Protection of the mediastinum and chest wall with an artificial pneumothorax during lung ablations Journal Article
| Authors: | Solomon, S. B.; Thornton, R. H.; Dupuy, D. E.; Downey, R. J. |
| Article Title: | Protection of the mediastinum and chest wall with an artificial pneumothorax during lung ablations |
| Abstract: | The objective in creating an artificial pneumothorax during lung ablation is to develop a working space in the thorax sufficient to displace the target lung lesion from adjacent vulnerable mediastinal or chest wall structures. Attempts to induce a protective pneumothorax with the use of spring-loaded needles were successful in four of six patients, permitting development of safe "windows" for ablation. These pneumothoraces were induced by the introduction of a needle with a spring-loaded, blunt-tipped obturator into the pleural space, followed by injection of room air. Pleural adhesions related to previous interventions may interfere with creation of a pneumothorax. Use of this technique could extend the utility of ablative therapies for lesions adjacent to the mediastinum and chest wall. © 2008 SIR. |
| Keywords: | clinical article; treatment outcome; cancer surgery; surgical technique; retrospective studies; cancer radiotherapy; lung non small cell cancer; lung neoplasms; lung cancer; tomography, x-ray computed; colorectal carcinoma; patient safety; radiography, interventional; cryoablation; radiofrequency ablation; mediastinum; thorax wall; pleura; thoracic wall; needle; oxygen saturation; surgical equipment; microwave therapy; pleura cavity; protection; ambient air; pneumoperitoneum; heat; artificial pneumothorax; lung aspiration; pneumothorax, artificial |
| Journal Title: | Journal of Vascular and Interventional Radiology |
| Volume: | 19 |
| Issue: | 4 |
| ISSN: | 1051-0443 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2008-04-01 |
| Start Page: | 610 |
| End Page: | 615 |
| Language: | English |
| DOI: | 10.1016/j.jvir.2008.01.004 |
| PUBMED: | 18375309 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 6" - "Export Date: 17 November 2011" - "CODEN: JVIRE" - "Source: Scopus" |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work