An initial ex vivo evaluation of temperature profile and thermal injury formation on the epiesophageal surface during radiofrequency ablation

Author(s):  
Ronit Kar ◽  
Allison Post ◽  
Mathews John ◽  
Ashley Rook ◽  
Mehdi Razavi
2011 ◽  
Vol 80 (4) ◽  
pp. 407-413 ◽  
Author(s):  
Michal Crha ◽  
Jan Hlavsa ◽  
Vladimír Procházka ◽  
Tomáš Andrašina ◽  
Iva Svobodová ◽  
...  

Radiofrequency ablation is a possible palliative treatment for patients suffering from pancreatic neoplasia. However, radiofrequency-induced damage to the peripancreatic tissues during pancreatic ablation might cause fatal complications. The aim of this experimental ex vivo study on pigs was to verify ablation protocols and evaluate whether or not the cooling of peripancereatic tissues during pancreatic ablation has any benefit for their protection against thermal injury. Radiofrequency ablation was performed on 52 pancreatic specimens obtained from pigs. During each pancreatic ablation, continuous measurements of the temperature in the portal vein and duodenal lumen were performed. Peripancreatic tissues were either not cooled or were cooled by being submerged in 14 °C water, or by a perfusion of the portal vein and duodenum with 14 °C saline. The effects of variation in target temperature of the ablated area (90 °C and 100 °C), duration of ablation (5 and 10 min) and the effect of peripancreatic tissues cooling were studied. We proved that optimal radiofrequency ablation of the porcine pancreas can be reached with the temperature of 90  °C for 5 min in the ablated area. The perfusion of the duodenal and portal vein by 14 °C saline was found to be the most effective cooling method for minimizing damage to the walls. Continuous measurement of temperatures in peripancreatic tissues will provide useful feedback to assist in their protection against thermal injury. This therapy could be used in the treatment of pancreatic tumours.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Pranav Lanka ◽  
Kalloor Joseph Francis ◽  
Hindrik Kruit ◽  
Andrea Farina ◽  
Rinaldo Cubeddu ◽  
...  

AbstractAccurate monitoring of treatment is crucial in minimally-invasive radiofrequency ablation in oncology and cardiovascular disease. We investigated alterations in optical properties of ex-vivo bovine tissues of the liver, heart, muscle, and brain, undergoing the treatment. Time-domain diffuse optical spectroscopy was used, which enabled us to disentangle and quantify absorption and reduced scattering spectra. In addition to the well-known global (1) decrease in absorption, and (2) increase in reduced scattering, we uncovered new features based on sensitive detection of spectral changes. These absorption spectrum features are: (3) emergence of a peak around 840 nm, (4) redshift of the 760 nm deoxyhemoglobin peak, and (5) blueshift of the 970 nm water peak. Treatment temperatures above 100 °C led to (6) increased absorption at shorter wavelengths, and (7) further decrease in reduced scattering. This optical behavior provides new insights into tissue response to thermal treatment and sets the stage for optical monitoring of radiofrequency ablation.


2021 ◽  
pp. 101564
Author(s):  
Mohamed Hisham Aref ◽  
Ibrahim H. Aboughaleb ◽  
Abou-Bakr M. Youssef ◽  
Yasser H. El-Sharkawy

2014 ◽  
Author(s):  
Daniele Tosi ◽  
Edoardo Gino Macchi ◽  
Giovanni Braschi ◽  
Mario Gallati ◽  
Alfredo Cigada ◽  
...  

2020 ◽  
Vol 10 ◽  
Author(s):  
Wei Huang ◽  
Jian Lu ◽  
Rongbiao Tang ◽  
Zhiyuan Wu ◽  
Qingbing Wang ◽  
...  

2020 ◽  
Vol 32 (6) ◽  
pp. 974-978 ◽  
Author(s):  
Tadahisa Inoue ◽  
Kiyoaki Ito ◽  
Masashi Yoneda

2019 ◽  
Vol 36 (2) ◽  
pp. 81-88 ◽  
Author(s):  
Eliel Ben-David ◽  
Isaac Nissenbaum ◽  
Svetlana Gurevich ◽  
Eric R. Cosman ◽  
S. Nahum Goldberg

2012 ◽  
Vol 35 (1) ◽  
pp. 35-44 ◽  
Author(s):  
Enzhao Liu ◽  
Michael Shehata ◽  
Tong Liu ◽  
Allen Amorn ◽  
Eugenio Cingolani ◽  
...  

2014 ◽  
Vol 5 (6) ◽  
pp. 1799 ◽  
Author(s):  
Daniele Tosi ◽  
Edoardo Gino Macchi ◽  
Mario Gallati ◽  
Giovanni Braschi ◽  
Alfredo Cigada ◽  
...  

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