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radiofrequency ablation pain

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https://www.readbyqxmd.com/read/29779310/-clinical-features-diagnosis-and-treatment-of-intraductal-papillary-neoplasm-of-the-bile-duct
#1
J Y Lou, W Su, S M Wei, F B Huang, W Chen, J Wang, X Z Yu, X L Bai, T B Liang
Objective: To study the clinicopathologic features of intraductal papillary neoplasm of the bile duct(IPNB) and to analyze the diagnostic and therapeutic patterns. Methods: The data of 46 patients with IPNB undergoing surgery in Department of Hepatobiliary and Pancreatic Surgery, the Second Affiliated Hospital of Zhejiang University School of Medicine from January 2013 to November 2017 were retrospectively analyzed.There were 23 males and 23 females with age of (64±8)years.Patients were followed up by clinics and telephone inquiry...
May 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29770769/ct-fluoroscopy-guided-percutaneous-osteoplasty-with-or-without-radiofrequency-ablation-in-the-treatment-of-painful-extraspinal-and-spinal-bone-metastases-technical-outcome-and-complications-in-29-patients
#2
Caroline A Burgard, Julien Dinkel, Frederik Strobl, Philipp M Paprottka, Nicolai Schramm, Maximilian Reiser, Christoph G Trumm
PURPOSE: We aimed to assess the safety and technical outcome of computed tomography (CT) fluoroscopy-guided osteoplasty with or without prior percutaneous radiofrequency ablation (RFA) in patients with painful osteolyses. METHODS: We performed a retrospective analysis of 29 patients with painful extraspinal and spinal osteolyses (16 women, 13 men; 63.1±14.4 years) who underwent CT fluoroscopy-guided osteoplasty (10-20 mAs tube current) with or without RFA (26 and 14 lesions, respectively), in 33 consecutive procedures from 2002 to 2016...
May 2018: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/29765790/direct-posterior-bipolar-cervical-facet-radiofrequency-rhizotomy-a-simpler-and-safer-approach-to-denervate-the-facet-capsule
#3
Ovidiu Palea, Haroon M Andar, Ramon Lugo, Michelle Granville, Robert E Jacobson
Radiofrequency cervical rhizotomy has been shown to be effective for the relief of chronic neck pain, whether it be due to soft tissue injury, cervical spondylosis, or post-cervical spine surgery. The target and technique have traditionally been taught using an oblique approach to the anterior lateral capsule of the cervical facet joint. The goal is to position the electrode at the proximal location of the recurrent branch after it leaves the exiting nerve root and loops back to the cervical facet joint. The standard oblique approach to the recurrent nerve requires the testing of both motor and sensory components to verify the correct position and ensure safety so as to not damage the slightly more anterior nerve root...
March 14, 2018: Curēus
https://www.readbyqxmd.com/read/29764244/kinetics-and-tissue-repair-process-following-fractional-bipolar-radiofrequency-treatment
#4
G Kokolakis, L von Eichel, M Ulrich, J Lademann, T Zuberbier, M A Hofmann
INTRODUCTION: Fractionated radiofrequency (RF) tissue tightening is an alternative method to fractionated laser treatment of skin wrinkling, laxity and acne scars, with reduced risk of scarring or persistent pigmentation. The aim of this study was to evaluate and quantify the wound healing process after RF treatment. MATERIALS AND METHODS: 12 patients were treated with a 64-pin fractional bipolar RF device with 60 mJ/pin applied energy. Confocal laser scanning microscopy (CLSM) examination was performed on day 1, day 2, day 7 and day 14 after treatment...
May 15, 2018: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
https://www.readbyqxmd.com/read/29729780/mechanisms-of-and-adjuvants-for-bone-pain
#5
REVIEW
Nicholas Figura, Joshua Smith, Hsiang-Hsuan Michael Yu
Metastatic bone pain is a complex, poorly understood process. Understanding the unique mechanisms causing cancer-induced bone pain may lead to potential therapeutic targets. This article discusses the effects of osteoclast overstimulation within the tumor microenvironment; the role of inflammatory factors at the tumor-nociceptor interface; the development of structural instability, causing mechanical nerve damage; and, ultimately, the neuroplastic changes in the setting of sustained pain. Several adjuvant therapies are available to attenuate metastatic bone pain...
