Skip to main content
Erschienen in: CardioVascular and Interventional Radiology 12/2018

16.07.2018 | Case Report

Intra-caval Percutaneous Radiofrequency Ablation for a Neuroendocrine Tumor (NET) Metastasis in Transplanted Liver

verfasst von: Anna Maria Ierardi, Pierpaolo Biondetti, Barbara Padovano, Alberto Magenta Biasina, Marco Bongini, Gianpaolo Carrafiello

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 12/2018

Einloggen, um Zugang zu erhalten

Abstract

Less than 1% of patients with liver metastases from neuroendocrine tumors (NETs) are susceptible to liver transplantation. We report a case of a patient transplanted 13 years ago for NET metastases, with a lesion histologically proved for NET metastasis located at the cava vein anastomosis. He was treated with percutaneous radiofrequency ablation (RFA) after a first failed attempt of endovascular approach. The vascular heat sink, which RFA is susceptible to, was considered an advantage in this case, since it restricted the propagation of heat only to the tissue located in the very proximity of the RFA antenna, protecting the inferior vena cava vessel walls. This positive result may suggest an additional use of RFA in selected challenging cases.
Literatur
1.
Zurück zum Zitat Fraenkel M, Kim M, Faggiano A, De Herder WW, Valk GD. Incidence of gastroenteropancreatic neuroendocrine tumours: a systematic review of the literature. Endocr Relat Cancer. 2014;21(3):R153–63.CrossRef Fraenkel M, Kim M, Faggiano A, De Herder WW, Valk GD. Incidence of gastroenteropancreatic neuroendocrine tumours: a systematic review of the literature. Endocr Relat Cancer. 2014;21(3):R153–63.CrossRef
2.
Zurück zum Zitat Frilling A, Akerström G, Falconi M, et al. Neuroendocrine tumor disease: an evolving landscape. Endocr Relat Cancer. 2012;19(5):R163–85.CrossRef Frilling A, Akerström G, Falconi M, et al. Neuroendocrine tumor disease: an evolving landscape. Endocr Relat Cancer. 2012;19(5):R163–85.CrossRef
3.
Zurück zum Zitat Balachandran A, Tamm EP, Bhosale PR, et al. Pancreatic neuroendocrine neoplasms: diagnosis and management. Abdom Imaging. 2013;38:342–57.CrossRef Balachandran A, Tamm EP, Bhosale PR, et al. Pancreatic neuroendocrine neoplasms: diagnosis and management. Abdom Imaging. 2013;38:342–57.CrossRef
4.
Zurück zum Zitat Klöppel G, Couvelard A, Perren A, et al. ENETS consensus guidelines for the standards of care in neuroendocrine tumors: towards a standardized approach to the diagnosis of gastroenteropancreatic neuroendocrine tumors and their prognostic stratification. Neuroendocrinology. 2009;90:162–6.CrossRef Klöppel G, Couvelard A, Perren A, et al. ENETS consensus guidelines for the standards of care in neuroendocrine tumors: towards a standardized approach to the diagnosis of gastroenteropancreatic neuroendocrine tumors and their prognostic stratification. Neuroendocrinology. 2009;90:162–6.CrossRef
5.
Zurück zum Zitat Kim KW, Krajewski KM, Nishino M, et al. Update on the management of gastroenteropancreatic neuroendocrine tumors with emphasis on the role of imaging. AJR Am J Roentgenol. 2013;201(4):811–24.CrossRef Kim KW, Krajewski KM, Nishino M, et al. Update on the management of gastroenteropancreatic neuroendocrine tumors with emphasis on the role of imaging. AJR Am J Roentgenol. 2013;201(4):811–24.CrossRef
6.
Zurück zum Zitat Burns WR, Edil BH. Neuroendocrine pancreatic tumors: guidelines for management and update. Curr Treat Opt Oncol. 2012;13:24–34.CrossRef Burns WR, Edil BH. Neuroendocrine pancreatic tumors: guidelines for management and update. Curr Treat Opt Oncol. 2012;13:24–34.CrossRef
7.
Zurück zum Zitat Kennedy A, Bester L, Salem R, Sharma RA, Parks RW, Ruszniewski P, NET-Liver-Metastases Consensus Conference. Role of hepatic intra-arterial therapies in metastatic neuroendocrine tumours (NET): guidelines from the NET-Liver-Metastases Consensus Conference. HPB (Oxford). 2015;17(1):29–37.CrossRef Kennedy A, Bester L, Salem R, Sharma RA, Parks RW, Ruszniewski P, NET-Liver-Metastases Consensus Conference. Role of hepatic intra-arterial therapies in metastatic neuroendocrine tumours (NET): guidelines from the NET-Liver-Metastases Consensus Conference. HPB (Oxford). 2015;17(1):29–37.CrossRef
8.
