Percutaneous thermal ablation: how to protect the surrounding organs.

Details

Serval ID
serval:BIB_E724FBE114A5
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Percutaneous thermal ablation: how to protect the surrounding organs.
Journal
Techniques in vascular and interventional radiology
Author(s)
Tsoumakidou G., Buy X., Garnon J., Enescu J., Gangi A.
ISSN
1557-9808 (Electronic)
ISSN-L
1557-9808
Publication state
Published
Issued date
09/2011
Peer-reviewed
Oui
Volume
14
Number
3
Pages
170-176
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
A variety of thermal ablation techniques have been advocated for percutaneous tumor management. Although the above techniques are considered safe, they can be complicated with unintended thermal injury to the surrounding structures, with disastrous results. In the present article we report a number of different insulation techniques (hydrodissection, gas dissection and balloon interposition, warming/cooling systems) that can be applied. Emphasis is given to the procedure-related details, and we present the advantages and drawbacks of the insulation techniques. We also provide tips on avoiding painful skin burns when treating superficial lesions. Finally, we point out the interest of temperature monitoring and how it can be achieved (use of thermocouples, fiberoptic thermosensors, or direct magnetic resonance imaging temperature mapping). The above thermal insulation and temperature monitoring techniques can be applied alone or in combination. Familiarity with these techniques is essential to avoid major complications and to increase the indications of thermal ablation procedures.
Keywords
Ablation Techniques/adverse effects, Ablation Techniques/methods, Burns/etiology, Burns/prevention & control, Humans, Hyperthermia, Induced/adverse effects, Hyperthermia, Induced/methods
Pubmed
Create date
09/10/2018 11:56
Last modification date
20/08/2019 16:10
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