Radiofrequency ablation in the lung complicated by positive airway pressure ventilation.
A patient receiving bilevel positive airway pressure therapy underwent radiofrequency ablation of a pulmonary metastasis from a primary malignant fibrous histiocytoma of the scapula. The patient's postablation course was complicated by a bronchopleural fistula, which was exacerbated by the detrimental effects of positive airway pressure on necrotic lung tissue after the ablation. The use of positive airway pressure devices, including bilevel positive airway pressure and continuous positive airway pressure, in patients undergoing radiofrequency ablation of the lung should be considered as an added risk for developing bronchopleural fistula.
Nachiappan
Arun C
AC
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts 02114, USA.
Sharma
Amita
A
Shepard
Jo-Anne O
JA
Lanuti
Michael
M
D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods*; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D051677:Histiocytoma, Malignant Fibrous / Q000556:secondary / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D009367:Neoplasm Staging; D010166:Palliative Care / Q000379:methods; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D018570:Risk Assessment; D012540:Scapula / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome