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Radiofrequency ablation

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607:. The balloon-based radiofrequency procedure was invented by Robert A. Ganz, Roger Stern and Brian Zelickson in 1999 (System and Method for Treating Abnormal Tissue in the Human Esophagus). While the person is sedated, a catheter is inserted into the esophagus and radiofrequency energy is delivered to the diseased tissue. This outpatient procedure typically lasts from fifteen to thirty minutes. Two months after the procedure, the physician performs an upper endoscopic examination to assess the esophagus for residual Barrett's esophagus. If any Barrett's esophagus is found, the disease can be treated with a focal RFA device. Between 80 and 90% or greater of people in numerous clinical trials have shown complete eradication of Barrett's esophagus in approximately two to three treatments with a favorable safety profile. The treatment of Barrett's esophagus by RFA is durable for up to 5 years. 363:
meditation. Inhibition of the neural impulses that are believed to cause or worsen hypertension has been tried for a few decades. Surgical sympathectomy has helped but not without significant side effects. Therefore, the introduction of non-surgical means of renal denervation using a radiofrequency ablation catheter was enthusiastically welcomed. Although the initial use of radiofrequency-generated heat to ablate nerve endings in the renal arteries to aid in management of 'resistant hypertension' were encouraging, the most recent phase 3 studying looking at catheter-based renal denervation for the treatment of resistant hypertension failed to show any significant reduction in systolic blood pressure.
254:. Since the procedure was first introduced for the treatment of osteoid osteomas in the 1990s, it has been shown in numerous studies to be less invasive and expensive, to result in less bone destruction and to have equivalent safety and efficacy to surgical techniques, with 66 to 95% of people reporting freedom from symptoms. While initial success rates with RFA are high, symptom recurrence after RFA treatment has been reported, with some studies demonstrating a recurrence rate similar to that of surgical treatment. RFA is also increasingly used in the palliative treatment of painful 344:
using a coolant which flows through the catheter) which avoids the risk of complete heart block – a potential complication of radiofrequency ablation in this condition. Recurrence rates with cryoablation are higher, though. Microwave ablation, where tissue is ablated by the microwave energy "cooking" the adjacent tissue, and ultrasonic ablation, creating a heating effect by mechanical vibration, or laser ablation have also been developed but are not in widespread use.
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RFA is a minimally invasive procedure which can usually be done in day-surgery clinics, going home shortly after completion of the procedure. The person is awake during the procedure, so risks associated with general anesthesia are avoided. Whether for back or knee pain, a drawback for this procedure
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RFA may be performed to treat tumors in the lung, liver, kidney, and bone, as well as other body organs less commonly. Once the diagnosis of tumor is confirmed, a needle-like RFA probe is placed inside the tumor. The radiofrequency waves passing through the probe increase the temperature within tumor
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The possibility of skin burn during the procedure is very small, because the large volumes (500 cc) of dilute Lidocaine (0.1%) tumescent anesthesia injected along the entire vein prior to the application of radiofrequency provide a heat sink that absorbs the heat created by the device. Early studies
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Ablation is now the standard treatment for SVT and typical atrial flutter, In some conditions, especially forms of intra-nodal re-entry (the most common type of SVT), also called atrioventricular nodal reentrant tachycardia or AVNRT, ablation can also be accomplished by cryoablation (tissue freezing
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using the heat energy of radio frequency waves to ablate the fibroid tissue. The Acessa device obtained FDA approval in 2012. The device is inserted via a laparoscopic probe and guided inside the fibroid tissue using an ultrasound probe. The heat shrinks the fibroids. Clinical data on the procedure
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knees indicated that ultrasound-guided bony landmarks could be used to effectively target the superior medial geniculate nerve, superior lateral geniculate nerve, and inferior medial geniculate nerve – the three nerves commonly targeted for knee RFA – with average nerve-to-needle distances of 1.7,
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ablation is a dermatosurgical procedure by using various forms of alternating current. Types of radiofrequency are electrosection, electrocoagulation, electrodessication and fulguration. The use of radiofrequency ablation has obtained importance as it can be used to treat most of the skin lesions
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Radiofrequency ablation has been used successfully on benign thyroid nodules for decades, most notably in Europe, South America and Korea. In the United States, the FDA approved the use of RFA techniques for thyroid nodules in 2018. Since then, professional guidelines reflect its use as a viable
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that avoids collateral damage, which is crucial in the head and neck region due to its high density of major nerves and blood vessels. RFA also does not require high temperatures. However, overheating from misapplication of RFA can cause harmful effects such as coagulation on the surface of the
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is a very common condition, with about 1 billion people over the world, nearly 75 million in the US alone. Complications of inadequately controlled hypertension are many and have both individual and global impact. Treatment options include medications, diet, exercise, weight reduction and
340:. Radiofrequency ablation for AF can be unipolar (one electrode) or bipolar (two electrodes). Although bipolar can be more successful, it is technically more difficult, resulting in unipolar being used more often. But bipolar is more effective in preventing recurrent atrial arrhythmias. 242:
RFA can usually be administered as an outpatient procedure, though may at times require a brief hospital stay. RFA may be combined with locally delivered chemotherapy to treat hepatocellular carcinoma (primary liver cancer). A method currently in phase III trials uses the low-level heat
387:. It is an alternative to the traditional stripping operation. Under ultrasound guidance, a radiofrequency catheter is inserted into the abnormal vein and the vessel treated with radio-energy, resulting in closure of the involved vein. Radiofrequency ablation is used to treat the 2665:
Jasim S, Patel KN, Randolph G, et al. (April 2022). "American Association of Clinical Endocrinology Disease State Clinical Review: The Clinical Utility of Minimally Invasive Interventional Procedures in the Management of Benign and Malignant Thyroid Lesions".
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Weber MA, Sprengel SD, Omlor GW, et al. (April 25, 2015). "Clinical long-term outcome, technical success, and cost analysis of radiofrequency ablation for the treatment of osteoblastomas and spinal osteoid osteomas in comparison to open surgical resection".
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published an update in Endocrine Practice, stating that the "new image-guided minimally invasive approaches appear safe and effective alternatives when used appropriately and by trained professionals to treat symptomatic or enlarging thyroid masses".
