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RFA in the management of pulmonary tumours

RFA in the management of pulmonary tumours. Dr John Hughes University Hospitals Bristol. Radiofrequency and Microwave. Heat tissue to > 60°C RFA Heat induced with 500 kHz AC MICROWAVE ablation Microwave frequency 950 MHz Better penetration of air Better heat sink effects

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RFA in the management of pulmonary tumours

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  1. RFA in the management of pulmonary tumours Dr John Hughes University Hospitals Bristol

  2. Radiofrequency and Microwave • Heat tissue to > 60°C • RFA • Heat induced with 500 kHz AC • MICROWAVE ablation • Microwave frequency 950 MHz • Better penetration of air • Better heat sink effects • Much shorter ablation times

  3. Indications • Treatment of bronchogenic carcinoma with curative intent in patients not suitable for surgery or radical radiotherapy • Treatment of pulmonary metastases with curative intent

  4. Indications • But we can’t guarantee cure…. so it’s more curative hope-ish

  5. SABRT and VATS…

  6. Technique • Standard biopsy technique • LA (deep conscious sedation) or GA • Day case

  7. Complications • Pain • Pneumothorax • Haemorrhage • Infection • Death • Treatment failure • Failure to achieve control • Recurrence

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