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Erschienen in: CardioVascular and Interventional Radiology 9/2016

01.09.2016 | Clinical Investigation

Multicenter Prospective Clinical Series Evaluating Radiofrequency Ablation in the Treatment of Painful Spine Metastases

verfasst von: Sandeep Bagla, Dawood Sayed, John Smirniotopoulos, Jayson Brower, J. Neal Rutledge, Bradley Dick, James Carlisle, Ilya Lekht, Bassem Georgy

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 9/2016

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Abstract

Background

Radiofrequency ablation (RFA) of vertebral body metastases (VBM) has been reported as safe and effective in retrospective studies. This single-arm prospective multicenter clinical study evaluates RFA in the treatment of painful VBM.

Methods

Fifty patients with VBM were prospectively enrolled during a 13-month period at eight US centers under an IRB-approved study. Percutaneous RFA was performed under imaging guidance with cement augmentation at the discretion of the operator. Pain, disability and quality of life were evaluated at baseline, prior to discharge, days 3, 7, 30 and 90 using the Numerical Pain Rating Scale, Oswestry Disability Index (ODI), the Functional Assessment of Cancer Therapy-General 7 (FACT-G7) and Functional Assessment of Cancer Therapy Quality-of-Life Measurement in Patients with Bone Pain (FACT-BP). Adverse events were monitored throughout this time interval.

Results

Twenty-six male and 24 female patients (mean age 61.0) underwent 69 treatments (30 thoracic and 39 lumbar). Cement augmentation was performed in 96 % of reported levels. Significant improvement in mean scores for pain, disability and cancer-specific health-related quality of life from baseline to all time intervals was seen. NRPS improved from 5.9 to 2.1 (p < 0.0001). ODI improved from 52.9 to 37.0 (p < 0.08). FACT-G7 improved form 10.9 to 16.2 (p = 0.0001). FACT-BP improved from 22.6 to 38.9 (p < 0.001). No complications related to the procedure were reported.

Conclusion

RFA with cement augmentation safely and effectively reduces pain and disability rapidly, while increasing quality of life in patients suffering from vertebral body metastases.
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Metadaten
Titel
Multicenter Prospective Clinical Series Evaluating Radiofrequency Ablation in the Treatment of Painful Spine Metastases
verfasst von
Sandeep Bagla
Dawood Sayed
John Smirniotopoulos
Jayson Brower
J. Neal Rutledge
Bradley Dick
James Carlisle
Ilya Lekht
Bassem Georgy
Publikationsdatum
01.09.2016
Verlag
Springer US
Erschienen in
CardioVascular and Interventional Radiology / Ausgabe 9/2016
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1400-8

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