584:). Other sources indicate 4-5 genicular nerve targets may be justified for ablation to optimize pain relief, while a 2022 analysis indicated that as many as 10 genicular nerve targets for RFA would produce better long-term relief of knee pain. 2572:
Van Vilsteren FG, Pouw RE, Seewald S, et al. (June 2011). "Stepwise radical endoscopic resection versus radiofrequency ablation for Barrett's oesophagus with high grade dysplasia or early cancer: a multicentre randomised trial".
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RFA is also used in radiofrequency lesioning for vein closure in areas where intrusive surgery is contraindicated by trauma, and in liver resection to control bleeding (hemostasis) and facilitate the transection process.
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issued the position statement "Thyroid ablative procedures provide valid alternative treatment strategies to conventional surgical management for a subset of patients with symptomatic benign thyroid nodules.
438: 399:. The latter are connecting veins that transport blood from the superficial veins to the deep veins. Branch varicose veins are then usually treated with other minimally invasive procedures, such as 288:
Schematic view of a pulmonary vein ablation. The catheter reaches (from below) through the inferior vena cava, the right atrium and the left atrium, to the orifice of the left upper pulmonary vein.
1594:"Cryoablation Versus Radiofrequency Energy for the Ablation of Atrioventricular Nodal Reentrant Tachycardia (the CYRANO Study) : Results From a Large Multicenter Prospective Randomized Trial" 543:. Genicular nerve block is a short (10-30 minutes), outpatient procedure usually performed weeks before genicular RFA. The extent of pain reduction by injecting a local anesthetic, such as 243:(hyperthermia) created by the RFA probe to trigger release of concentrated chemotherapeutic drugs from heat-sensitive liposomes in the margins around the ablated tissue as a treatment for 513:
injections provide temporary pain relief, the injection is repeated a second time to confirm the diagnosis. Then RFA is performed on the nerve(s) that responded well to the injections.
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The procedure is similar to a thyroid biopsy, although instead of using a needle to remove cells from the nodule, a probe delivers heat to the interior of the nodule that effectively
558:) to each target genicular nerve, then the radiofrequency electrode is passed through the cannula, and the electrode tip is heated to about 80 °C (176 °F) for one minute to 547:, at specific locations of the target genicular nerves, is self-assessed by the person for hours after the procedure, leading to confirmation with the physician of the need for RFA. 183:
current (over previously used low frequency AC or pulses of DC) are that it does not directly stimulate nerves or heart muscle, and therefore can often be used without the need for
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in multiple gestation pregnancies. This has an acceptable success rate for saving the 'pump' twin in recent studies compared to previous methods including laser photocoagulation.
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Fleischer DE, Overholt BF, Sharma VK, et al. (2010). "Endoscopic radiofrequency ablation for Barrett's esophagus: 5-year outcomes from a prospective multicenter trial".
576:. As of 2023, reviews of clinical outcomes indicated that efficacy for reducing knee pain was achieved by ablating three or more branches of the genicular nerve (one of the 1083: 587:
Knee pain relief of 50% or more following genicular RFA may last from several months to two years, and can be repeated by the same outpatient procedure when pain recurs.
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tissue, which results in destruction of the tumor. RFA can be used with small tumors, whether these arose within the organ (primary tumors) or spread to the organ (
187:, and that it is specific for treating the desired tissue without significant collateral damage. Due to this, RFA is an alternative for eligible patients who have 2618:"General Principles for the Safe Performance, Training, and Adoption of Ablation Techniques for Benign Thyroid Nodules: An American Thyroid Association Statement" 2214: 1058: 2779:
Chuter GS, Chua YP, Connell DA, et al. (January 2013). "Ultrasound-guided radiofrequency ablation in the management of interdigital (Morton's) neuroma".
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Rosenthal DI, Alexander A, Rosenberg AE, et al. (April 1, 1992). "Ablation of osteoid osteomas with a percutaneously placed electrode: a new procedure".
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Documented benefits have led to RFA becoming widely used during the 21st century. RFA procedures are performed under image guidance (such as X-ray screening,
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As of 2019, several hundred publications showed promise for substantial, long-term (6 months or longer) reduction of knee pain following genicular RFA.
320:. The energy-emitting probe (electrode) is at the tip of a catheter which is placed into the heart, usually through a vein. This catheter is called the 3014: 130: 655:
In order to qualify for an RFA procedure, a person must have a clearly benign thyroid nodule, usually proven by two fine needle aspiration biopsies.
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Rimondi E, Mavrogenis AF, Rossi G, et al. (August 14, 2011). "Radiofrequency ablation for non-spinal osteoid osteomas in 557 patients".
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Rosenthal DI, Hornicek FJ, Torriani M, et al. (October 1, 2003). "Osteoid Osteoma: Percutaneous Treatment with Radiofrequency Energy".
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a small segment of the nerve. The heat destroys that segment of the nerve, which is prevented from sending pain signals to the brain.
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Ganz R, Utley D, Stern R, et al. (2004). "Complete Ablation of Esophageal Epithelium Using a Balloon-based Bipolar Electrode".
411:. Currently, the VNUS ClosureRFS stylet is the only device specifically cleared by FDA for endovenous ablation of perforator veins. 652:
the tissue. Over the course of 3-6 months, the nodule will continue to shrink, typically achieving a 50-80% reduction total size.
2166:"Indications of the Neurotomy of Genicular Nerves by Radiofrequency for the Treatment of Knee Osteoarthritis: A Literature Review" 2099:"Genicular Nerve Radiofrequency Ablation for the Treatment of Painful Knee Osteoarthritis: Current Evidence and Future Directions" 2876: 675: 539:, is clinically preceded by confirming pain reduction upon anesthetizing the main knee sensory nerves in a test procedure called 292:
Radiofrequency energy is used in heart tissue or normal parts to destroy abnormal electrical pathways that are contributing to a
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is that nerves recover function over time, so the pain relief achieved lasts only temporarily (3–15 months) in most people.
