Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion.
Anesthesiology
Arteriovenous malformations
Embolisation (therapeutic)
High-frequency jet ventilation
Lung
Journal
European radiology experimental
ISSN: 2509-9280
Titre abrégé: Eur Radiol Exp
Pays: England
ID NLM: 101721752
Informations de publication
Date de publication:
09 07 2019
09 07 2019
Historique:
received:
03
03
2019
accepted:
28
05
2019
entrez:
10
7
2019
pubmed:
10
7
2019
medline:
18
9
2020
Statut:
epublish
Résumé
To evaluate patient radiation dose and procedural duration recorded during pulmonary arteriovenous malformation (PAVM) embolisation performed using high-frequency jet ventilation (HFJV) as compared with conventional intermittent positive pressure ventilation (IPPV) METHODS: Patients undergoing PAVM embolisation with HFJV assistance after April 2017 were retrospectively identified as group A, and those treated with IPPV before April 2017 as group B. Primary outcomes were patient radiation dose and procedural duration between groups A and B. Secondary outcomes were difference in diaphragmatic excursion between groups A and B, in group A with/without HFJ assistance, technical/clinical success, and complications. Twelve PAVMs were embolised in 5 patients from group A, and 15 PAVMs in 10 patients from group B. Mean patient radiation was significantly lower in group A than in group B (54,307 ± 33,823 mGy cm HFJV-assisted PAVM embolisation is a safe, feasible technique resulting in reduced patient radiation doses and procedural time.
Sections du résumé
BACKGROUND
To evaluate patient radiation dose and procedural duration recorded during pulmonary arteriovenous malformation (PAVM) embolisation performed using high-frequency jet ventilation (HFJV) as compared with conventional intermittent positive pressure ventilation (IPPV) METHODS: Patients undergoing PAVM embolisation with HFJV assistance after April 2017 were retrospectively identified as group A, and those treated with IPPV before April 2017 as group B. Primary outcomes were patient radiation dose and procedural duration between groups A and B. Secondary outcomes were difference in diaphragmatic excursion between groups A and B, in group A with/without HFJ assistance, technical/clinical success, and complications.
RESULTS
Twelve PAVMs were embolised in 5 patients from group A, and 15 PAVMs in 10 patients from group B. Mean patient radiation was significantly lower in group A than in group B (54,307 ± 33,823 mGy cm
CONCLUSION
HFJV-assisted PAVM embolisation is a safe, feasible technique resulting in reduced patient radiation doses and procedural time.
Identifiants
pubmed: 31286281
doi: 10.1186/s41747-019-0103-8
pii: 10.1186/s41747-019-0103-8
pmc: PMC6614221
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
26Références
J Intern Med. 1999 Jan;245(1):31-9
pubmed: 10095814
J Appl Clin Med Phys. 2001 Autumn;2(4):191-200
pubmed: 11686740
Radiology. 2002 Jun;223(3):709-14
pubmed: 12034939
Anesthesiology. 2002 Aug;97(2):298-305
pubmed: 12151916
J Vasc Interv Radiol. 2003 Sep;14(9 Pt 2):S199-202
pubmed: 14514818
J Vasc Interv Radiol. 2006 Jan;17(1):35-44; quiz 45
pubmed: 16415131
Radiology. 2006 May;239(2):576-85
pubmed: 16484354
Radiology. 1991 Sep;180(3):699-705
pubmed: 1871280
Br J Anaesth. 2009 May;102(5):650-3
pubmed: 19346232
Anaesthesia. 2009 Dec;64(12):1295-8
pubmed: 19712208
Int J Radiat Oncol Biol Phys. 2010 Sep 1;78(1):136-42
pubmed: 19910142
J Vasc Interv Radiol. 2010 May;21(5):649-56
pubmed: 20346701
AJR Am J Roentgenol. 2010 Sep;195(3):766-71
pubmed: 20729458
Ann Fr Anesth Reanim. 2010 Oct;29(10):720-7
pubmed: 20833503
Can Urol Assoc J. 2010 Oct;4(5):333-5
pubmed: 20944807
Semin Intervent Radiol. 2007 Sep;24(3):350-5
pubmed: 21326484
J Vasc Interv Radiol. 2011 Sep;22(9):1275-8
pubmed: 21703873
Curr Opin Anaesthesiol. 2012 Aug;25(4):482-5
pubmed: 22647489
Cardiovasc Intervent Radiol. 2014 Feb;37(1):140-6
pubmed: 23636246
Diagn Interv Imaging. 2013 Sep;94(9):835-48
pubmed: 23763987
Chest. 2013 Sep;144(3):1033-1044
pubmed: 24008954
J Vasc Interv Radiol. 2014 Sep;25(9):1463-9
pubmed: 24819833
Br J Radiol. 2015 Jul;88(1051):20150100
pubmed: 25955231
Swiss Med Wkly. 2015 Jul 28;145:w14151
pubmed: 26218597
Diagn Interv Radiol. 2016 Jul-Aug;22(4):358-64
pubmed: 27244759
Cardiovasc Intervent Radiol. 2017 Feb;40(2):296-301
pubmed: 27812780
Cardiovasc Intervent Radiol. 2017 Aug;40(8):1141-1146
pubmed: 28584945
F1000Res. 2017 May 30;6:756
pubmed: 28649372
Acta Anaesthesiol Scand. 2017 Oct;61(9):1066-1074
pubmed: 28804874
Cardiovasc Intervent Radiol. 2018 Jul;41(7):1067-1073
pubmed: 29516243
Crit Care Med. 1977 Nov-Dec;5(6):280-7
pubmed: 338247