Local Time : 05:34 CET

C-1214 - Feasibility of percutaneous cryoablation of vertebral metastases under local anaesthesia in ASAIII patients

A. Motta1, M. Pizzarelli1, G. Caltabiano2, F. Arena1, C. Gozzo1, A. Basile1; 1 Catania/IT 2 CATANIA (CT)/IT Type: Scientific Exhibit
Area of Interests: Interventional non-vascular, Musculoskeletal spine, Bones
Imaging Techniques: CT, Percutaneous, Ultrasound
Procedures: Vertebroplasty, Treatment effects, Ablation procedures
Special Focuses: Sedation, Cancer, Metastases
Add poster to my schedule In your schedule (remove)

Direct link to access the poster (click here)

Aims and objectives: Spine is a common site of metastases from several primary neoplasms [1]. Modern management includes, when inoperable, percutaneous techniques such as ablation and cementoplasty. Among others, percutaneous cryoablation has been reported as a safe and effective palliative treatment of the abovemention[...]

Methods and materials: From January 2013 up to September 2015 we treated via percutaneous cryoablation 11 advanced oncological patients classified as ASA III, then we performed retrospectively a review of their clinical history (a sample scenario is shown in figure n°1). Informed consent was obtained from all individual p[...]

Results: Thirteen spinal metastases were cryoablated in 11 patients (6 W, 5 M; mean age of 53 years, range 52-81). Tumour location was: sacrum (n = 6), lumbar spine (n = 3), thoracic spine (n = 2). The average VAS value during the procedure was 5,27 (standard deviation 0,90). There were statistically signifi[...]

Conclusion: Cryoablation with or without subsequent cement injection can be safely performed with local anaesthesia for pain relief also in patients with high ASA score with higher risk of complications, in the absence of any other suitable treatment. For many critical patients, many of them terminal, there is [...]

Personal information:

References: Coleman RE, Holen I. Bone metastasis. In: Niederhuber JE, Armitage JO, Doroshow JH, Kastan MB, Tepper JE, eds. Abeloff’s Clinical Oncology. 5th Ed. Philadelphia, Pa: Elsevier; 2014: 739-763 Prologo JD, Passalacqua M, Patel I, et al. Image-guided cryoablation for the treatment of painfulmusculoskelet[...]

This website uses cookies. Learn more