Two patients with pacemakers who safely underwent radiofrequency ablation with bipolar electrodes to treat primary hepatocellular carcinoma

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  • Ijuin Sho
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences Department of Hepatology, Kagoshima Teishin Hospital
  • Tamai Tsutomu
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Uto Hirofumi
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Onishi Hiroka
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Sakae Haruka
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Muromachi Kaori
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Oshige Akihiko
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Oda Kohei
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Imanaka Dai
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Kumagai Kotaro
    Department of Gastroenterology, Kagoshima City Hospital
  • Mawatari Seiichi
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Moriuchi Akihiro
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences
  • Sakurai Kazuhiro
    Department of Hepatology, Kagoshima Teishin Hospital
  • Hori Takeshi
    Department of Gastroenterology, Kagoshima City Hospital
  • Ido Akio
    Digestive Disease and Life-style Related Disease, Kagoshima University Graduate School of Medical and Dental Sciences

Bibliographic Information

Other Title
  • ペースメーカー植込み患者の原発性肝細胞癌に対しバイポーラ電極針を用いたラジオ波焼灼療法を施行した2例
  • 症例報告 ペースメーカー植込み患者の原発性肝細胞癌に対しバイポーラ電極針を用いたラジオ波焼灼療法を施行した2例
  • ショウレイ ホウコク ペースメーカー ウエコミ カンジャ ノ ゲンパツセイ カン サイボウ ガン ニ タイシ バイポーラ デンキョクシン オ モチイタ ラジオハ ショウシャク リョウホウ オ シコウ シタ 2レイ

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Abstract

Patient 1 was an 80-year-old man with recurrent hepatocellular carcinoma (HCC). Previously, his HCC had been treated with transcatheter arterial chemoembolization (TACE) and radiofrequency ablation (RFA) using a monopolar electrode. In 2013, a pacemaker was implanted to treat complete atrioventricular block. In April 2014, he underwent RFA using two bipolar electrodes to treat recurrent HCC. During ablation, the pacing mode was changed from VVI to VOO. Patient 2 was an 86-year-old man who received a pacemaker for complete atrioventricular block in 2003. In 2014, he underwent TACE for HCC followed by RFA using two bipolar electrodes. The pacing mode (VDD) was not changed during ablation. In both patients, we did not observe any abnormal waveforms with electrocardiographic monitoring or pacing failure during ablation. These results suggest that treating HCC using RFA with bipolar electrodes is safe in patients with pacemakers.

Journal

  • Kanzo

    Kanzo 56 (2), 57-64, 2015

    The Japan Society of Hepatology

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