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CardioVascular and Interventional Radiology

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01-03-2019 | Review

Adjunctive Thermoprotection During Percutaneous Thermal Ablation Procedures: Review of Current Techniques

Authors: Julien Garnon, Roberto Luigi Cazzato, Jean Caudrelier, Maud Nouri-Neuville, Pramod Rao, Emanuele Boatta, Nitin Ramamurthy, Guillaume Koch, Afshin Gangi

Published in: CardioVascular and Interventional Radiology | Issue 3/2019

Abstract

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.

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Title: Adjunctive Thermoprotection During Percutaneous Thermal Ablation Procedures: Review of Current Techniques
Authors: Julien Garnon
Roberto Luigi Cazzato
Jean Caudrelier
Maud Nouri-Neuville
Pramod Rao
Emanuele Boatta
Nitin Ramamurthy
Guillaume Koch
Afshin Gangi
Publication date: 01-03-2019
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 3/2019
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-018-2089-7

At a glance: The STEP trials

Springer Medicine

Adjunctive Thermoprotection During Percutaneous Thermal Ablation Procedures: Review of Current Techniques

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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