502:. By generating heat around the nerve, the nerve is ablated, thus destroying its ability to transmit signals to the brain. 3547: 855: 456:. Unlike other electrosurgical devices, RFA allows very specific treatment targeting of the desired tissue with a precise 353: 313: 3048: 3681: 3671: 3532: 3520: 3401: 1823:"Management of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians" 625: 569: 499: 328:) before the responsible tissue is eliminated. Radiofrequency ablation technique can be used in AF, either to block the 305: 2282: 3647: 2869: 1796: 572:
had approved in 2017 a commercial device using cooled RFA, with effects lasting for up to a year of pain relief from
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Phase 3 Study of ThermoDox With Radiofrequency Ablation (RFA) in Treatment of Hepatocellular Carcinoma (HCC)
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In the procedure for genicular RFA, a guide cannula is first directed under local anesthesia and imaging (
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Gurdezi S, White T, Ramesh P (2013). "Alcohol injection for Morton's neuroma: a five-year follow-up".
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is reviewed in that main article, including controversies and potential advantages in selected
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A new indication for the use of radiofrequency technology has made news in the last few years.
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electrode, boiling within tissue that can leave "a gaping hole", tears, or even charring.
396: 337: 284: 255: 251: 180: 1494:"Use of Bipolar Radiofrequency Catheter Ablation in the Treatment of Cardiac Arrhythmias" 808:"Genicular Nerve Radiofrequency Ablation for Painful Knee Arthritis: The Why and the How" 17: 2642: 2617: 2373: 2346: 505:
The nerves to be ablated are identified through injections of local anesthesia (such as
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RFA has become increasingly important in the care of benign bone tumors, most notably
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Sabiston textbook of surgery : the biological basis of modern surgical practice
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treatment modality for thyroid nodules, and the procedure is increasingly applied.
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Radiofrequency ablation is a minimally invasive procedure used in the treatment of
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in people who are not eligible or do not respond to traditional therapies ( i.e.
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Radiofrequency ablation has been shown to be a safe and effective treatment for
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Daily Telegraph – June 2008 – Lung cancer radiation treatment offers new hope
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are used to produce heat on specifically identified nerves surrounding the
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where the outcome appears to be more reliable than alcohol injections.
591: 195: 202:) by an interventional pain specialist (such as an anesthesiologist), 156:(in the range of 350–500 kHz). RFA is generally conducted in the 3227: 487: 1434:"Percutaneous radiofrequency ablation of painful osseous metastases" 332:
after implantation of a pacemaker or to block conduction within the
1746:"Radiofrequency ablation as first-line treatment of varicose veins" 1410: 758:(19th ed.). Philadelphia, PA: Elsevier Saunders. p. 236. 531:
Radiofrequency ablation of sensory nerves in the knee, also called
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Ariel de Lima D, Gonçalves MC, Grando ST, et al. (May 2019).
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Qaseem A, Holty, JE, Owens, DK, et al. (September 24, 2013).
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Rosenthal DI, Hornicek FJ, Wolfe MW, et al. (June 1, 1998).
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have shown a high success rate with low rates of complications.
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Hadjicostas P, Malakounides N, Varianos C, et al. (2006).
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thyroid nodules, although research into this topic is ongoing.
2703:"Radiofrequency Ablation of Papillary Thyroid Microcarcinomas" 2525:"Durability of Ablation in Barrett's Esophagus with Dysplasia" 1862:
Bashetty K, Gururaj Nadig Sandhya Kapoor (November 19, 2009).
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Dupuy DE, Liu D, Hartfeil D, et al. (February 15, 2010).
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Shaheen NJ, Overholt BF, Sampliner RE, et al. (2011).
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BBC News- 16 January 2009 – Liver tumours 'microwaved away'
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Hussain I, Zulfiqar F, Li X, et al. (August 1, 2021).
1956:"A History of the Development of Radiofrequency Neurotomy" 1801:
American Academy of Otolaryngology – Head and Neck Surgery
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CT scan showing radiofrequency ablation of a liver lesion
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As of 2020, RFA is not recommended for the treatment of
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Shaheen NJ, Sharma P, Overholt BF, et al. (2009).
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Loesch MM, Somani AK, Kingsley MM, et al. (2014).
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Bhatt DL, Kandzari KE, O'Neill WW, et al. (2014).
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Kidd VD, Strum SR, Strum DS, et al. (March 2019).
2768:. San Jose, CA: The Mercury News, Digital First Media. 2324:"How I Do It: Genicular Nerve Radiofrequency Ablation" 2043:
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Deisenhofer I, Zrenner B, Yin YH, et al. (2010).
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Obstructive sleep apnea § Radiofrequency ablation
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Ambrogi MC, Fanucchi O, Cioni R, et al. (2011).
