Percutaneous CT-guided radiofrequency ablation of osteoid osteoma: Potential Pitfalls and complications and how to avoid them

Dharmendra Kumar Singh; Nishith Kumar; Ashish Rustagi; Divesh Jalan; Loveneesh G Krishna; Anuradha Sharma

doi:10.1016/j.jcot.2022.101869

Percutaneous CT-guided radiofrequency ablation of osteoid osteoma: Potential Pitfalls and complications and how to avoid them

J Clin Orthop Trauma. 2022 Apr 16:28:101869. doi: 10.1016/j.jcot.2022.101869. eCollection 2022 May.

Authors

Dharmendra Kumar Singh¹, Nishith Kumar¹, Ashish Rustagi², Divesh Jalan², Loveneesh G Krishna², Anuradha Sharma¹

Affiliations

¹ Department of Radiodiagnosis, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
² Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Abstract

Targeted cannulation of the nidus and subsequent thermal ablation is the basis of CT-guided radiofrequency ablation (RFA) of osteoid osteoma, which is considered nowadays as the treatment of choice. The majority of complications during this procedure are due to thermal injury of adjacent structures. Specific measures as per the anatomical location of osteoid osteoma can avoid the majority of complications. This article enlists the possible complications and their necessary precautions and remedies to avoid these complications during CT-guided radiofrequency ablation of osteoid osteoma.

Keywords: CT-Guided radiofrequency ablation of osteoid osteoma; Complications of radiofrequency ablation of osteoid osteoma; Osteoid osteoma; Radiofrequency ablation.

Publication types

Review