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Title: In Vitro Bovine Liver Experiment of Cisplatin-Infused and Normal Saline-Infused Radiofrequency Ablation with an Internally Cooled Perfusion Electrode

Journal Article · · Cardiovascular and Interventional Radiology
; ;  [1];  [2]
  1. Sungkyunkwan University School of Medicine, Department of Radiology, Kangbuk Samsung Hospital (Korea, Republic of)
  2. Sungkyunkwan University School of Medicine, Department of Surgery, Kangbuk Samsung Hospital (Korea, Republic of)

Purpose: To evaluate the efficacy of cisplatin-infused and normal saline-infused radiofrequency ablation (RFA) with internally cooled perfusion (ICP) electrode. Materials and Methods: Using a 200 W generator, thirty ablation zones were created and divided into three groups of 10 each as follows: group A, RFA alone with 16 gauge monopolar internally cooled (IC) electrode; group B, cisplatin-infused RFA with 16 gauge ICP electrode; and group C, normal saline-infused RFA with 16 gauge ICP electrode. Radiofrequency was applied to the explanted bovine liver for 12 min. During RFA, cisplatin and normal saline were injected into tissue at a rate of 0.5 mL/min through the ICP electrode by injection pump. Dimensions of the ablation zone and technical parameters were compared between the three groups. Result: In the cisplatin-infused RFA group, the ablation zone size was significantly larger than that of the RFA-alone group but significantly smaller than normal saline-infused RFA group. The width of longitudinal section and volume were 3.39 ± 0.22 cm{sup 2} and 26.55 ± 4.62 cm{sup 3} in RFA-alone group, 3.88 ± 0.32 cm{sup 2} and 36.45 ± 5.46 cm{sup 3} in cisplatin-infused RFA group, and 4.52 ± 0.50 cm{sup 2} and 49.44 ± 7.55 cm{sup 3} in normal saline-infused RFA group, respectively (p < 0.05 between any two groups). The mean impedance in group A, B, and C were 60.0 ± 7.2, 50.3 ± 2.5, and 40.3 ± 4.0 Ω, respectively (p < 0.05 between any two groups). Conclusion: Cisplatin-infused RFA with ICP electrode created the larger size of ablation zone than that of monopolar RFA with an IC electrode, but created the smaller size of ablation zone than that of normal saline-infused RFA.

OSTI ID:
22969244
Journal Information:
Cardiovascular and Interventional Radiology, Vol. 42, Issue 6; Other Information: Copyright (c) 2019 Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
Country of Publication:
United States
Language:
English