論文

査読有り 国際誌
2015年11月

Fever after lung radiofrequency ablation: Prospective evaluation of its incidence and associated factors

EUROPEAN JOURNAL OF RADIOLOGY
  • Yoshihisa Masaoka
  • ,
  • Takao Hiraki
  • ,
  • Hideo Gobara
  • ,
  • Toshihiro Iguchi
  • ,
  • Hiroyasu Fujiwara
  • ,
  • Yusuke Matsui
  • ,
  • Shinichi Toyooka
  • ,
  • Junichi Soh
  • ,
  • Katsuyuki Kiura
  • ,
  • Susumu Kanazawa

84
11
開始ページ
2202
終了ページ
2209
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.ejrad.2015.07.009
出版者・発行元
ELSEVIER IRELAND LTD

PURPOSE: To prospectively investigate the incidence of post-lung radiofrequency (RF) ablation fever as well as its associated factors, according to the grade of fever. MATERIALS AND METHODS: A total of 56 patients who underwent 67 lung RF sessions were analyzed. Post-ablation fever (≥ 37.0°C) was graded according to the common toxicity criteria of adverse events v. 4.0. Fever ≥ 37.0°C and <38.0°C was defined as grade 0 fever. The 67 RF sessions were divided into two groups according to the presence of post-ablation fever, and the factors associated with fever were determined using univariate and multivariate analyses. Subsequently, the RF sessions accompanied by post-ablation fever were further divided into two groups according to the grade of fever (grade 0 vs. grade ≥ 1), and the factors associated with the grade of fever were determined. RESULTS: Grade 0, 1, and 2 fever accompanied 36 (54%), 11 (16%), and 2 (3%) sessions, respectively. Post-ablation fever was significantly associated with larger ablated parenchymal volume (P=0.001) and development of pulmonary infiltration (P=0.004). Additionally, development of pulmonary infiltration (P=0.048) was also significantly and independently associated with higher grade of fever in the multivariate analysis. CONCLUSIONS: The incidences of grade 0, 1, and 2 post-ablation fever were 54%, 16%, and 3%, respectively. Larger ablated parenchymal volume and development of pulmonary infiltration were found to be associated with the development of post-ablation fever, with the latter being an independent factor associated with higher grade of fever.

リンク情報
DOI
https://doi.org/10.1016/j.ejrad.2015.07.009
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/26223777
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000363265600023&DestApp=WOS_CPL
ID情報
  • DOI : 10.1016/j.ejrad.2015.07.009
  • ISSN : 0720-048X
  • eISSN : 1872-7727
  • PubMed ID : 26223777
  • Web of Science ID : WOS:000363265600023

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