دورية أكاديمية
Bronchoscopically delivered microwave ablation in an in vivo porcine lung model
| العنوان: | Bronchoscopically delivered microwave ablation in an in vivo porcine lung model |
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| المؤلفون: | Jan Sebek, Steve Kramer, Rob Rocha, Kun-Chang Yu, Radoslav Bortel, Warren L. Beard, David S. Biller, David S. Hodgson, Charan K. Ganta, Henky Wibowo, John Yee, Renelle Myers, Stephen Lam, Punit Prakash |
| المصدر: | ERJ Open Research, Vol 6, Iss 4 (2020) |
| بيانات النشر: | European Respiratory Society, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | Medicine |
| الوصف: | Background Percutaneous microwave ablation is clinically used for inoperable lung tumour treatment. Delivery of microwave ablation applicators to tumour sites within lung parenchyma under virtual bronchoscopy guidance may enable ablation with reduced risk of pneumothorax, providing a minimally invasive treatment of early-stage tumours, which are increasingly detected with computed tomography (CT) screening. The objective of this study was to integrate a custom microwave ablation platform, incorporating a flexible applicator, with a clinically established virtual bronchoscopy guidance system, and to assess technical feasibility for safely creating localised thermal ablations in porcine lungs in vivo. Methods Pre-ablation CTs of normal pigs were acquired to create a virtual model of the lungs, including airways and significant blood vessels. Virtual bronchoscopy-guided microwave ablation procedures were performed with 24–32 W power (at the applicator distal tip) delivered for 5–10 mins. A total of eight ablations were performed in three pigs. Post-treatment CT images were acquired to assess the extent of damage and ablation zones were further evaluated with viability stains and histopathologic analysis. Results The flexible microwave applicators were delivered to ablation sites within lung parenchyma 5–24 mm from the airway wall via a tunnel created under virtual bronchoscopy guidance. No pneumothorax or significant airway bleeding was observed. The ablation short axis observed on gross pathology ranged 16.5–23.5 mm and 14–26 mm on CT imaging. Conclusion We have demonstrated the technical feasibility for safely delivering microwave ablation in the lung parenchyma under virtual bronchoscopic guidance in an in vivo porcine lung model. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2312-0541 23120541 |
| Relation: | http://openres.ersjournals.com/content/6/4/00146-2020.full; https://doaj.org/toc/2312-0541 |
| DOI: | 10.1183/23120541.00146-2020 |
| URL الوصول: | https://doaj.org/article/ae53eb26788a471f8efa804a45948515 |
| رقم الأكسشن: | edsdoj.53eb26788a471f8efa804a45948515 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23120541 |
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| DOI: | 10.1183/23120541.00146-2020 |