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Advances in radiofrequency ablation: mechanism of action and technology.
Strand, Natalie H; Hagedorn, Jonathan M; Dunn, Tyler; Johnson, Brooks; Abd-Elsayed, Alaa; Covington, Stephen; Freeman, John; Dawodu, Azizat; Maloney, Jillian.
Afiliación
  • Strand NH; Department of Anesthesiology, Mayo Clinic, Phoenix, AZ, USA.
  • Hagedorn JM; Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA.
  • Dunn T; Department of Anesthesiology, Mayo Clinic, Phoenix, AZ, USA.
  • Johnson B; Department of Anesthesiology, Mayo Clinic, Phoenix, AZ, USA.
  • Abd-Elsayed A; Anesthesiology and Pain Management, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
  • Covington S; Department of Anesthesiology, Mayo Clinic, Phoenix, AZ, USA.
  • Freeman J; Department of Anesthesiology, Mayo Clinic, Phoenix, AZ, USA.
  • Dawodu A; Department of Anesthesiology, Mayo Clinic, Phoenix, AZ, USA.
  • Maloney J; Department of Anesthesiology, Mayo Clinic, Phoenix, AZ, USA.
Ann Palliat Med ; 13(4): 1028-1034, 2024 Jul.
Article en En | MEDLINE | ID: mdl-39043563
ABSTRACT
Radiofrequency ablation (RFA) is a minimally invasive treatment modality that utilizes high-frequency alternating current to destroy targeted tissues through thermal ablation. This manuscript provides an overview of the advancements in RFA, focusing on its mechanism of action and technological innovations. RFA technology was first introduced in the early 1900's, and its use has expanded and evolved, especially in its current utility in the treatment of painful conditions. As the technology has evolved, new techniques, applications and modalities have expanded its use and improved its efficacy. RFA works by applying radiofrequency energy through specialized electrodes, leading to resistive heating and coagulation necrosis. Its advantages include precise tissue targeting, minimal invasiveness, reduced complications, and faster recovery compared to traditional surgical interventions. Technological advancements in RFA have led to improved treatment outcomes. Multi-electrode systems allow for larger ablation zones. Image-guided RFA improves treatment planning and minimizes damage to healthy tissues. Cooled-tip and perfusion electrodes address limitations such as heat sink effects, enhancing RFA's efficacy in challenging anatomical regions. These developments have expanded RFA's applications to liver tumors, lung tumors, renal tumors, cardiac arrhythmias, and chronic pain syndromes. In conclusion, RFA has emerged as a safe and effective thermal ablation technique. Understanding its mechanism of action and integrating advanced technologies have significantly enhanced treatment outcomes. Continued research and innovation in RFA hold immense potential for further improving patient care and outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ablación por Radiofrecuencia Límite: Humans Idioma: En Revista: Ann Palliat Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: China

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ablación por Radiofrecuencia Límite: Humans Idioma: En Revista: Ann Palliat Med Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: China