Document Detail


Liver hemostasis using high-intensity focused ultrasound.
MedLine Citation:
PMID:  9428140     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Liver hemorrhage, the major cause of death in hepatic trauma, is notoriously difficult to control. We report on the use of high-intensity focused ultrasound (HIFU) to arrest the bleeding from incisions made in rabbit livers. A HIFU transducer, with a spherically curved aperture of 6.34 cm2 area, a focal length of 4 cm and a frequency of 3.3 MHz was used. In approximately 94% of the incisions, the hemorrhage was reduced to a slow oozing of blood in less than 2 min. The maximum temperature of liver tissue around the incision area, during HIFU application, was measured to be 86 degrees C. The mechanism of hemostasis, confirmed by histological examination, appears to be coagulative necrosis of a volume of liver tissue around the incision. We believe that acoustic hemostasis, with the unique characteristic of "volume cauterization," offers a novel method for the management of liver hemorrhage and, thus, has major clinical implications.
Authors:
S Vaezy; R Martin; U Schmiedl; M Caps; S Taylor; K Beach; S Carter; P Kaczkowski; G Keilman; S Helton; W Chandler; P Mourad; M Rice; R Roy; L Crum
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Ultrasound in medicine & biology     Volume:  23     ISSN:  0301-5629     ISO Abbreviation:  Ultrasound Med Biol     Publication Date:  1997  
Date Detail:
Created Date:  1998-02-24     Completed Date:  1998-02-24     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0410553     Medline TA:  Ultrasound Med Biol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1413-20     Citation Subset:  IM    
Affiliation:
Bioengineering Laboratory, University of Washington, Seattle 98195, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Bile Ducts / pathology
Body Temperature
Disease Models, Animal
Hemorrhage / pathology,  physiopathology,  therapy*
Hemostatic Techniques*
Hepatic Artery / pathology
Hepatic Veins / pathology
Hot Temperature
Liver / injuries
Liver Diseases / pathology,  physiopathology,  therapy*
Necrosis
Rabbits
Treatment Outcome
Ultrasonic Therapy / methods*

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


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