Ablación térmica por radiofrecuencia/Radiofrequency thermal ablation

La ablación térmica por radiofrecuencia en el mieloma doloroso de la clavícula.
Radiofrequency thermal ablation in painful myeloma of the clavicle.
Gharaei H, Imani F, Vakily M.
Korean J Pain. 2014 Jan;27(1):72-6. doi: 10.3344/kjp.2014.27.1.72. Epub 2013 Dec 31.
A 57-year-old male patient had myeloma. He had severe pain in the left clavicle that did not respond to radiotherapy; therefore, it was treated with radiofrequency thermal ablation (RFTA). Under fluoroscopic guidance, two RF needles at a distance of 1.5 cm from each other were inserted into the mass and conventional radiofrequency (90 C and 60 seconds) at two different depths (1 cm apart) was applied. Then, 2 ml of 0.5% ropivacaine along with triamcinolone 40 mg was injected in each needle. The visual analogue pain score (VAS from 0 to 10) was decreased from 8 to 0. In the next 3 months of follow-up, the patient was very satisfied with the procedure and the mass gradually became smaller. There were no complications. This study shows that RFTA could be a useful method for pain management in painful osteolytic myeloma lesions in the clavicle.
KEYWORDS: clavicle, myeloma, radiofrequency thermal ablation 
Anestesiología y Medicina del Dolor

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