Feasibility and safety of percutaneous image-guided cryoablation of abdominal wall endometriosis.
Abdominal wall endometriosis
Cryoablation
Endometriosis
Interventional oncology
Journal
Abdominal radiology (New York)
ISSN: 2366-0058
Titre abrégé: Abdom Radiol (NY)
Pays: United States
ID NLM: 101674571
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
17
08
2021
accepted:
01
11
2021
revised:
31
10
2021
pubmed:
14
11
2021
medline:
23
7
2022
entrez:
13
11
2021
Statut:
ppublish
Résumé
To evaluate the feasibility and safety of percutaneous image-guided cryoablation of abdominal wall endometriosis (AWE). A retrospective review of percutaneous cryoablation (CT or MR) of AWE was performed from January 2018 to December 2020. Eighteen patients were identified from an internal percutaneous ablation database. Technical success, complications, and outcomes were analyzed according to standard nomenclature. Patients comprised 18 females (mean age 36.9 years) who underwent 18 cryoablation procedures to treat 23 AWE deposits. Three of the 18 cases were performed under MR guidance, while the remaining 15 employed CT guidance. Technical success was achieved in all 18 cases (100%). Fifteen of 18 patients (83%) had biopsy proven AWE deposits prior to treatment. Hydrodisplacement was used to displace adjacent bowel, bladder, or neurovascular structures in 13/18 cases (72%). The mean number of probes used per case was 3. Sixteen of 23 (70%) of AWE deposits had imaging follow-up (median 85 days). Of the 16 lesions with imaging follow-up, 15 (94%) demonstrated no residual enhancement or T1 hyperintensity at the treatment site and 1 lesion (6%) demonstrated residual/progressive disease. At clinical follow-up, 13 of 14 (93%) patients reported improvement in AWE-related symptoms. Eleven patients had clinically documented pain scores before and after ablation and all demonstrated substantial symptomatic improvement. No society of interventional radiology (SIR) major complications were observed. Percutaneous cryoablation of AWE is feasible with a favorable safety profile. Further longitudinal studies are needed to document durable response over time.
Identifiants
pubmed: 34773468
doi: 10.1007/s00261-021-03344-w
pii: 10.1007/s00261-021-03344-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2669-2673Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Khan Z, Zanfagnin V, El-Nashar SA, Famuyide AO, Daftary GS, Hopkins MR. Risk Factors, Clinical Presentation, and Outcomes for Abdominal Wall Endometriosis. J Minim Invasive Gynecol. 2017;24(3):478-84.
doi: 10.1016/j.jmig.2017.01.005
Rindos NB, Mansuria S. Diagnosis and Management of Abdominal Wall Endometriosis: A Systematic Review and Clinical Recommendations. Obstet Gynecol Surv. 2017;72(2):116-22.
doi: 10.1097/OGX.0000000000000399
Welch BT, Ehman EC, VanBuren WM, Cope AG, Welch TL, Woodrum DA, et al. Percutaneous cryoablation of abdominal wall endometriosis: the Mayo Clinic approach. Abdom Radiol (NY). 2020;45(6):1813-7.
doi: 10.1007/s00261-019-02379-4
Horton JD, Dezee KJ, Ahnfeldt EP, Wagner M. Abdominal wall endometriosis: a surgeon's perspective and review of 445 cases. Am J Surg. 2008;196(2):207-12.
doi: 10.1016/j.amjsurg.2007.07.035
Nominato NS, Prates LF, Lauar I, Morais J, Maia L, Geber S. Caesarean section greatly increases risk of scar endometriosis. Eur J Obstet Gynecol Reprod Biol. 2010;152(1):83-5.
doi: 10.1016/j.ejogrb.2010.05.001
Carrafiello G, Fontana F, Pellegrino C, Mangini M, Cabrini L, Mariani D, et al. Radiofrequency ablation of abdominal wall endometrioma. Cardiovasc Intervent Radiol. 2009;32(6):1300-3.
doi: 10.1007/s00270-008-9500-8
Cornelis F, Petitpierre F, Lasserre AS, Tricaud E, Dallaudiere B, Stoeckle E, et al. Percutaneous cryoablation of symptomatic abdominal scar endometrioma: initial reports. Cardiovasc Intervent Radiol. 2014;37(6):1575-9.
doi: 10.1007/s00270-014-0843-z
Dibble EH, D'Amico KC, Bandera CA, Littrup PJ. Cryoablation of Abdominal Wall Endometriosis: A Minimally Invasive Treatment. AJR Am J Roentgenol. 2017;209(3):690-6.
doi: 10.2214/AJR.16.17269
Maillot J, Brun JL, Dubuisson V, Bazot M, Grenier N, Cornelis FH. Mid-term outcomes after percutaneous cryoablation of symptomatic abdominal wall endometriosis: comparison with surgery alone in a single institution. Eur Radiol. 2017;27(10):4298-306.
doi: 10.1007/s00330-017-4827-7
Vaz-de-Macedo C, Gomes-da-Costa A, Mendes S, Barata S, Alho C, Jorge CC, et al. Abdominal Wall Endometriosis Excision with Mesh Closure - Report of Two Cases. Surg Technol Int. 2016;28:196-201.
