Purpose 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). Methods and material 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 2,5 mg/ml (from10 to 30 ml). 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. 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 significant decreases in the median numeric VAS scale score at 1-week, 1-month, and 3-month time points (P 

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

PALMUCCI, STEFANO;BASILE, Antonio
2017-01-01

Abstract

Purpose 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). Methods and material 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 2,5 mg/ml (from10 to 30 ml). 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. 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 significant decreases in the median numeric VAS scale score at 1-week, 1-month, and 3-month time points (P 
2017
Ablation; ASA III; Cryoablation; Interventional radiology; Local anaesthesia; Percutaneous; Sedation; Spine; Vertebral metastases; Radiology, Nuclear Medicine and Imaging
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11769/312035
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