Semin intervent Radiol 2014; 31(01): 101-103
DOI: 10.1055/s-0033-1363850
Morbidity and Mortality Case
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Management of Pericardial Effusion following Cardiac Perforation during Radiofrequency Ablation of Hepatocellular Carcinoma

Joo-Young Chun
1   Department of Radiology, Royal London Hospital, Barts Health NHS Trust, London, United Kingdom
,
Chia S. Ho
2   Division of Vascular and Interventional Radiology, Joint Department of Medical Imaging, Toronto General Hospital, Toronto, Ontario, Canada
› Author Affiliations
Further Information

Publication History

Publication Date:
20 February 2014 (online)

Radiofrequency ablation (RFA) is a well-established technique in the management of hepatocellular carcinoma (HCC) and at many institutions is the treatment of choice in small lesions in early-stage disease.[1] Major complications occur in 2 to 3% and include intraperitoneal bleeding, hepatic abscess, bile duct injury, pneumothorax, and hemothorax.[2] Pericardial effusion is a rare but potentially life-threatening complication of RFA. This article describes such a complication and its management.

 
  • References

  • 1 Bruix J, Sherman M ; American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma: an update. Hepatology 2011; 53 (3) 1020-1022
  • 2 Crocetti L, de Baere T, Lencioni R. Quality improvement guidelines for radiofrequency ablation of liver tumours. Cardiovasc Intervent Radiol 2010; 33 (1) 11-17
  • 3 Loh KB, Bux SI, Abdullah BJJ, Raja Mokhtar RA, Mohamed R. Hemorrhagic cardiac tamponade: rare complication of radiofrequency ablation of hepatocellular carcinoma. Korean J Radiol 2012; 13 (5) 643-647
  • 4 Moumouh A, Hannequin J, Chagneau C , et al. A tamponade leading to death after radiofrequency ablation of hepatocellular carcinoma. Eur Radiol 2005; 15 (2) 234-237
  • 5 Gao J, Sun WB, Tong ZC, Ding XM, Ke S. Successful treatment of acute hemorrhagic cardiac temponade in a patient with hepatocellular carcinoma during percutaneous radiofrequency ablation. Chin Med J (Engl) 2010; 123 (11) 1470-1472