3619: 3591: 3448: 3303: 3199: 2939: 2932: 2701:Rangel LG, Steck JH, Volpi EM, et al. (2022). 433:(OSA) in a pig model. RFA has been recognized as a 210:, a gastrointestinal or surgical endoscopist, or a 91: 63: 51: 34: 1797:"Submucosal Ablation of the Tongue Base for OSAS" 634:American Association of Clinical Endocrinologists 1915:"Temperature Controlled Radiofrequency Ablation" 1744:Avery J, Kumar K, Thakur V, et al. (2014). 1487: 1485: 437:treatment option in selected situations by the 1119:"Radiofrequency ablation in pancreatic cancer" 994:Dunn, Lauren, Gussone, Felix (June 13, 2017). 129:, is a medical procedure in which part of the 2877: 2019:"Radiofrequency ablation for pain management" 1791: 1789: 881:"Radiofrequency Ablation for Pain Management" 735:. National Cancer Institute. February 2, 2011 733:"Fulguration: NCI Dictionary of Cancer Terms" 375:with minimal side effects and complications. 8: 441:but was not endorsed for general use in the 2936: 2919:Cardiology diagnostic tests and procedures 2884: 2870: 2862: 2234: 2232: 2038: 2036: 40: 3015:Transcatheter pulmonary valve replacement 2726: 2641: 2548: 2491: 2372: 2362: 2298: 2281:Gupta A, Huettner DP, Dukewich M (2017). 2189: 2134: 2132: 2092: 2090: 2088: 2068: 2013: 2011: 2009: 1989: 1971: 1930: 1889: 1879: 1838: 1761: 1709: 1699: 1650: 1609: 1568: 1549:Arrhythmia & Electrophysiology Review 1519: 1465: 1372: 1142: 1034: 937: 919: 831: 674:This process has also been used to treat 498:called the lumbar medial branches of the 131:electrical conduction system of the heart 3058:shunt from heart chamber to blood vessel 2276: 2274: 2159: 2157: 527:Nerve block § Genicular nerve block 3158:shunt from blood vessel to blood vessel 1840:10.7326/0003-4819-159-7-201310010-00704 1733:Endovenous ablation of perforator veins 801: 799: 797: 795: 724: 482:to treat chronic pain arising from the 875: 873: 793: 791: 789: 787: 785: 783: 781: 779: 777: 775: 31: 3288:Valve-sparing aortic root replacement 3027:enlargement of existing septal defect 1543:Pearman CM, Poon SS, Gupta D (2017). 989: 987: 985: 689:RFA is also used in the treatment of 46:Tissue ablation using radiofrequency. 7: 3022:production of septal defect in heart 2049:Seminars in Interventional Radiology 976:"Radiofrequency ablation for cancer" 2322:Greco G, Torres J, Kohan L (2022). 964:. American Heart Association. 2017. 191:or do not want to undergo surgery. 104: 3119:transposition of the great vessels 3044:creation of septal defect in heart 2213:Jessup, Cynthia (April 21, 2017). 2142:. Cleveland Clinic. March 17, 2023 2021:. Cleveland Clinic. March 14, 2022 883:. Cleveland Clinic. March 14, 2022 812:JBJS Essential Surgical Techniques 686:show an average of 45% shrinkage. 439:American Academy of Otolaryngology 25: 3419:Cardiac resynchronization therapy 2764:King, Paula (December 10, 2012). 1868:Journal of Conservative Dentistry 1611:10.1161/circulationaha.110.970350 1512:10.2174/1573403X14666180524100608 500:dorsal ramus of the spinal nerves 3643: 3642: 2326:. ASRA Pain Medicine News, #47. 1383:10.2106/00004623-199806000-00005 908:Journal of the Endocrine Society 3426:Left atrial appendage occlusion 2480:New England Journal of Medicine 2170:Revista Brasileira De Ortopedia 1180:10.1148/radiology.183.1.1549690 595:3.2, and 1.8 mm, respectively. 450:RFA in obstructive sleep apnea 443:American College of Physicians 172:, it is called radiofrequency 149:using the heat generated from 1: 3548:Radionuclide ventriculography 2410:10.1016/s0016-5107(04)02220-5 2351:BMC Musculoskeletal Disorders 1688:Clin Cosmet Investig Dermatol 754:Courtney M. Townsend (2012). 620:Timeline in the United States 354:Renal sympathetic denervation 348:Renal sympathetic denervation 314:Multifocal Atrial Tachycardia 3533:Myocardial perfusion imaging 2541:10.1053/j.gastro.2011.04.061 2239:Tran A, Gonzalez FM (2023). 1919:Indian Pacing Electrophysiol 1036:10.1097/JTO.0b013e31822d538d 858:. Mayo Clinic. April 6, 2024 626:American Thyroid Association 570:Food and Drug Administration 448:The clinical application of 306:supraventricular tachycardia 2680:10.1016/j.eprac.2022.02.011 1827:Annals of Internal Medicine 1492:Soucek F, Starek Z (2018). 270:or analgesic medications). 