Hidalgo A, Guerra J M, Gallego O, Franquet T
Servicio de Radiodiagnóstico, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
Radiologia. 2014 Mar-Apr;56(2):171-4. doi: 10.1016/j.rx.2011.03.015. Epub 2011 Sep 23.
We present the case of a patient with a pacemaker and a sarcoma lung metastasis treated with microwave ablation. Although the treatment of tumours with microwave ablation is a successful and minimally invasive approach, there are concerns about the safety of this procedure for patients with implanted cardiac devices, such as a pacemaker. After careful planning between radiology and cardiology, microwave ablation was indicated in the patient since it is safer and shorter than the radiofrequency technique. The lesion was treated without complications. It is important to communicate the procedures performed, as well as any complications in order to formulate guidelines for the use of microwave ablation in patients with pacemakers.
我们报告了一例患有起搏器且肺部有肉瘤转移灶的患者接受微波消融治疗的病例。尽管用微波消融治疗肿瘤是一种成功的微创方法，但对于植入心脏设备（如起搏器）的患者，该手术的安全性仍存在担忧。经过放射科和心内科的仔细规划，该患者适合进行微波消融治疗，因为它比射频技术更安全且耗时更短。该病灶治疗过程中未出现并发症。交流所实施的手术以及任何并发症情况对于制定起搏器患者使用微波消融的指南很重要。
