Nicolas Alberti MD, Presenter: Nothing to Disclose

Xavier Buy MD, Abstract Co-Author: Proctor, Galil Medical Ltd

Nora Frulio, Abstract Co-Author: Nothing to Disclose

Michel Montaudon MD, Abstract Co-Author: Nothing to Disclose

Mathieu Canella, Abstract Co-Author: Nothing to Disclose

Afshin Gangi MD, PhD, Abstract Co-Author: Proctor, Galil Medical Ltd

Jean Palussiere MD, Abstract Co-Author: Travel support, Bracco Group

Tumor destruction by percutaneous radiofrequency ablation (PRFA) is a minimally invasive treatment proposed in the management of lung tumors, primary or secondary, especially in inoperable patients. This technique is very well tolerated in the lung, and most of the complications, which occur in up to 50% of cases, are minor. Little is known about potential rare complications after PRFA. The aim of this educational exhibit was to a) describe b) prevent c) manage rare complications after PRFA of the lung based upon our experience in a large tertiary referral centre (more than 1000 patients during 11 years).

1) Pulmonary complications: *Bronchopleural or bronchial fistula *Pulmonary artery pseudo aneurysm *Gas embolism *Aspergilloma or delayed abcess inside post RFA cavitation 2) Thoracic wall complications: *Intercostal neuroma *Intercostal artery injury *Rib necrosis 3) Mediastinal and apical complications: *Neural damage (brachial plexus, recurrent and phrenic nerves) 4) Diaphragmatic injury (hernia)

http://abstract.rsna.org/uploads/2014/14015178/14015178_7pw6.pdf

Alberti, N, Buy, X, Frulio, N, Montaudon, M, Canella, M, Gangi, A, Palussiere, J, Rare Complications after Lung Percutaneous Radio Frequency Ablation: Incidence, Risk Factors, Prevention and Management.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14015178.html