Adjunctive Thermoprotection During Percutaneous Thermal Ablation Procedures: Review of Current Techniques.
Fiche publication
Date publication
octobre 2018
Journal
Cardiovascular and interventional radiology
Auteurs
Membres identifiés du Cancéropôle Est :
Pr GANGI Afshin, Dr GARNON Julien
Tous les auteurs :
Garnon J, Cazzato RL, Caudrelier J, Nouri-Neuville M, Rao P, Boatta E, Ramamurthy N, Koch G, Gangi A
Lien Pubmed
Résumé
Although rare, unintended thermal injury to organs surrounding the ablation zone can lead to severe complications. Over the past 15 years, different protective methods have been developed to limit risk of complications, and expand indications to include more challenging lesions in various locations including liver, kidney, lung and bone. The most frequently used techniques include hydrodissection, carbodissection, balloon interposition and probe torqueing. In most cases, tumours can be physically separated from sensitive structures, reducing risk of thermal injury. Endoluminal cooling/warming is an alternative option for complex ablations close to the ureter or major bile ducts. Different techniques may be combined to achieve successful protection in locations with complex anatomy. The purpose of this review is to provide an overview of available protective measures and discuss respective advantages/drawbacks.
Mots clés
Cryoablation, Hydrodissection, Percutaneous thermal ablation, Protection, Radiofrequency ablation
Référence
Cardiovasc Intervent Radiol. 2018 Oct 11;: