CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2022; 06(02): 144-146
DOI: 10.1055/s-0041-1731593
Short Communication

No-Touch Radio Frequency Ablation for a Subcapsular Hepatocellular Carcinoma: A Case Report and Review of Literature

Sundeep Malla
1   Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
,
Manas Vaishnav
2   Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India
,
Shalimar Shalimar
2   Department of Gastroenterology and Human Nutrition, All India Institute of Medical Sciences, New Delhi, India
,
Kumble Seetharama Madhusudhan
1   Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
› Author Affiliations
Sources of Support None.

Abstract

Radiofrequency Ablation of subcapsular lesions poses a challenge due to the risks of tumour seeding along the track, hemorrhage and lower efficacy. “No touch ablation” is a relatively novel technique used in the ablation of subcapsular HCC with good results. This technique avoids direct puncture of the tumour by inserting more than one electrodes adjacent to and outside the tumor and activating them sequentially to perform ablation. The risk of track site seeding and haemorrhage is significantly reduced. We describe a case of a subcapsular HCC in a 65-year-old female patient which was successfully treated with this novel technique.

Credit Author Statement

Sundeep Malla was involved in original draft-writing and conceptualization.


Manas Vaishnav, Shalimar, and K S Madhusudhan were involved in conceptualization and draft writing.




Publication History

Article published online:
09 July 2021

© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Forner A, Reig M, Bruix J. Hepatocellular carcinoma. Lancet 2018; 391 (10127) 1301-1314
  • 2 Hasegawa K, Kokudo N, Makuuchi M. et al. Comparison of resection and ablation for hepatocellular carcinoma: a cohort study based on a Japanese nationwide survey. J Hepatol 2013; 58 (04) 724-729
  • 3 Jaskolka JD, Asch MR, Kachura JR. et al. Needle tract seeding after radiofrequency ablation of hepatic tumors. J Vasc Interv Radiol 2005; 16 (04) 485-491
  • 4 Petit A, Hocquelet A, N'kontchou G. et al. No-touch multi-bipolar radiofrequency ablation for the treatment of subcapsular hepatocellular carcinoma ≤ cm not puncturable via the non-tumorous liver parenchyma. Cardiovasc Intervent Radiol 2020; 43 (02) 273-283
  • 5 Seror O, N'Kontchou G, Nault J-C. et al. Hepatocellular carcinoma within Milan criteria: no-touch multibipolar radiofrequency ablation for treatment-long-term results. Radiology 2016; 280 (02) 611-621