Radiofrequency ablation (RFA) is a technique that has been extensively used in the treatment of primary malignancies and metastases and, recently, been deployed for the treatment of unilateral Primary Aldosteronism (PA) as an alternative to whole unilateral adrenalectomy.
Current evidence comparing RFA with unilateral adrenalectomy in the treatment of PA so far has been variable, with studies being retrospective and small scale, but it remains a very attractive option as a potentially less invasive treatment option compared to adrenalectomy.
This review article describes the procedure, the evidence and the possible future direction of RFA in the treatment of unilateral PA.