Table 1. List of studies utilizing radiofrequency ablation (RFA) for cholangiocarcinoma (CCA).
Study | Year | Type | N | Technique | Location | # of sessions (mean) | TB before | TB after | Stent type | Stent occlusion | Patency of stent (days, median) | Survival | Adverse events |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Dolak et al. (23) | 2014 | Retrospective cohort | 58 | Percutaneous and endoscopic | Bismuth I [5]; II [1]; III [6]; IV [33]; distal CBD [5] | 1.44 | – | – | Plastic [19]; SEMS [35]; no stent [4] | 21 | 170 | 10.6 months (median) | Cholangitis [5]; hemobilia [3]; sepsis [2]; gallbladder empyema [1]; hepatic coma [1]; hepatic infarction [1]. 2 deaths (cholangiosepsis) |
Tal et al. (24) | 2014 | Retrospective cohort | 12 | Endoscopic | Intrahepatic CCA [2]; Bismuth IV [7] | 1.58 | – | – | Plastic (all) | – | – | 6.4 months (median) | Hemobilia [3]; cholangitis [3]. 2 deaths (hemorrhagic shock) |
Wu et al. (25) | 2017 | Retrospective case control | 71 | Percutaneous [35], stenting alone [36] | Distal | 1 | – | – | Covered SEMS [7]; uncovered SEMS [28] | Uncovered SEMS [10]; covered SEMS [5] | Uncovered SEMS [241]; covered SEMS [212] | Uncovered SEMS (245 days, median); covered SEMS (278 days, median) | Abdominal pain [27] |
Wang et al. (26) | 2016 | Retrospective cohort | 12 | Endoscopic | Bismuth I [5]; IIIa [1]; IV [3] | 1.66 | 297.5 | 134.3 | Plastic [7]; SEMs [4] | 2 | 125 | 7.7 months (median) | Fever [2]; pancreatitis [1] |
Wang et al. (27) | 2016 | Retrospective cohort | 9 | Percutaneous | Bismuth IIIa [1]; IIIb [1]; IV [7] | 1 | DB 87.88±18.99 | DB 62.06±17.21 | SEMS | ||||
Laquière et al. (28) | 2016 | Case series | 12 | Endoscopic | Bismuth I [4]; II [3]; III [2]; IV [3] | 1 | 100 | 5.3 months (median) | Abdominal pain [3]; cholangitis [4] | ||||
Li et al. (29) | 2015 | Retrospective cohort | 26 | Percutaneous [12], stenting alone [14] | – | 1.63 | – | – | Used plastic and metallic (does not quantify) | 3 | – | 12.3 months (mean) | Sepsis [1]; early stent migration [1]; late stent migration [1]; cholangitis [4] |
Sharaiha et al. (30) | 2015 | Retrospective cohort | 69 | Endoscopic | Hilar [23]; proximal CBD [7]; distal CBD [7]; Bismuth I [4]; Bismuth III [2]; Bismuth IV [5] | – | 287.2±123.5 | 154.3±76.1 | SEMS (all) | RFA group [0]; control group [3] | RFA group 100%; control group 78% at 90 days | – | Cholangitis [3] |
Wu et al. (31) | 2015 | Retrospective cohort | 47 | Percutaneous | Hilar [7], distal CBD [16] | 1.3 (0.65) | – | – | Plastic [49]; metallic [20] | 3 | 95% at 30 days | 17.7 months (mean) | Pancreatitis [1]; cholecystitis [2]; hemobilia [1]; abdominal pain [3] |
Strand et al. (32) | 2014 | Retrospective cohort | 16 | Endoscopic | – | 1.38 | 239.9±99.1 | 137.2±66.7 | SEMS [47] | 11 | 149 | 25 weeks 6 days (median) | Abdominal pain [23]; intra-abdominal hemorrhage [1] |
Sharaiha et al. (33) | 2014 | Retrospective cohort | 64 | Endoscopic | – | 1.19 (0.4) | – | – | Plastic [3]; fully covered SEMS [3]; uncovered SEMS [11] | 0.06 (0.10) [mean (SD)] | – | 9.6 months (median) | Stent migration (0.02); cholangitis (0.13); hepatic abscess (0.02); need for percutaneous drainage (0.01) |
Mizandari et al. (34) | 2013 | Retrospective cohort | 39 | Percutaneous | Bismuth I [5]; II [1]; IIIa [4]; IV [7] | 1 | – | – | Covered SEMS [8]; uncovered SEMS [7]; plastic [11] | 0 | 100% at 30 days | 5.9 months (median) | Abdominal pain [5]; pancreatitis [1] cholecystitis [1] |
Alis et al. (35) | 2013 | Retrospective cohort | 10 | Endoscopic | Bismuth I [4]; Distal CBD [6] | 1 | 129±61 | 52±32 | SEMS (all) | 1 | 84.5 | 3 months (median) | Abdominal pain [15] |
Figueroa-Barojas et al. (36) | 2013 | Retrospective cohort | 20 | Endoscopic | – | 1 | – | – | Covered SEMS (all) | 0 | 270 | – | Pancreatitis [2] |
Steel et al. (37) | 2011 | Prospective cohort | 22 | Endoscopic | – | 1.25 | – | – | Plastic [6]; covered SEMS [13]; uncovered SEMS [1] | 0 | 100% at 30 days | – | Abdominal pain [5]; Pancreatitis [1]; cholecystitis [1] |
TB, total bilirubin; CBD, common bile duct; SEMS, self-expanding metallic stent; DB, direct bilirubin; SD, standard deviation.