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

spine metastases are common concern from several primary neoplasms, modern management include percutaneous techniques such as ablation and cementoplasty. This research aims to evaluate the treatment under local anaesthesia in high-risk patients (ASA III). from January 2013 up to September 2016 we tr...

Full description

Saved in:
Bibliographic Details
Published in:European journal of radiology 2017-10, Vol.95, p.13-17
Main Authors: Motta, Alessandro, Caltabiano, Giuseppe, Palmucci, Stefano, Failla, Giovanni, Basile, Antonio
Format: Article
Language:English
Subjects:
Ablation
Aged
Aged, 80 and over
Anesthesia, Local - methods
Anesthetics, Local - administration & dosage
ASA III
Bone Cements - therapeutic use
Bone Neoplasms - secondary
Bupivacaine - administration & dosage
Cryoablation
Cryosurgery - methods
Female
Humans
Interventional radiology
Local anaesthesia
Lumbar Vertebrae - surgery
Male
Middle Aged
Percutaneous
Retrospective Studies
Sedation
Spinal Neoplasms - secondary
Spinal Neoplasms - surgery
Spine
Thoracic Vertebrae - surgery
Tomography, X-Ray Computed
Treatment Outcome
Vertebral metastases
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:spine metastases are common concern from several primary neoplasms, modern management include percutaneous techniques such as ablation and cementoplasty. This research aims to evaluate the treatment under local anaesthesia in high-risk patients (ASA III). from January 2013 up to September 2016 we treated via percutaneous cryoablation 11 advanced oncological patients classified as ASA III, then retrospectively a review of their clinical history has been performed. Interventions were managed under local anaesthesia, injecting low doses of bupivacaine 2,5mg/ml (from10 to 30ml). Cryoprobes of 17G were introduced under CT guidance. VAS scores were evaluated pre, intra and post operative up to the 3rd month and further, statistical analyses were obtained using T student test. thirteen spinal metastases were cryoablated in 11 patients (6W, 5M; 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 significant decreases in the median numeric VAS scale score at 1-week, 1-month, and 3-month time points (P
ISSN:0720-048X
1872-7727
DOI:10.1016/j.ejrad.2017.07.011