Super-micro-bland particle embolization combined with RF-ablation: angiographic, macroscopic and microscopic features in porcine kidneys

Purpose: To describe angiographic, macroscopic and microscopic features of super-micro-bland particle embolization in combination with RF-ablation in kidneys. Thereby, a special focus was given on the impact of the sequence of the different procedural steps. Materials and methods: In ten pigs, super...

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Main Authors: Sommer, Christof-Matthias (Author) , Kortes, Nikolas (Author) , Mogler, Carolin (Author) , Bellemann, Nadine (Author) , Holzschuh, Maria (Author) , Arnegger, Florian (Author) , Nickel, Felix (Author) , Gehrig, Tobias (Author) , Zelzer, Sascha (Author) , Meinzer, Hans-Peter (Author) , Longerich, Thomas (Author) , Stampfl, Ulrike (Author) , Kauczor, Hans-Ulrich (Author) , Radeleff, Boris (Author)
Format: Article (Journal)
Language:English
Published: 2012
In: European journal of radiology
Year: 2011, Volume: 81, Issue: 6, Pages: 1165-1172
ISSN:1872-7727
DOI:10.1016/j.ejrad.2011.03.022
Online Access:Verlag, Volltext: http://dx.doi.org/10.1016/j.ejrad.2011.03.022
Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0720048X11002920
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Author Notes:C.M. Sommer, N. Kortes, C. Mogler, N. Bellemann, M. Holzschuh, F. Arnegger, F. Nickel, T. Gehrig, S. Zelzer, H.P. Meinzer, T. Longerich, U. Stampfl, H.U. Kauczor, B.A. Radeleff
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Summary:Purpose: To describe angiographic, macroscopic and microscopic features of super-micro-bland particle embolization in combination with RF-ablation in kidneys. Thereby, a special focus was given on the impact of the sequence of the different procedural steps. Materials and methods: In ten pigs, super-micro-bland particle embolization combined with RF-ablation was carried out. Super-micro-bland embolization was performed with spherical particles of very small size and tight calibration (40±10μm). In the left kidneys, RF-ablations were performed before embolization (I). In the right kidneys, RF-ablations were performed after embolization (II). The animals were killed three hours after the procedures. Angiographic (e.g. vessel architecture), macroscopic (e.g. long and short axes of the RF-ablations) and microscopic (e.g. particle distribution) study goals were defined. Results: Angiography detected almost no vessels in the center of the RF-ablations in I. In II, angiography could not define the RF-ablations. Macroscopy detected significantly larger long and short axes of the RF-ablations in II compared to I (52.2±3.2mm vs. 45.3±6.9mm [P<0.05] and 25.1±3.5mm vs. 20.0±1.9mm [P<0.01], respectively). Microscopy detected irregular particle distribution at the rim of the RF-ablations in I. In II, microscopy detected homogeneous particle distribution at the rim of the RF-ablations. Microscopy detected no particles in the center of the RF-ablations in I and II. Conclusion: The sequence of the different procedural steps of super-micro-bland particle embolization combined with RF-ablation impacts angiographic, macroscopic and microscopic features in kidneys in the acute setting.
Item Description:Available online 31 March 2011
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Physical Description:Online Resource
ISSN:1872-7727
DOI:10.1016/j.ejrad.2011.03.022