Case Report: Endoscopic radiofrequency ablation with radial-EBUS and ROSE

Paul Zarogoulidis; Wolfgang Hohenforst-Schmidt; Vasileios Papadopoulos; Eleni-Isidora Perdikouri; Nikolaos Courcoutsakis; Konstantinos Porpodis; Dimitrios Matthaios; Kostas Trigonakis

doi:10.3389/fmedt.2023.1022220

Case Report: Endoscopic radiofrequency ablation with radial-EBUS and ROSE

Front Med Technol. 2023 Jan 20:5:1022220. doi: 10.3389/fmedt.2023.1022220. eCollection 2023.

Authors

Paul Zarogoulidis^{1

2}, Wolfgang Hohenforst-Schmidt³, Vasileios Papadopoulos⁴, Eleni-Isidora Perdikouri⁵, Nikolaos Courcoutsakis⁶, Konstantinos Porpodis⁷, Dimitrios Matthaios⁸, Kostas Trigonakis⁹

Affiliations

¹ Pulmonary Department, General Clinic Euromedica, Thessaloniki, Greece.
² 3rd Surgery Department, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
³ Sana Clinic Group Franken, Department of Cardiology/Pulmonology/Intensive Care/Nephrology, "Hof" Clinics, University of Erlangen, Hof, Germany.
⁴ Oncology Department, University General Hospital of Larissa, Larissa, Greece.
⁵ Oncology Department, General Hospital of Volos, Volos, Greece.
⁶ Radiology Department, Democritus University of Thrace, Alexandroupolis, Greece.
⁷ Pulmonary Department, `G. Papanikolaoù` General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
⁸ Oncology Department, General Hospital of Rhodes, Rhodes, Greece.
⁹ Vascular Surgery Department, General Clinic Euromedica, Thessaloniki, Greece.

Abstract

Background: Single pulmonary nodules are a common issue in everyday clinical practice. Currently, there are navigation systems with radial-endobronchial ultrasound and electromagnetic navigation for obtaining biopsies. Moreover, rapid on-site evaluation can be used for a quick assessment. These small lesions, even when they do not have any clinically significant information with positron emission tomography, are important to investigate.

Case description: Radiofrequency and microwave ablation have been evaluated as local treatment techniques. These techniques can be used as therapy for a patient population that cannot be operated on. Currently, one verified operating system is used for endoscopic radiofrequency ablation through the working channel of a bronchoscope.

Conclusion: In our case, a new system was used to perform radiofrequency ablation with long-term follow-up.

Keywords: FNA; ROSE; ablation; lung cancer; navigation; radial-EBUS.

Publication types

Case Reports