scholarly journals Pulmonary embolectomy using normothermic venous inflow occlusion

Thorax ◽  
1968 ◽  
Vol 23 (2) ◽  
pp. 131-135 ◽  
Author(s):  
D. B. Clarke
The Lancet ◽  
1972 ◽  
Vol 299 (7754) ◽  
pp. 767-769 ◽  
Author(s):  
D.B. Clarke ◽  
L.D. Abrams

2006 ◽  
Vol 131 (2) ◽  
pp. 484-486 ◽  
Author(s):  
Joseph L. Bobadilla ◽  
Christopher H. Wigfield ◽  
Paramjeet S. Chopra

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
F. G. M. Poch ◽  
C. A. Neizert ◽  
B. Geyer ◽  
O. Gemeinhardt ◽  
S. M. Niehues ◽  
...  

AbstractMultibipolar radiofrequency ablation (RFA) is an advanced ablation technique for early stage hepatocellular carcinoma and liver metastases. Vessel cooling in multibipolar RFA has not been systematically investigated. The objective of this study was to evaluate the presence of perivascular vital cells within the ablation zone after multibipolar RFA. Multibipolar RFA were performed in domestic pigs in vivo. Three internally cooled bipolar RFA applicators were used simultaneously. Three experimental settings were planned: (1) inter-applicator-distance: 15 mm; (2) inter-applicator-distance: 20 mm; (3) inter-applicator-distance: 20 mm with hepatic inflow occlusion (Pringle maneuver). A vitality staining was used to analyze liver cell vitality around all vessels in the ablation center with a diameter > 0.5 mm histologically. 771 vessels were identified. No vital tissue was seen around 423 out of 429 vessels (98.6%) situated within the central white zone. Vital cells could be observed around major hepatic vessels situated adjacent to the ablation center. Vessel diameter (> 3.0 mm; p < 0.05) and low vessel-to-ablation-center distance (< 0.2 mm; p < 0.05) were identified as risk factors for incomplete ablation adjacent to hepatic vessels. The vast majority of vessels, which were localized in the clinically relevant white zone, showed no vital perivascular cells, regardless of vessel diameter and vessel type. However, there was a risk of incomplete ablation around major hepatic vessels situated directly within the ablation center. A Pringle maneuver could avoid incomplete ablations.


2021 ◽  
Vol 36 (4) ◽  
pp. 1258-1263
Author(s):  
Omar M. Lattouf ◽  
Danuel Laan ◽  
David Zapata ◽  
Edwyn J. Assaf ◽  
John Fallon

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