Radiofrequency ablation in the lung complicated by positive airway pressure ventilation

Ann Thorac Surg. 2010 May;89(5):1665-7. doi: 10.1016/j.athoracsur.2009.09.086.

Abstract

A patient receiving bilevel positive airway pressure therapy underwent radiofrequency ablation of a pulmonary metastasis from a primary malignant fibrous histiocytoma of the scapula. The patient's postablation course was complicated by a bronchopleural fistula, which was exacerbated by the detrimental effects of positive airway pressure on necrotic lung tissue after the ablation. The use of positive airway pressure devices, including bilevel positive airway pressure and continuous positive airway pressure, in patients undergoing radiofrequency ablation of the lung should be considered as an added risk for developing bronchopleural fistula.

Publication types

  • Case Reports

MeSH terms

  • Bone Neoplasms / pathology
  • Bone Neoplasms / surgery
  • Bronchial Fistula / diagnostic imaging
  • Bronchial Fistula / etiology*
  • Catheter Ablation / adverse effects
  • Catheter Ablation / methods*
  • Combined Modality Therapy
  • Follow-Up Studies
  • Histiocytoma, Malignant Fibrous / secondary
  • Histiocytoma, Malignant Fibrous / surgery
  • Humans
  • Lung Neoplasms / secondary
  • Lung Neoplasms / surgery*
  • Lung Neoplasms / therapy
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / adverse effects
  • Minimally Invasive Surgical Procedures / methods
  • Neoplasm Staging
  • Palliative Care / methods
  • Pleural Diseases / diagnostic imaging
  • Pleural Diseases / etiology*
  • Pleural Diseases / therapy
  • Pneumothorax / diagnostic imaging
  • Pneumothorax / etiology*
  • Pneumothorax / therapy
  • Positive-Pressure Respiration / adverse effects*
  • Risk Assessment
  • Scapula / pathology
  • Tomography, X-Ray Computed
  • Treatment Outcome