Document Detail


Temperature isotherms during pulmonary cryoablation and their correlation with the zone of ablation.
MedLine Citation:
PMID:  20688532     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine the expected ablation zone size and associated isotherms when using clinically available percutaneous cryoprobes for pulmonary cryoablation in a porcine lung model.
MATERIALS AND METHODS: Seven ablations were performed in the lungs of three adult pigs using clinically available 2.4-mm cryoprobes (Endocare, Inc, Irvine, California) and a 10-minute double-freeze protocol. Five 18-gauge thermocouples were positioned at 5-mm increments (ie, 5, 10, 15, 20, and 25 mm) from the cryoprobe. Real-time tissue temperatures were recorded during the cryoablation. The isotherms obtained during the ablation and the pathological ablation zones were measured.
RESULTS: The pathologic zone of complete necrosis had a mean diameter of 2.4 + or - 0.2 cm, with a mean area of 4.6 + or - 0.6 cm(2) and a circularity of 0.95 + or - 0.04. In comparison, the mean diameter (+ or - standard deviation) of the 0 degrees C, -20 degrees C, and -40 degrees C isotherms were 3.1 + or - 0.2 cm, 2.3 + or - 0.3 cm, and 1.8 + or - 0.4 cm, respectively. The -20 degrees C isotherm was most closely related to the pathologic zone of ablation.
CONCLUSIONS: This study establishes the temperature isotherms and associated ablation zone size that can be expected with modern percutaneous cryoprobes in an in vivo porcine lung model.
Authors:
J Louis Hinshaw; Fred T Lee; Paul F Laeseke; Lisa A Sampson; Christopher Brace
Publication Detail:
Type:  Journal Article     Date:  2010-08-04
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  21     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2010-12-22     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1424-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 SIR. Published by Elsevier Inc. All rights reserved.
Affiliation:
University of Wisconsin Department of Radiology, E3/311 CSC, 600 Highland Avenue, Madison, WI 53792, USA. jhinshaw@uwhealth.org
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MeSH Terms
Descriptor/Qualifier:
Animals
Cold Temperature*
Cryosurgery* / instrumentation
Equipment Design
Female
Lung / pathology,  surgery*
Models, Animal
Necrosis
Sus scrofa
Time Factors
Grant Support
ID/Acronym/Agency:
L30 CA136262-01/CA/NCI NIH HHS
Comments/Corrections

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


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