Review Article

Endoscopic Ultrasound-Guided Radiofrequency Ablation of the Pancreatic Tumors: A Promising Tool in Management of Pancreatic Tumors

Table 2

Summary of reports describing endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA).

Study, locationDiagnosisAverage size of lesion (mm)ApproachRFA equipmentNeedle sizeStrength of RFANumber of RFA sessions (average)Technical successComplicationsFollow-up (months)Comments

Armellini et al., Italy [11]PNET20NMVIVA RF generator (STARmed, Koyang, Korea)18 G5 W11/1 (100%)None1This report adds to the increasing evidence of PNETs being successfully treated by ablative therapies, which may represent a potential alternative to surgery in selected cases.

Lakhtakia et al., India [12]PNET (insulinoma) = 3NMTG = 2
TD = 1
Novel internally cooled needle electrode19 GNMNM3/3 (100%)None5EUS-RFA is feasible, apparently safe, and effective for symptom relief in symptomatic pancreatic insulinoma.

Pai et al., UK [8]Mucinous cyst = 4
IPMN = 1
Microcystic adenoma = 1
PNET = 2
36.5TG = 8Habib EUS-RFA catheter19 G or 22 G5 W = 3
15 W = 2
20 W = 2
25 W = 1
4.5 (2–7)8/8 (100%)2/8 (25%) had mild abdominal pain3–6The response ranged from complete resolution to a 50% reduction in diameter of lesion.

Song et al., South Korea [10]Pancreatic cancer in head = 2 or in body = 438 (30–90)NMVIVA RF generator (STARmed, Koyang, Korea)18 G20 W or 50 W1.3 (1-2)6/6 (100%)2/6 (33%) had mild abdominal pain2–6EUS-RFA may be used as an adjunct and effective alternative treatment method for unresectable pancreatic cancer.

Pai et al., UK [13]Pancreatic ductal adenocarcinoma = 735.2NMHabib EUS-RFA catheter19 G or 22 G5 W = 1
10 W = 3
15 W = 3
3 (2–4)7/7 (100%)1/7 (14%) had mild pancreatitis3–6

Wang et al., China [14]Pancreatic carcinoma37.3NMHabib EUS-RFA catheter22 G10 W or 15 W3.73/3 (100%)None1.5EUS-RFA of pancreatic carcinoma was technically easy and safe and well tolerated by the patients and achieved a considerable reduction in tumor size and CA19-9 levels.