Zurück zum Zitat Pavel M, Baudin E, Couvelard A, Krenning E, Öberg K, Steinmüller T, et al. ENETS consensus guidelines for the management of patients with liver and other distant metastases from neuroendocrine neoplasms of foregut, midgut, hindgut, and unknown primary. Neuroendocrinology. 2012;95(2):157–76.CrossRef Pavel M, Baudin E, Couvelard A, Krenning E, Öberg K, Steinmüller T, et al. ENETS consensus guidelines for the management of patients with liver and other distant metastases from neuroendocrine neoplasms of foregut, midgut, hindgut, and unknown primary. Neuroendocrinology. 2012;95(2):157–76.CrossRef
9.
Zurück zum Zitat Kraft C, Schuettfort G, Weil Y, et al. Thrombosis of the inferior vena cava and malignant disease. Thromb Res. 2014;134(3):668–73.CrossRef Kraft C, Schuettfort G, Weil Y, et al. Thrombosis of the inferior vena cava and malignant disease. Thromb Res. 2014;134(3):668–73.CrossRef
10.
Zurück zum Zitat Zhang W, Yan Z, Luo J, et al. Iodine-125 seeds strand for treatment of tumor thrombus in inferior vena cava: an experimental study in a rabbit model. Cardiovasc Intervent Radiol. 2013;36(5):1371–82.CrossRef Zhang W, Yan Z, Luo J, et al. Iodine-125 seeds strand for treatment of tumor thrombus in inferior vena cava: an experimental study in a rabbit model. Cardiovasc Intervent Radiol. 2013;36(5):1371–82.CrossRef
11.
Zurück zum Zitat Koo JE, Kim JH, Lim YS, Park SJ, Won HJ, Sung KB, et al. Combination of transarterial chemoembolization and three-dimensional conformal radiotherapy for hepatocellular carcinoma with inferior vena cava tumor thrombus. Int J Radiation Oncol Biol Phys. 2010;78(1):180–7.CrossRef Koo JE, Kim JH, Lim YS, Park SJ, Won HJ, Sung KB, et al. Combination of transarterial chemoembolization and three-dimensional conformal radiotherapy for hepatocellular carcinoma with inferior vena cava tumor thrombus. Int J Radiation Oncol Biol Phys. 2010;78(1):180–7.CrossRef
12.
Zurück zum Zitat Rigberg DA, Jimenez JC, Lawrence PF. Balloon control of the suprahepatic inferior vena cava: a novel technique for renal cell carcinoma tumor thrombus. Ann Vasc Surg. 2008;22(2):200–2.CrossRef Rigberg DA, Jimenez JC, Lawrence PF. Balloon control of the suprahepatic inferior vena cava: a novel technique for renal cell carcinoma tumor thrombus. Ann Vasc Surg. 2008;22(2):200–2.CrossRef
13.
Zurück zum Zitat Nagy Z, Gyurkovics E, Pajor P, Tarjányi M, Szijártó A, Vari SG. New method for treatment of inferior vena cava tumor thrombus—case study. Croat Med J. 2015;56(2):139–44.CrossRef Nagy Z, Gyurkovics E, Pajor P, Tarjányi M, Szijártó A, Vari SG. New method for treatment of inferior vena cava tumor thrombus—case study. Croat Med J. 2015;56(2):139–44.CrossRef
14.
Zurück zum Zitat Thanos L, Sotiropoulou E, Tanteles S, Pomoni M, Kelekis D. Direct radiofrequency ablation of portal vein tumor thrombus in continuity with hepatocellular carcinoma. J Vasc Interv Radiol. 2010;21(2):285–8.CrossRef Thanos L, Sotiropoulou E, Tanteles S, Pomoni M, Kelekis D. Direct radiofrequency ablation of portal vein tumor thrombus in continuity with hepatocellular carcinoma. J Vasc Interv Radiol. 2010;21(2):285–8.CrossRef
15.
Zurück zum Zitat Davis RM, David E, Pugash RA, Annamalai G. Radiofrequency guide wire recanalization of venous occlusions in patients with malignant superior vena cava syndrome. Cardiovasc Intervent Radiol. 2012;35(3):676–9.CrossRef Davis RM, David E, Pugash RA, Annamalai G. Radiofrequency guide wire recanalization of venous occlusions in patients with malignant superior vena cava syndrome. Cardiovasc Intervent Radiol. 2012;35(3):676–9.CrossRef
16.
Zurück zum Zitat Mizandari M, Ao G, Zhang Y, et al. Novel percutaneous radiofrequency ablation of portal vein tumor thrombus: safety and feasibility. Cardiovasc Intervent Radiol. 2013;36(1):245–8.CrossRef Mizandari M, Ao G, Zhang Y, et al. Novel percutaneous radiofrequency ablation of portal vein tumor thrombus: safety and feasibility. Cardiovasc Intervent Radiol. 2013;36(1):245–8.CrossRef
Metadaten
Titel
Intra-caval Percutaneous Radiofrequency Ablation for a Neuroendocrine Tumor (NET) Metastasis in Transplanted Liver
verfasst von
Anna Maria Ierardi
Pierpaolo Biondetti
Barbara Padovano
Alberto Magenta Biasina
Marco Bongini
Gianpaolo Carrafiello
Publikationsdatum
16.07.2018
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 12/2018
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-018-2032-y

Weitere Artikel der Ausgabe 12/2018

CardioVascular and Interventional Radiology 12/2018 Zur Ausgabe

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.