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Complications encountered in the treatment of benign thyroid nodules with US-guided radiofrequency ablation: a multicenter study

Authors
 Jung Hwan Baek  ;  Jeong Hyun Lee  ;  Jin Yong Sung  ;  Jae-Ik Bae  ;  Kyung Tae Kim  ;  Jungsuk Sim  ;  Seon Mi Baek  ;  Young-sun Kim  ;  Jung Hee Shin  ;  Jeong Seon Park  ;  Dong Wook Kim  ;  Ji-hoon Kim  ;  Eun-Kyung Kim  ;  So Lyung Jung Dong Gyu Na 
Citation
 Radiology, Vol.262(1) : 335-342, 2012 
Journal Title
 Radiology 
ISSN
 0033-8419 
Issue Date
2012
MeSH
Adult ; Catheter Ablation/methods* ; Chi-Square Distribution ; Female ; Humans ; Incidence ; Male ; Postoperative Complications/epidemiology* ; Republic of Korea/epidemiology ; Retrospective Studies ; Surveys and Questionnaires ; Thyroid Nodule/diagnostic imaging ; Thyroid Nodule/pathology ; Thyroid Nodule/surgery* ; Treatment Outcome ; Ultrasonography, Interventional*
Keywords
Adult ; Catheter Ablation/methods* ; Chi-Square Distribution ; Female ; Humans ; Incidence ; Male ; Postoperative Complications/epidemiology* ; Republic of Korea/epidemiology ; Retrospective Studies ; Surveys and Questionnaires ; Thyroid Nodule/diagnostic imaging ; Thyroid Nodule/pathology ; Thyroid Nodule/surgery* ; Treatment Outcome ; Ultrasonography, Interventional*
Abstract
PURPOSE: To evaluate clinical aspects and imaging features of complications encountered in the treatment of benign thyroid nodules with radiofrequency (RF) ablation. MATERIALS AND METHODS: Institutional review board approval was obtained for this retrospective study, and informed consent was waived. From June 2002 to September 2009, 1459 patients underwent RF ablation of 1543 thyroid nodules with an RF system with internally cooled electrodes at 13 thyroid centers, which were members of Korean Society of Thyroid Radiology. Numbers and types of major and minor complications were assessed. RESULTS: The authors observed 48 complications (3.3%), 20 major and 28 minor. The major complications were voice changes (n = 15), brachial plexus injury (n = 1), tumor rupture (n = 3), and permanent hypothyroidism (n = 1). The minor complications were hematoma (n = 15), skin burn (n = 4), and vomiting (n = 9). All patients recovered spontaneously except for one with permanent hypothyroidism and one who underwent surgery. CONCLUSION: Although the complication rate of RF ablation is low, various complications may occur; comprehension of complications and suggested technical tips may prevent complications or properly manage those that occur.
Files in This Item:
T201200377.pdf Download
DOI
21998044
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91779
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