pubmed: 27042795
Kurup AN, Jennings JW, Tutton S, Tam AL, Kelekis A, Wood BJ, et al. Musculoskeletal Oncologic Interventions: Proceedings from the Society of Interventional Radiology and Society of Interventional Oncology Research Consensus Panel. J Vasc Interv Radiol. 2021;32(7):1089 e1- e9.
doi: 10.1016/j.jvir.2021.04.008
Redifer Tremblay K, Lea WB, Neilson JC, King DM, Tutton SM. Percutaneous cryoablation for the treatment of extra-abdominal desmoid tumors. J Surg Oncol. 2019;120(3):366-75.
doi: 10.1002/jso.25597
Schmitz JJ, Schmit GD, Atwell TD, Callstrom MR, Kurup AN, Weisbrod AJ, et al. Percutaneous Cryoablation of Extraabdominal Desmoid Tumors: A 10-Year Experience. AJR Am J Roentgenol. 2016;207(1):190-5.
doi: 10.2214/AJR.15.14391
Kim CH, Lee DY, Moon DH, M DS. Percutaneous Cryoablation of Multiple Pulmonary Endometriosis. J Chest Surg. 2021;54(1):75-8.
doi: 10.5090/kjtcs.20.009
Murray CA, Welch BT, Schmit GD, Schmitz JJ, Weisbrod AJ, Callstrom MR, et al. Safety and Efficacy of Percutaneous Image-guided Cryoablation of Completely Endophytic Renal Masses. Urology. 2019.
doi: 10.1016/j.urology.2019.08.005
pubmed: 31789177
Welch BT, Callstrom MR, Morris JM, Kurup AN, Schmit GD, Weisbrod AJ, et al. Feasibility and oncologic control after percutaneous image guided ablation of metastatic renal cell carcinoma. J Urol. 2014;192(2):357-63.
doi: 10.1016/j.juro.2014.03.006
Marras S, Pluchino N, Petignat P, Wenger JM, Ris F, Buchs NC, et al. Abdominal wall endometriosis: An 11-year retrospective observational cohort study. Eur J Obstet Gynecol Reprod Biol X. 2019;4:100096.
doi: 10.1016/j.eurox.2019.100096
Cope AG, Narasimhulu DM, Khan Z, VanBuren WM, Welch BT, Burnett TL. Nonsurgical radiologic intervention for management of abdominal wall endometriosis: A systematic review and meta-analysis. J Endometr Pelvic Pa. 2020.
doi: 10.1177/2284026520906060
Kurup AN, Schmit GD, Morris JM, Atwell TD, Schmitz JJ, Weisbrod AJ, et al. Avoiding Complications in Bone and Soft Tissue Ablation. Cardiovasc Intervent Radiol. 2017;40(2):166-76.
doi: 10.1007/s00270-016-1487-y
Littrup PJ, Bang HJ, Currier BP, Goodrich DJ, Aoun HD, Heilbrun LK, et al. Soft-tissue cryoablation in diffuse locations: feasibility and intermediate term outcomes. J Vasc Interv Radiol. 2013;24(12):1817-25.
doi: 10.1016/j.jvir.2013.06.025
Luo S, Zhang C, Huang JP, Huang GH, He J. Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: a retrospective study. BJOG. 2017;124 Suppl 3:59-63.
doi: 10.1111/1471-0528.14741
Wang Y, Wang W, Wang L, Wang J, Tang J. Ultrasound-guided high-intensity focused ultrasound treatment for abdominal wall endometriosis: preliminary results. Eur J Radiol. 2011;79(1):56-9.
doi: 10.1016/j.ejrad.2009.12.034
Xiao-Ying Z, Hua D, Jin-Juan W, Ying-Shu G, Jiu-Mei C, Hong Y, et al. Clinical analysis of high-intensity focussed ultrasound ablation for abdominal wall endometriosis: a 4-year experience at a specialty gynecological institution. Int J Hyperthermia. 2019;36(1):87-94.
doi: 10.1080/02656736.2018.1534276
Zhao L, Deng Y, Wei Q, Chen J, Zhao C. Comparison of ultrasound-guided high-intensity focused ultrasound ablation and surgery for abdominal wall endometriosis. Int J Hyperthermia. 2018;35(1):528-33.
doi: 10.1080/02656736.2018.1511836
Zhu X, Chen L, Deng X, Xiao S, Ye M, Xue M. A comparison between high-intensity focused ultrasound and surgical treatment for the management of abdominal wall endometriosis. BJOG. 2017;124 Suppl 3:53-8.
doi: 10.1111/1471-0528.14737
Gidwaney R, Badler RL, Yam BL, Hines JJ, Alexeeva V, Donovan V, et al. Endometriosis of abdominal and pelvic wall scars: multimodality imaging findings, pathologic correlation, and radiologic mimics. Radiographics. 2012;32(7):2031-43.
doi: 10.1148/rg.327125024