Safety of High-Frequency Jet Ventilation During Image-Guided Thermal Ablation Procedures.
Gas exchange
High-frequency jet ventilation
Percutaneous thermal ablative techniques
Safety
Journal
Cardiovascular and interventional radiology
ISSN: 1432-086X
Titre abrégé: Cardiovasc Intervent Radiol
Pays: United States
ID NLM: 8003538
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
17
08
2022
accepted:
02
01
2023
pubmed:
20
1
2023
medline:
17
3
2023
entrez:
19
1
2023
Statut:
ppublish
Résumé
Percutaneous thermal ablative technique is a common radiological procedure for malignant lesions treatment. Controlled assisted ventilation during general anesthesia is the usual mode of ventilation, but high-frequency jet ventilation (HFJV) can be a helpful alternative for the operator. The objective was to evaluate the safety of HFJV during thermal ablation procedures. This monocentric prospective analysis included adult patients undergoing percutaneous thermal ablation procedures for abdominal tumor performed under HFJV. Procedures with a transpulmonary path were excluded. The primary outcome was the incidence of respiratory complications. Secondary outcomes included gas exchange modifications (hypercapnia, hypoxemia, pulmonary atelectasis) and the incidence of barotrauma. Sixty patients were included during the study period. The mean duration time was 88 min. All procedures went according to the protocol and there was no respiratory complication. There was no barotrauma event. Three patients had an exhaled capnia above 45 mmHg at the end of the procedure which normalized within 10 min of conventional ventilation. HFJV during thermal ablation procedures is safe regarding gas exchange and barotrauma. This technique could be an interesting alternative to conventional ventilation during image-guided thermal ablation procedures. Clinical Trials database This study was registered in Clinical Trials database (NCT04209608).
Identifiants
pubmed: 36658374
doi: 10.1007/s00270-023-03358-5
pii: 10.1007/s00270-023-03358-5
doi:
Banques de données
ClinicalTrials.gov
['NCT04209608']
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
360-368Subventions
Organisme : Centre Hospitalier Universitaire de Nantes
ID : RC19_0416
Informations de copyright
© 2023. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
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