Document Detail


Effects of perfusion on radiofrequency ablation in swine kidneys.
MedLine Citation:
PMID:  15128994     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the effect of vascular occlusion on the size of radiofrequency (RF) ablation lesions and to evaluate embolization as an occlusion method.
MATERIALS AND METHODS: The kidneys of six swine were surgically exposed. Fifteen RF ablation lesions were created in nine kidneys by using a 2-cm-tip single-needle ablation probe in varying conditions: Seven lesions were created with normal blood flow and eight were created with blood flow obstructed by means of vascular clamping (n = 5) or renal artery embolization (n = 3). The temperature, applied voltage, current, and impedance were recorded during RF ablation. Tissue-cooling curves acquired for 2 minutes immediately after the ablation were compared by using regression analysis. Lesions were bisected, and their maximum diameters were measured and compared by using analysis of variance.
RESULTS: The mean diameter of ablation lesions created when blood flow was obstructed was 60% greater than that of lesions created when blood flow was normal (1.38 cm +/- 0.05 [standard error of mean] vs 0.86 cm +/- 0.07, P <.001). The two methods of flow obstruction yielded lesions of similar mean sizes: 1.40 cm +/- 0.06 with vascular clamping and 1.33 cm +/- 0.07 with embolization. The temperature at the probe tip when lesions were ablated with normal blood flow decreased more rapidly than did the temperature when lesions were ablated after flow obstruction (P <.001), but no significant differences in tissue-cooling curves between the two flow obstruction methods were observed.
CONCLUSION: Obstruction of renal blood flow before and during RF ablation resulted in larger thermal lesions with potentially less variation in size compared with the lesions created with normal nonobstructed blood flow. Selective arterial embolization of the kidney vessels may be a useful adjunct to RF ablation of kidney tumors.
Authors:
Isaac Chang; Igor Mikityansky; Diane Wray-Cahen; William F Pritchard; John W Karanian; Bradford J Wood
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Radiology     Volume:  231     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-05-06     Completed Date:  2004-06-29     Revised Date:  2012-03-07    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  500-5     Citation Subset:  AIM; IM    
Affiliation:
Center for Devices and Radiological Health, Office of Science and Technology, U.S. Food and Drug Administration, 12725 Twinbrook Pkwy, HFZ-133, Rockville, MD 20852, USA. iac@cdrh.fda.gov
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MeSH Terms
Descriptor/Qualifier:
Animals
Catheter Ablation*
Kidney / blood supply,  pathology*,  surgery*
Renal Circulation*
Swine
Temperature
Grant Support
ID/Acronym/Agency:
Z99 CL999999/CL/CLC NIH HHS
Comments/Corrections
Comment In:
Radiology. 2004 May;231(2):291-2   [PMID:  15128977 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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