212:cardiac electrophysiologist 168:. When it is delivered via 3698: 3140:for univentricular defect 2719:10.1016/j.aace.2022.02.005 2707:AACE Clinical Case Reports 2398:Gastrointestinal Endoscopy 2364:10.1186/s12891-023-06761-8 2257:10.1007/s00256-022-04058-w 1763:10.1177/000313481408000316 1499:Current Cardiology Reviews 962:"Ablation for Arrhythmias" 856:"Radiofrequency neurotomy" 524: 422: 351: 296:. It is used in recurrent 277: 204:interventional radiologist 3640: 3480:Implantable loop recorder 3124:Arterial switch operation 2914:Interventional cardiology 2904: 2793:10.1007/s00256-012-1527-x 2751:"Acessa Health Procedure" 1318:10.1007/s00330-011-2240-1 1275:10.1148/radiol.2291021053 1224:10.1007/s00256-015-2139-z 1135:10.1080/13651820500466673 598: 429:RFA was first studied in 105: 39: 18:Radio frequency lesioning 3667:Interventional radiology 3559:Coronary catheterization 3049:Blalock–Hanlon procedure 3010:Mitral valve replacement 2993:Aortic valve replacement 2836:10.1177/1071100713489555 1960:Journal of Pain Research 1913:Eick OJ (July 1, 2002). 824:10.2106/JBJS.ST.18.00016 703:Interventional radiology 336:, especially around the 316:(MAT) and some types of 245:hepatocellular carcinoma 160:setting, using either a 58:Interventional radiology 27:Interventional procedure 3555:Cardiac catheterization 3497:Electrophysiology study 3397:Radiofrequency ablation 3362:Alcohol septal ablation 2587:10.1136/gut.2010.229310 2332:10.52211/asra020122.006 2140:"Genicular nerve block" 1881:10.4103/0972-0707.58332 590:An anatomical study of 431:obstructive sleep apnea 419:Obstructive sleep apnea 326:electrophysiology study 256:metastatic bone disease 119:Radiofrequency ablation 35:Radiofrequency ablation 3601:Impedance cardiography 3223:Coronary artery bypass 2445:10.1055/s-0030-1255779 2182:10.1055/s-0039-1692121 2061:10.1055/s-0042-1745797 1561:10.15420/aer/2017.29.2 921:10.1210/jendso/bvab110 401:ambulatory phlebectomy 367:Aesthetics dermatology 318:ventricular arrhythmia 289: 266:, palliative surgery, 231: 3632:Transcutaneous pacing 3436:Heart transplantation 3357:Ventricular reduction 3173:Blalock–Taussig shunt 2634:10.1089/thy.2023.0281 2493:10.1056/NEJMoa0808145 2300:10.36076/ppj.2017.171 1652:10.1056/NEJMoa1402670 681:RFA is used to treat 541:genicular nerve block 330:atrioventricular node 287: 229: 3606:Ballistocardiography 3163:systemic circulation 2109:(Suppl 1): S20–S23. 1361:J Bone Joint Surg Am 998:. NBC News, New York 978:. Mayo Clinic. 2017. 492:Radiofrequency waves 393:small saphenous vein 389:great saphenous vein 214:, a subspecialty of 3682:Medical terminology 3672:Vascular procedures 3485:Cardiac stress test 3463:Electrocardiography 3402:Pacemaker insertion 3149:Kawashima procedure 3113:compound procedures 2988:Aortic valve repair 2961:Mitral valve repair 1973:10.2147/JPR.S334862 1701:10.2147/CCID.S50367 605:Barrett's esophagus 599:Barrett's esophagus 533:genicular neurotomy 478:, was developed by 458:line of demarcation 302:atrial fibrillation 166:twilight anesthesia 154:alternating current 141:or a dysfunctional 3538:Cardiovascular MRI 3468:Vectorcardiography 3323:Pericardial window 3318:Pericardiocentesis 3259:Drug-eluting stent 3088:Rastelli procedure 3037:Balloon septostomy 2668:Endocrine Practice 2245:Skeletal Radiology 2115:10.1093/pm/pnab129 1450:10.1002/cncr.24837 1413:on October 6, 2016 1306:European Radiology 1212:Skeletal Radiology 454:medical situations 409:foam sclerotherapy 310:atrial tachycardia 294:cardiac arrhythmia 290: 232: 185:general anesthesia 179:Two advantages of 3677:Surgical oncology 3654: 3653: 3511:Angiocardiography 3457:Electrophysiology 3444: 3443: 3387:Catheter ablation 3370:Conduction system 3295:LeCompte maneuver 3283:Bentall procedure 3144:Norwood procedure 3134:Senning procedure 3129:Mustard procedure 3032:Atrial septostomy 2983:Valve replacement 2628:(10): 1150–1170. 765:978-1-4377-1560-6 280:Catheter ablation 260:radiation therapy 208:otolaryngologists 174:catheter ablation 116: 115: 16:(Redirected from 3689: 3646: 3645: 3611:Cardiotocography 3579: 3543:Ventriculography 3516:Echocardiography 3507: 3459: 3375:Maze procedure ( 3372: 3338: 3314: 3267: 3266:Obstacle removal 3254:Bare-metal stent 3250: 3210: 3167:pulmonary artery 3159: 3114: 3099:pulmonary artery 3072:Fontan procedure 3067:pulmonary artery 3059: 3023: 2937: 2886: 2879: 2872: 2863: 2856: 2855: 2819: 2813: 2812: 2776: 2770: 2769: 2761: 2755: 2754: 2747: 2741: 2740: 2730: 2698: 2692: 2691: 2662: 2656: 2655: 2645: 2613: 2607: 2606: 2569: 2563: 2562: 2552: 2529:Gastroenterology 2520: 2514: 2513: 2495: 2471: 2465: 2464: 2428: 2422: 2421: 2393: 2387: 2386: 2376: 2366: 2342: 2336: 2335: 2319: 2313: 2312: 2302: 2278: 2269: 2268: 2236: 2227: 2226: 2224: 2222: 2210: 2204: 2203: 2193: 2161: 2152: 2151: 2149: 2147: 2136: 2127: 2126: 2094: 2083: 2082: 2072: 2040: 2031: 2030: 2028: 2026: 2015: 2004: 2003: 1993: 1975: 1951: 1945: 1944: 1934: 1910: 1904: 1903: 1893: 1883: 1859: 1853: 1852: 1842: 1818: 1812: 1811: 1809: 1807: 1793: 1784: 1783: 1765: 1741: 1735: 1730: 1724: 1723: 1713: 1703: 1679: 1673: 1672: 1654: 1645:(15): 1393–401. 