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Chest tube placement incidence when using gelatin sponge torpedoes after pulmonary radiofrequency ablation.
Graveleau, Pauline; Frampas, Éric; Perret, Christophe; Volpi, Stéphanie; Blanc, François-Xavier; Goronflot, Thomas; Liberge, Renan.
Afiliación
  • Graveleau P; Department of Radiology, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes, France.
  • Frampas É; Department of Radiology, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes, France.
  • Perret C; Department of Radiology, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes, France.
  • Volpi S; Department of Radiology, Institut cancérologique de l'Ouest, boulevard Jacques-Monod, 44800 Saint-Herblain, France.
  • Blanc FX; Department of Pneumology, CHU de Nantes, boulevard Jacques-Monod, 44800 Saint-Herblain, France.
  • Goronflot T; Nantes Université, CHU de Nantes, pôle hospitalo-universitaire 11: Santé publique, clinique des données, Iserm, CIC 1413, 44000 Nantes, France.
  • Liberge R; Department of Radiology, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes, France.
Res Diagn Interv Imaging ; 10: 100047, 2024 Jun.
Article en En | MEDLINE | ID: mdl-39077729
ABSTRACT

Purpose:

To assess the efficacy of the gelatin torpedoes embolization technique after lung neoplastic lesions percutaneous radiofrequency ablation (PRFA) to reduce chest tube placement rate and hospital length of stay, and the safety of this embolization technique. Materials and

methods:

A total of 114 PRFA of lung neoplastic lesions performed in two centers between January 2017 and December 2022 were retrospectively reviewed. Two groups were compared, with 42 PRFA with gelatin torpedoes embolization technique (gelatin group) and 72 procedures without (control group). Procedures were performed by one of seven interventional radiologists using LeVeen CoAccess™ probe. Multivariate analyses were performed to identify risk factors for chest tube placement and hospital length of stay.

Results:

There was a significantly lower chest tube placement rate in the gelatin group compared to the control group (3 [7.1 %] vs. 27 [37.5 %], p < 0,001). Multivariate analysis showed a significant association between chest tube placement and gelatin torpedoes embolization technique (OR 0.09; 95 % CI 0.02-0.32; p = 0.0006). No significant difference was found in hospital length of stay between the two groups. Multivariate analysis did not show a significant relationship between hospital length of stay and gelatin torpedoes embolization technique. No embolic complication occurred in the gelatin group.

Conclusion:

Gelatin torpedoes embolization technique after PRFA of lung neoplastic lesions resulted in significantly reduced chest tube placement rate in our patient population. No significant reduction in hospital length of stay was observed. No major complication occurred in the gelatin group.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Res Diagn Interv Imaging Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Res Diagn Interv Imaging Año: 2024 Tipo del documento: Article País de afiliación: Francia Pais de publicación: Francia