Luca Frasca, Ilaria Suriano, Antonio Sarubbi, Filippo Longo, Vincenzo Canalella, Eliodoro Faiella, Rosario Francesco Grasso, Pierfilippo Crucitti
{"title":"Surgical management of delayed air leakage following radiofrequency ablation for non-small cell lung cancer: a case report.","authors":"Luca Frasca, Ilaria Suriano, Antonio Sarubbi, Filippo Longo, Vincenzo Canalella, Eliodoro Faiella, Rosario Francesco Grasso, Pierfilippo Crucitti","doi":"10.3389/fradi.2026.1815270","DOIUrl":null,"url":null,"abstract":"<p><p>We report the case of a 68-year-old male with a history of urothelial carcinoma and severe emphysema who developed a delayed pneumothorax following CT-guided radiofrequency ablation (RFA) of a pulmonary squamous cell carcinoma. Conservative management with chest drainage failed to resolve the air leak. Surgical revision via uniportal video-assisted thoracic surgery (UVATS) allowed identification of a necrotic subpleural lesion with active air leakage. Hemostatic and sealing agents (Hemopatch® and Tisseel®) were applied with long-term resolution of the complication. This case underscores the importance of surgical intervention in selected cases of persistent air leak post-RFA and the potential efficacy of biologic sealants when resection is not feasible.</p>","PeriodicalId":73101,"journal":{"name":"Frontiers in radiology","volume":"6 ","pages":"1815270"},"PeriodicalIF":4.0000,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13642827/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in radiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/fradi.2026.1815270","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
We report the case of a 68-year-old male with a history of urothelial carcinoma and severe emphysema who developed a delayed pneumothorax following CT-guided radiofrequency ablation (RFA) of a pulmonary squamous cell carcinoma. Conservative management with chest drainage failed to resolve the air leak. Surgical revision via uniportal video-assisted thoracic surgery (UVATS) allowed identification of a necrotic subpleural lesion with active air leakage. Hemostatic and sealing agents (Hemopatch® and Tisseel®) were applied with long-term resolution of the complication. This case underscores the importance of surgical intervention in selected cases of persistent air leak post-RFA and the potential efficacy of biologic sealants when resection is not feasible.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