1630: 1624: 1623: 1613: 1589: 1583: 1582: 1572: 1540: 1534: 1533: 1523: 1489: 1480: 1479: 1469: 1429: 1423: 1422: 1420: 1418: 1409:. Archived from 1376: 1374:10.1.1.1018.5024 1352: 1346: 1345: 1301: 1295: 1294: 1258: 1252: 1251: 1206: 1200: 1199: 1163: 1157: 1156: 1146: 1114: 1108: 1103: 1097: 1092: 1086: 1081: 1075: 1074: 1072: 1070: 1061:. Archived from 1055: 1049: 1048: 1038: 1014: 1008: 1007: 1005: 1003: 991: 980: 979: 972: 966: 965: 958: 952: 951: 941: 923: 899: 893: 892: 890: 888: 877: 868: 867: 865: 863: 852: 846: 845: 835: 803: 770: 769: 751: 745: 744: 742: 740: 729: 713:Heart arrhythmia 691:Morton's neuroma 683:uterine fibroids 580:branches of the 511:local anesthesia 397:perforator veins 252:osteoid osteomas 162:local anesthetic 151:medium frequency 109:edit on Wikidata 101: 44: 32: 21: 3697: 3696: 3692: 3691: 3690: 3688: 3687: 3686: 3657: 3656: 3655: 3650: 3636: 3615: 3587: 3583:Phonocardiogram 3575: 3505:Cardiac imaging 3503: 3455: 3440: 3368: 3352:Septal myectomy 3342:Cardiomyoplasty 3334: 3328:Pericardiectomy 3310: 3299: 3265: 3246: 3206: 3200:Cardiac vessels 3195: 3189:Glenn procedure 3157: 3112: 3095:right ventricle 3057: 3021: 2943: 2928: 2924:Cardiac imaging 2909:Cardiac surgery 2900: 2890: 2860: 2859: 2821: 2820: 2816: 2781:Skeletal Radiol 2778: 2777: 2773: 2763: 2762: 2758: 2749: 2748: 2744: 2700: 2699: 2695: 2664: 2663: 2659: 2615: 2614: 2610: 2571: 2570: 2566: 2522: 2521: 2517: 2486:(22): 2277–88. 2473: 2472: 2468: 2430: 2429: 2425: 2395: 2394: 2390: 2344: 2343: 2339: 2321: 2320: 2316: 2280: 2279: 2272: 2238: 2237: 2230: 2220: 2218: 2212: 2211: 2207: 2163: 2162: 2155: 2145: 2143: 2138: 2137: 2130: 2096: 2095: 2086: 2042: 2041: 2034: 2024: 2022: 2017: 2016: 2007: 1953: 1952: 1948: 1912: 1911: 1907: 1861: 1860: 1856: 1820: 1819: 1815: 1805: 1803: 1795: 1794: 1787: 1743: 1742: 1738: 1731: 1727: 1681: 1680: 1676: 1632: 1631: 1627: 1604:(22): 2239–45. 1591: 1590: 1586: 1542: 1541: 1537: 1491: 1490: 1483: 1431: 1430: 1426: 1416: 1414: 1354: 1353: 1349: 1303: 1302: 1298: 1260: 1259: 1255: 1208: 1207: 1203: 1165: 1164: 1160: 1116: 1115: 1111: 1104: 1100: 1093: 1089: 1082: 1078: 1068: 1066: 1065:on June 7, 2016 1057: 1056: 1052: 1029:(12): 2044–51. 1016: 1015: 1011: 1001: 999: 993: 992: 983: 974: 973: 969: 960: 959: 955: 901: 900: 896: 886: 884: 879: 878: 871: 861: 859: 854: 853: 849: 805: 804: 773: 766: 753: 752: 748: 738: 736: 731: 730: 726: 721: 708:Radio frequency 699: 668: 646: 622: 613: 611:Thyroid nodules 601: 529: 523: 472: 467: 465:Pain management 427: 421: 381: 369: 356: 350: 338:pulmonary veins 282: 276: 268:bisphosphonates 224: 181:radio frequency 125:), also called 112: 97: 47: 28: 23: 22: 15: 12: 11: 5: 3695: 3693: 3685: 3684: 3679: 3674: 3669: 3659: 3658: 3652: 3651: 3641: 3638: 3637: 3635: 3634: 3629: 3623: 3621: 3617: 3616: 3614: 3613: 3608: 3603: 3597: 3595: 3593:Function tests 3589: 3588: 3586: 3585: 3580: 3572: 3571: 3566: 3561: 3552: 3551: 3550: 3540: 3535: 3530: 3529: 3528: 3523: 3513: 3508: 3500: 3499: 3494: 3493: 3492: 3490:Bruce protocol 3482: 3477: 3475:Holter monitor 3472: 3471: 3470: 3460: 3452: 3450: 3446: 3445: 3442: 3441: 3439: 3438: 3433: 3428: 3422: 3421: 3416: 3410: 3404: 3399: 3394: 3389: 3384: 3373: 3365: 3364: 3359: 3354: 3349: 3344: 3339: 3331: 3330: 3325: 3320: 3315: 3307: 3305: 3301: 3300: 3298: 3297: 3291: 3290: 3285: 3279: 3278: 3273: 3271:Endarterectomy 3268: 3262: 3261: 3256: 3251: 3248:Coronary stent 3243: 3242: 3241: 3240: 3235: 3230: 3216: 3211: 3203: 3201: 3197: 3196: 3194: 3193: 3192: 3191: 3177: 3176: 3175: 3160: 3154: 3153: 3152: 3151: 3146: 3138: 3137: 3136: 3131: 3126: 3115: 3109: 3108: 3107: 3106: 3092: 3091: 3090: 3079:left ventricle 3076: 3075: 3074: 3060: 3054: 3053: 3052: 3051: 3041: 3040: 3039: 3034: 3024: 3018: 3017: 3012: 3007: 3006: 3005: 3000: 2998:Ross procedure 2990: 2985: 2980: 2979: 2978: 2973: 2963: 2958: 2953: 2947: 2945: 2934: 2930: 2929: 2927: 2926: 2921: 2916: 2911: 2905: 2902: 2901: 2896:involving the 2891: 2889: 2888: 2881: 2874: 2866: 2858: 2857: 2830:(8): 1064–67. 2824:Foot Ankle Int 2814: 2771: 2756: 2742: 2693: 2674:(4): 433–448. 2657: 2608: 2564: 2515: 2466: 2439:(10): 781–89. 2423: 2404:(6): 1002–10. 2388: 2337: 2314: 2293:(3): 155–171. 