June 2018: Hematology/oncology Clinics of North America
https://www.readbyqxmd.com/read/29713204/efficacy-and-patient-satisfaction-after-novasure-and-minerva-endometrial-ablation-for-treating-abnormal-uterine-bleeding-a-retrospective-comparative-study
#6
Constantine Scordalakes, Robert delRosario, Andrew Shimer, Russell Stankiewicz
Objective: Compare amenorrhea rate, menstrual symptoms, patient satisfaction, and adverse events in women who underwent endometrial ablation with the NovaSure versus the Minerva radiofrequency ablation systems. Methods: We surveyed 189 premenopausal women (mean 40.8±6.2 years old) who underwent endometrial ablation for abnormal uterine bleeding using the NovaSure (n=97) or Minerva (n=92) systems, at four private US gynecology clinics, and whose procedure date was after July 2015 with follow-up ≥3 months...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29702487/percutaneous-radiofrequency-ablation-of-pulmonary-metastasis-and-thoracic-paravertebral-block-under-computed-tomographic-scan-guidance-a-case-report
#7
Laura Ruscio, Olivier Planche, Paul Zetlaoui, Dan Benhamou
Pain during and after pulmonary percutaneous radiofrequency ablation (RFA) may be severe enough to require opioids. Thoracic paravertebral block (TPVB) is a regional anesthetic technique that can relieve pain during and after abdominal or thoracic painful procedures. We report the use of TPVB to relieve postprocedural pain in a 50-year-old woman after RFA of lung metastasis. The TPVB was performed under computed tomographic guidance by the anesthesiologist. The patient was pain free (rest and mobilization) during the first postoperative 36 hours...
April 26, 2018: A&A practice
https://www.readbyqxmd.com/read/29682022/radiofrequency-and-methylprednisolone-in-treatment-of-lower-back-pain-caused-by-facet-joint-syndrome-comparison-of-the-outcomes
#8
Dagistan Yasar, Okmen Korgun, Dagistan Emine
Introduction: In this trial we have discussed the outcomes of radiofrequency ablation and methylprednisolone treatment in cases diagnosed with facet syndrome; and effects of treatment modality on quality of life is evaluated by visual analogue scale and Oswestry Disability Index. Materials and Methods: This prospective, study was conducted with 100 patients with diagnosis of facet joint syndrome. Patients, benefited from diagnostic block, were separated into two groups, with 50 cases in each...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29675772/phase-i-ii-study-of-radiofrequency-ablation-for-painful-bone-metastases-japan-interventional-radiology-in-oncology-study-group-0208
#9
Noboru Tanigawa, Yasuaki Arai, Koichiro Yamakado, Takeshi Aramaki, Yoshitaka Inaba, Susumu Kanazawa, Osamu Matsui, Masaya Miyazaki, Yoshihisa Kodama, Hiroshi Anai, Akihiro Hamanaka
PURPOSE: A prospective multicenter phase I/II trial was performed to evaluate the clinical safety and efficacy of radiofrequency ablation (RFA) for metastatic bone tumors. MATERIALS AND METHODS: Thirty-three patients (27 men, 6 women, mean age 61 years) with metastatic bone tumors were enrolled. In phase I, nine patients were enrolled, and the safety of RFA was evaluated. In phase II, 23 patients were included, and an intent-to-treat analysis was performed. The primary endpoint was to evaluate the treatment's safety...
April 12, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29651762/experience-of-neuroprotective-air-injection-during-radiofrequency-ablation-rfa-of-spinal-osteoid-osteoma
#10
Alessandro Vidoni, Melvin Grainger, Steven James
PURPOSE: To assess the usefulness of epidural air injection during the RFA treatment of spinal osteoid osteoma. METHODS: A retrospective review of 17 patients who underwent RFA for spinal osteoid osteoma between September 2006 and May 2017 was performed. All the procedures were performed by a single radiologist. We reviewed the perioperative CT studies to assess the distribution of air relative to the osteoid osteoma. The clinical outcome of each patient group was evaluated during routine follow-up...
