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2014 ; 31
(2
): 157-66
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Renal ablation update
#MMPMID25049445
Khiatani V
; Dixon RG
Semin Intervent Radiol
2014[Jun]; 31
(2
): 157-66
PMID25049445
show ga
Thermal ablative technologies have evolved considerably in the recent past and
are now an important component of current clinical guidelines for the treatment
of small renal masses. Both radiofrequency ablation and cryoablation have
intermediate-term oncologic control that rivals surgical options, with favorable
complication profiles. Studies comparing cryoablation and radiofrequency ablation
show no significant difference in oncologic control or complication profile
between the two modalities. Early data from small series with microwave ablation
have shown similar promising results. Newer technologies including irreversible
electroporation and high-intensity-focused ultrasound have theoretical
advantages, but will require further research before becoming a routine part of
the ablation armamentarium. The purpose of this review article is to discuss the
current ablative technologies available, briefly review their mechanisms of
action, discuss technical aspects of each, and provide current data supporting
their use.