Percutaneous ablation of hepatocellular carcinoma: current status

J Vasc Interv Radiol. 2010 Aug;21(8 Suppl):S204-13. doi: 10.1016/j.jvir.2009.11.025.

Abstract

Hepatocellular carcinoma (HCC) is an increasingly common disease with dismal long-term survival. Percutaneous ablation has gained popularity as a minimally invasive, potentially curative therapy for HCC in nonoperative candidates. The seminal technique of percutaneous ethanol injection has been largely supplanted by newer modalities, including radiofrequency ablation, microwave ablation, cryoablation, and high-intensity focused ultrasound ablation. A review of these modalities, including technical success, survival rates, and complications, will be presented, as well as considerations for treatment planning and follow-up.

Publication types

  • Review

MeSH terms

  • Carcinoma, Hepatocellular / mortality
  • Carcinoma, Hepatocellular / pathology
  • Carcinoma, Hepatocellular / surgery*
  • Catheter Ablation* / adverse effects
  • Catheter Ablation* / instrumentation
  • Cryosurgery
  • Equipment Design
  • Ethanol / administration & dosage
  • High-Intensity Focused Ultrasound Ablation
  • Humans
  • Injections
  • Liver Neoplasms / mortality
  • Liver Neoplasms / pathology
  • Liver Neoplasms / surgery*
  • Microwaves / therapeutic use
  • Neoplasm Recurrence, Local
  • Patient Selection
  • Treatment Outcome

Substances

  • Ethanol