2287:Pain Physician 2270: 2251:(5): 941–949. 2228: 2205: 2176:(3): 233–240. 2153: 2128: 2084: 2055:(2): 130–137. 2032: 2005: 1946: 1905: 1854: 1813: 1785: 1736: 1725: 1674: 1625: 1584: 1555:(4): 202–209. 1535: 1506:(3): 185–191. 1481: 1424: 1347: 1296: 1253: 1201: 1158: 1109: 1098: 1087: 1076: 1050: 1023:J Thorac Oncol 1009: 981: 967: 953: 914:(8): bvab110. 894: 869: 847: 771: 764: 746: 723: 722: 720: 717: 716: 715: 710: 705: 698: 695: 667: 664: 645: 642: 621: 618: 612: 609: 600: 597: 574:knee arthritis 522: 519: 486:in the lower ( 480:Nikolai Bogduk 471: 468: 466: 463: 423:Main article: 420: 417: 385:varicose veins 380: 379:Varicose veins 377: 372:Radiofrequency 368: 365: 349: 346: 298:atrial flutter 275: 272: 223: 220: 139:sensory nerves 114: 113: 106: 103: 102: 95: 89: 88: 67: 61: 60: 55: 49: 48: 45: 37: 36: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3694: 3683: 3680: 3678: 3675: 3673: 3670: 3668: 3665: 3664: 3662: 3649: 3639: 3633: 3630: 3628: 3627:Cardioversion 3625: 3624: 3622: 3618: 3612: 3609: 3607: 3604: 3602: 3599: 3598: 3596: 3594: 3590: 3584: 3581: 3578: 3574: 3573: 3570: 3567: 3565: 3562: 3560: 3556: 3553: 3549: 3546: 3545: 3544: 3541: 3539: 3536: 3534: 3531: 3527: 3524: 3522: 3519: 3518: 3517: 3514: 3512: 3509: 3506: 3502: 3501: 3498: 3495: 3491: 3488: 3487: 3486: 3483: 3481: 3478: 3476: 3473: 3469: 3466: 3465: 3464: 3461: 3458: 3454: 3453: 3451: 3447: 3437: 3434: 3432: 3429: 3427: 3424: 3423: 3420: 3417: 3414: 3411: 3408: 3405: 3403: 3400: 3398: 3395: 3393: 3390: 3388: 3385: 3382: 3378: 3374: 3371: 3367: 3366: 3363: 3360: 3358: 3355: 3353: 3350: 3348: 3347:Dor procedure 3345: 3343: 3340: 3337: 3333: 3332: 3329: 3326: 3324: 3321: 3319: 3316: 3313: 3309: 3308: 3306: 3302: 3296: 3293: 3292: 3289: 3286: 3284: 3281: 3280: 3277: 3274: 3272: 3269: 3264: 3263: 3260: 3257: 3255: 3252: 3249: 3245: 3244: 3239: 3236: 3234: 3231: 3229: 3226: 3225: 3224: 3220: 3217: 3215: 3212: 3209: 3205: 3204: 3202: 3198: 3190: 3187: 3186: 3185: 3182:to the right 3181: 3178: 3174: 3171: 3170: 3168: 3164: 3161: 3156: 3155: 3150: 3147: 3145: 3142: 3141: 3139: 3135: 3132: 3130: 3127: 3125: 3122: 3121: 3120: 3116: 3111: 3110: 3105: 3102: 3101: 3100: 3096: 3093: 3089: 3086: 3085: 3084: 3080: 3077: 3073: 3070: 3069: 3068: 3064: 3061: 3056: 3055: 3050: 3047: 3046: 3045: 3042: 3038: 3035: 3033: 3030: 3029: 3028: 3025: 3020: 3019: 3016: 3013: 3011: 3008: 3004: 3003:Transcatheter 3001: 2999: 2996: 2995: 2994: 2991: 2989: 2986: 2984: 2981: 2977: 2974: 2972: 2969: 2968: 2967: 2966:Valvuloplasty 2964: 2962: 2959: 2957: 2954: 2952: 2949: 2948: 2946: 2942: 2938: 2935: 2931: 2925: 2922: 2920: 2917: 2915: 2912: 2910: 2907: 2906: 2903: 2899: 2895: 2887: 2882: 2880: 2875: 2873: 2868: 2867: 2864: 2853: 2849: 2845: 2841: 2837: 2833: 2829: 2825: 2818: 2815: 2810: 2806: 2802: 2798: 2794: 2790: 2787:(1): 107–11. 2786: 2782: 2775: 2772: 2767: 2760: 2757: 2752: 2746: 2743: 2738: 2734: 2729: 2724: 2720: 2716: 2713:(2): 99–101. 2712: 2708: 2704: 2697: 2694: 2689: 2685: 2681: 2677: 2673: 2669: 2661: 2658: 2653: 2649: 2644: 2639: 2635: 2631: 2627: 2623: 2619: 2612: 2609: 2604: 2600: 2596: 2592: 2588: 2584: 2581:(6): 765–73. 2580: 2576: 2568: 2565: 2560: 2556: 2551: 2546: 2542: 2538: 2535:(2): 460–68. 2534: 2530: 2526: 2519: 2516: 2511: 2507: 2503: 2499: 2494: 2489: 2485: 2481: 2477: 2470: 2467: 2462: 2458: 2454: 2450: 2446: 2442: 2438: 2434: 2427: 2424: 2419: 2415: 2411: 2407: 2403: 2399: 2392: 2389: 2384: 2380: 2375: 2370: 2365: 2360: 2356: 2352: 2348: 2341: 2338: 2333: 2329: 2325: 2318: 2315: 2310: 2306: 2301: 2296: 2292: 2288: 2284: 2277: 2275: 2271: 2266: 2262: 2258: 2254: 2250: 2246: 2242: 2235: 2233: 2229: 2216: 2209: 2206: 2201: 2197: 2192: 2187: 2183: 2179: 2175: 2171: 2167: 2160: 2158: 2154: 2146:September 18, 2141: 2135: 2133: 2129: 2124: 2120: 2116: 2112: 2108: 2104: 2103:Pain Medicine 2100: 2093: 2091: 2089: 2085: 2080: 2076: 2071: 2066: 2062: 2058: 2054: 2050: 2046: 2039: 2037: 2033: 2020: 2014: 2012: 2010: 2006: 2001: 1997: 1992: 1987: 1983: 1979: 1974: 1969: 1966:: 3897–3907. 1965: 1961: 1957: 1950: 1947: 1942: 1938: 1933: 1928: 1924: 1920: 1916: 1909: 1906: 1901: 1897: 1892: 1887: 1882: 1877: 1874:(4): 139–44. 1873: 1869: 1865: 1858: 1855: 1850: 1846: 1841: 1836: 1833:(7): 471–83. 1832: 1828: 1824: 1817: 1814: 1802: 1798: 1792: 1790: 1786: 1781: 1777: 1773: 1769: 1764: 1759: 1756:(3): 231–35. 