Irreversible electroporation of hepatocellular carcinoma: patient selection and perspectives

Abstract

Asha Zimmerman,1 David Grand,2 Kevin P Charpentier1 1Department of Surgery, 2Department of Radiology, Rhode Island Hospital, Brown University, Providence, RI, USA Abstract: Irreversible electroporation (IRE) is a novel form of tissue ablation that uses high-current electrical pulses to induce pore formation of the cell lipid bilayer, leading to cell death. The safety of IRE for ablation of hepatocellular carcinoma (HCC) has been established. Outcome data for ablation of HCC by IRE are limited, but early results are encouraging and suggest equivalency to the outcomes obtained for thermal ablation for appropriately selected, small (<3 cm) tumors. Long-term oncologic efficacy and histopathologic response data have not been published, and therefore, application of IRE for the treatment of HCC should still be viewed with caution. Keywords: ablation, liver, tumors, IRE, hepatic

Keywords

• ablation
• liver
• tumors
• IRE
• hepatic