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高频喷射通气在放射性肿瘤消融术中的应用:病例系列。

In-Circuit High-Frequency Jet Ventilation for Radiological Tumor Ablation: A Case Series.

机构信息

From the Department of Anaesthesia and Perioperative Medicine, University College Hospital, London, United Kingdom.

Interventional Oncology Service, University College Hospital, London, United Kingdom.

出版信息

A A Pract. 2022 Aug 12;16(8):e01608. doi: 10.1213/XAA.0000000000001608. eCollection 2022 Aug 1.

Abstract

High-frequency jet ventilation (HFJV) can reduce organ movement that otherwise complicates percutaneous image-guided ablation (IGA) procedures. This study describes feasibility and safety of the technique in routine use. We describe our method for the use of HFJV and present 169 consecutive cases, including IGA of tumors of the lung, liver, kidney, and pancreas. Intended oncological treatment was delivered in all cases and HFJV used for the duration of treatment in all except one case. We describe the characteristics of patients, procedures, and adverse events. It is feasible to use HFJV as the routine standard of care for IGA.

摘要

高频喷射通气(HFJV)可减少器官运动,否则会使经皮影像引导消融(IGA)手术变得复杂。本研究描述了该技术在常规使用中的可行性和安全性。我们描述了使用 HFJV 的方法,并介绍了 169 例连续病例,包括肺、肝、肾和胰腺肿瘤的 IGA。所有病例均实施了预期的肿瘤治疗,除 1 例外,所有病例均在治疗过程中使用 HFJV。我们描述了患者、手术和不良事件的特征。将 HFJV 用作 IGA 的常规标准护理是可行的。

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