April 12, 2018: European Radiology
https://www.readbyqxmd.com/read/29651579/percutaneous-radiofrequency-ablation-for-the-treatment-of-osteoid-osteoma-in-children-and-adults-a-comparative-analysis-in-92-patients
#11
Anthony N Hage, Jeffrey Forris Beecham Chick, Joseph J Gemmete, Jason J Grove, Ravi N Srinivasa
PURPOSE: To compare technical success, complications, and long-term clinical success following radiofrequency ablation of osteoid osteomas in pediatric and adult patients. MATERIALS AND METHODS: Ninety-two patients underwent percutaneous computed tomography-guided radiofrequency ablation for osteoid osteomas including 54 pediatric (mean age 12.9 years) and 38 adult (mean age 24.1 years) patients. Presenting indication, osteoma location, ablation method, technical success, complications, visual analog score, radiographic follow-up, clinical success, reintervention rate, and total follow-up were reported...
April 12, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29626612/genicular-radiofrequency-ablation-for-the-treatment-of-post-traumatic-knee-pain-a-case-presentation
#12
Jonathan D Carrier, Michelle Poliak-Tunis
This is the first reported case presentation utilizing cooled genicular radiofrequency ablation (C-RFA) for the treatment of post-traumatic knee pain. The patient is a 29-year-old male who sustained open right femoral and tibial fractures following 2 motor vehicle collisions. He was deemed too young to undergo total knee arthroplasty by orthopedic surgery. It was recommended he trial diagnostic genicular nerve blocks followed by C-RFA. The procedure provided a >50% reduction in average pain with an increase in activity tolerance lasting 9 months...
April 5, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29607692/feasibility-of-bipolar-radiofrequency-ablation-in-patients-with-parathyroid-adenoma-a-first-evaluation
#13
H Korkusuz, T Wolf, F Grünwald
AIM: Aim of this study was to first assess the feasibility of bipolar radiofrequency ablation in patients with parathyroid adenoma. MATERIAL AND METHODS: Bipolar RFA was performed in 9 patients with primary parathyroid adenoma in one single session. Measured parameters were PTH and calcium serum levels prior to and after bRFA. Furthermore, using an NRS pain scale (1-10), the individual, subjective maximum sensation of pain was documented. RESULTS: The bRFA resulted in a highly significant (p = 0...
April 1, 2018: International Journal of Hyperthermia
https://www.readbyqxmd.com/read/29578423/impact-of-radiofrequency-catheter-ablation-on-health-related-quality-of-life-assessed-by-the-sf-36-questionnaire-in-patients-with-paroxysmal-supraventricular-tachycardia
#14
G Papiashvili, N Tabagari-Bregvadze, J Brugada
The aim of the study was to investigate the effect of catheter ablation on different aspects of health-related quality of life in association with patients' age, gender and the type of paroxysmal supraventricular tachycardia. We investigated 70 consecutive patients with paroxysmal supraventricular tachycardia (AV Nodal Reentrant Tachycardia (AVNRT), AV Reentrant Tachycardia (AVRT) or Atrial Tachycardia (AT)) who underwent a catheter ablation. The patients were asked to fill out the short form (SF-36) health questionnaire before the ablation on the day of the procedure and after 3 months of a successful catheter ablation and eight health concept scores (1...
February 2018: Georgian Medical News
https://www.readbyqxmd.com/read/29570181/-benign-liver-tumours-current-diagnostics-and-therapeutic-modalities
#15
Gergely Nagy, Katalin Dezsõ, Gergely Kiss, Zsuzsanna Gerlei, Péter Nagy, László Kóbori
The most common benign liver tumours are haemangiomas, focal nodular hyperplasia and hepatocellular adenoma. We perform a review of the literature and show the current diagnostic and therapeutic modalities based on the EASL Clinical Practice Guideline. With the widespread use of ultrasound, the detection of liver lesions is increased. They are usually found in women of childbearing age with atypical abdominal pain or incidentally. Contrast-enhanced US, CT or MRI are usually necessary for differential diagnosis...
