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Case Reports in Radiology
Volume 2015, Article ID 146963, 5 pages
http://dx.doi.org/10.1155/2015/146963
Case Report

Retrograde Transpubic Approach for Percutaneous Radiofrequency Ablation and Cementoplasty of Acetabular Metastasis

Department of Radiology, Hôpital Saint-Luc, Centre Hospitalier de l’Université de Montréal (CHUM), 1058 rue Saint-Denis, Montreal, QC, Canada H2X 3J4

Received 29 July 2015; Accepted 17 September 2015

Academic Editor: Yoshito Tsushima

Copyright © 2015 Salem Bauones et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report a case of painful and disabling anterior acetabular bone metastasis treated with bipolar radiofrequency ablation and cementoplasty. Due to the high risk of complications related to the proximity of the femoral neurovascular structures with a direct approach, we successfully performed a retrograde transpubic approach under combined CT and fluoroscopic guidance. In the present report, we describe this approach detailing its indications, advantages, and the technical tips to achieve a safe and satisfactory procedure.