1755: 1751: 1747: 1740: 1737: 1734: 1729: 1726: 1721: 1717: 1712: 1707: 1702: 1697: 1693: 1689: 1685: 1678: 1675: 1670: 1666: 1662: 1658: 1653: 1648: 1644: 1640: 1636: 1629: 1626: 1621: 1617: 1612: 1607: 1603: 1599: 1595: 1588: 1585: 1580: 1576: 1571: 1566: 1562: 1558: 1554: 1550: 1546: 1539: 1536: 1531: 1527: 1522: 1517: 1513: 1509: 1505: 1501: 1500: 1495: 1488: 1486: 1482: 1477: 1473: 1468: 1463: 1459: 1455: 1451: 1447: 1444:(4): 989–97. 1443: 1439: 1435: 1428: 1425: 1412: 1408: 1404: 1400: 1396: 1392: 1388: 1384: 1380: 1375: 1370: 1367:(6): 815–21. 1366: 1362: 1358: 1351: 1348: 1343: 1339: 1335: 1331: 1327: 1323: 1319: 1315: 1312:(1): 181–88. 1311: 1307: 1300: 1297: 1292: 1288: 1284: 1280: 1276: 1272: 1269:(1): 171–75. 1268: 1264: 1257: 1254: 1249: 1245: 1241: 1237: 1233: 1229: 1225: 1221: 1218:(7): 981–93. 1217: 1213: 1205: 1202: 1197: 1193: 1189: 1185: 1181: 1177: 1173: 1169: 1162: 1159: 1154: 1150: 1145: 1140: 1136: 1132: 1128: 1124: 1120: 1113: 1110: 1107: 1102: 1099: 1096: 1091: 1088: 1085: 1080: 1077: 1064: 1060: 1054: 1051: 1046: 1042: 1037: 1032: 1028: 1024: 1020: 1013: 1010: 997: 990: 988: 986: 982: 977: 971: 968: 963: 957: 954: 949: 945: 940: 935: 931: 927: 922: 917: 913: 909: 905: 898: 895: 882: 876: 874: 870: 857: 851: 848: 843: 839: 834: 829: 825: 821: 817: 813: 809: 802: 800: 798: 796: 794: 792: 790: 788: 786: 784: 782: 780: 778: 776: 772: 767: 761: 757: 750: 747: 734: 728: 725: 718: 714: 711: 709: 706: 704: 701: 700: 696: 694: 692: 687: 684: 679: 677: 676:TRAP sequence 672: 665: 663: 661: 656: 653: 651: 643: 641: 638: 635: 630: 627: 619: 617: 610: 608: 606: 596: 593: 588: 585: 583: 579: 575: 571: 566: 563: 561: 557: 553: 548: 546: 542: 538: 537:genicular RFA 534: 528: 520: 518: 514: 512: 508: 503: 501: 497: 493: 489: 485: 481: 477: 469: 464: 462: 459: 455: 451: 446: 444: 440: 436: 432: 426: 418: 416: 412: 410: 406: 405:sclerotherapy 402: 398: 394: 390: 386: 378: 376: 373: 366: 364: 361: 355: 347: 345: 341: 339: 335: 331: 327: 323: 319: 315: 311: 307: 303: 299: 295: 286: 281: 273: 271: 269: 265: 261: 257: 253: 248: 246: 240: 238: 228: 221: 219: 217: 216:cardiologists 213: 209: 205: 201: 197: 192: 190: 186: 182: 177: 175: 171: 167: 163: 159: 155: 152: 148: 144: 140: 136: 132: 128: 124: 120: 110: 100: 96: 94: 90: 87: 83: 79: 75: 71: 68: 66: 62: 59: 56: 54: 50: 43: 38: 33: 30: 19: 3415:implantation 3409:implantation 3396: 3392:Cryoablation 3233:Off-pump CAB 3043: 3026: 2951:Valve repair 2941:Heart valves 2827: 2823: 2817: 2784: 2780: 2774: 2759: 2745: 2710: 2706: 2696: 2671: 2667: 2660: 2625: 2621: 2611: 2578: 2574: 2567: 2532: 2528: 2518: 2483: 2479: 2469: 2436: 2432: 2426: 2401: 2397: 2391: 2354: 2350: 2340: 2317: 2290: 2286: 2248: 2244: 2219:. Retrieved 2208: 2173: 2169: 2144:. Retrieved 2106: 2102: 2052: 2048: 2025:September 6, 2023:. Retrieved 1963: 1959: 1949: 1925:(3): 66–73. 1922: 1918: 1908: 1871: 1867: 1857: 1830: 1826: 1816: 1804:. Retrieved 1800: 1753: 1749: 1739: 1728: 1691: 1687: 1677: 1642: 1639:N Engl J Med 1638: 1628: 1601: 1597: 1587: 1552: 1548: 1538: 1503: 1497: 1441: 1437: 1427: 1415:. Retrieved 1411:the original 1364: 1360: 1350: 1309: 1305: 1299: 1266: 1262: 1256: 1215: 1211: 1204: 1174:(1): 29–33. 1171: 1167: 1161: 1129:(1): 61–64. 1126: 1122: 1112: 1101: 1090: 1079: 1067:. Retrieved 1063:the original 1053: 1026: 1022: 1012: 1000:. Retrieved 970: 956: 911: 907: 897: 887:September 5, 885:. Retrieved 862:September 5, 860:. Retrieved 850: 815: 811: 755: 749: 737:. Retrieved 727: 688: 680: 673: 669: 657: 654: 647: 639: 632:- 2022: the 631: 624:- 2023: the 623: 614: 602: 589: 586: 582:tibial nerve 567: 564: 549: 540: 536: 532: 530: 515: 504: 496:facet joints 484:facet joints 473: 447: 445:guidelines. 428: 413: 382: 370: 360:Hypertension 357: 342: 321: 291: 264:chemotherapy 249: 241: 233: 193: 178: 126: 122: 118: 117: 29: 3569:Cardiac PET 3312:Pericardium 3276:Atherectomy 3214:Angioplasty 2956:Valvulotomy 1806:October 29, 1598:Circulation 650:cauterizess 556:fluoroscopy 545:bupivacaine 435:somnoplasty 334:left atrium 189:comorbities 127:fulguration 3661:Categories 3564:Cardiac CT 3431:Cardiotomy 3336:Myocardium 3104:Sano shunt 2894:procedures 2892:Tests and 2357:(1): 654. 2217:. 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Index

Radio frequency lesioning

Specialty
Interventional radiology
ICD-9-CM
01.32
04.2
37.33
37.34
60.97
MeSH
D017115
edit on Wikidata
electrical conduction system of the heart
tumor
sensory nerves
tissue
ablated
medium frequency
alternating current
outpatient
local anesthetic
twilight anesthesia
catheter
catheter ablation
radio frequency
general anesthesia
comorbities
CT scan
ultrasound

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