Radiology, University Hospital of Insubria, Viale Borri 57, 21100 Varese, Italy. gcarraf@tin.it
Laganà
Domenico
D
Ianniello
Andrea
A
Fontana
Federico
F
Mangini
Monica
M
Mocciardini
Lucia
L
Spanò
Emanuela
E
Piacentino
Filippo
F
Cuffari
Salvatore
S
Fugazzola
Carlo
C