March 23, 2018: Magyar Onkologia
https://www.readbyqxmd.com/read/29567631/interventional-radiology-role-in-the-treatment-of-sarcomas
#16
REVIEW
Thierry de Baere, Lambros Tselikas, Guillaume Gravel, Antoine Hakime, Frederic Deschamps, Charles Honoré, Olivier Mir, Axel Lecesne
In bone and soft tissue sarcomas (STS), surgery was to the only local curative treatment, but recently, radiation therapy and interventional radiology has evolved to potentially curative treatment, namely in small size tumours. Indication for local treatment in STS needs validation in multidisciplinary team. Most will agree on local treatment for single metastatic location in a well-controlled disease and for no local treatment in a rapidly evolving multi-metastatic disease. The challenge is in patients who are in between, for whom benefit of disease control on overall survival should be evaluated...
May 2018: European Journal of Cancer
https://www.readbyqxmd.com/read/29565947/fluoroscopic-guided-radiofrequency-of-genicular-nerves-for-pain-alleviation-in-chronic-knee-osteoarthritis-a-single-blind-randomized-controlled-trial
#17
Eman H El-Hakeim, Abdelraheem Elawamy, Emad Zarief Kamel, Samar H Goma, Rania M Gamal, Abeer M Ghandour, Ayman M Osman, Khalid M Morsy
BACKGROUND: Nowadays, pain and disability due to chronic knee arthritis is a very common problem in middle aged people. A lot of modalities for management are available, including conservative analgesics and up to surgical interventions. Radiofrequency ablation of genicular nerves is assumed to be an effective less invasive and safe pain alleviation modality. OBJECTIVES: To evaluate the efficacy of fluoroscopic guided radiofrequency neurotomy of the genicular nerves for alleviation of chronic pain and improvement of function in patients with knee osteoarthritis...
March 2018: Pain Physician
https://www.readbyqxmd.com/read/29564634/-lumbar-ct-guided-radiofrequency-ablation-of-the-medial-branch-of-the-dorsal-ramus-of-the-spinal-nerve-anatomic-study-and-description-of-a-new-technique
#18
G C Feigl, C Mattersberger, W Rosmarin, R Likar, C Avila González
BACKGROUND: The success of radiofrequency ablation (RF) of the medial branch of the dorsal ramus in patients with facet joint pain depends on the effective coagulation distance. To date, computed tomography(CT)-guided techniques do not reach the nerve in parallel but rather than punctually. We report a new CT-guided technique to enhance parallelism and proximity of the RF needle to the nerve. MATERIALS AND METHODS: Two examiners with different experience with CT-guided procedures in corpses performed all punctures at the lumbar spine on 10 corpses...
April 2018: Der Schmerz
https://www.readbyqxmd.com/read/29559878/radiofrequency-ablation-for-treating-resistant-intercostal-neuralgia
#19
Alaa Abd-Elsayed, Samuel Lee, Markus Jackson
Background: Intercostal neuralgia is a complex and difficult-to-treat condition. We present 2 cases that demonstrate the safe and effective use of thermal radiofrequency ablation (RFA) to achieve significant pain relief. Case Reports: Our first patient was a 62-year-old female who developed chronic chest pain following lumpectomy for breast cancer and failed conservative management. Two intercostal diagnostic nerve blocks were performed with good results. One block provided pain relief for 3 weeks, and the other provided pain relief for 5 weeks...
2018: Ochsner Journal
https://www.readbyqxmd.com/read/29559877/pulsed-radiofrequency-ablation-for-treating-sural-neuralgia
#20
Alaa Abd-Elsayed, Markus Jackson, Elizabeth Plovanich
Background: Sural neuralgia is persistent pain in the distribution of the sural nerve that provides sensation to the lateral posterior corner of the leg, lateral foot, and fifth toe. Sural neuralgia is a rare condition but can be challenging to treat and can cause significant limitation. We present 2 cases of sural neuralgia resistant to conservative management that were effectively treated by pulsed radiofrequency ablation. Case Reports: A 65-year-old female developed sural neuralgia after a foot surgery and failed conservative management...
2018: Ochsner Journal
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