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CardioVascular and Interventional Radiology

, Volume 30, Issue 6, pp 1201–1205 | Cite as

Influence of Surgical Staples on Radiofrequency Ablation Using Multitined Expandable Electrodes

  • Yusuke SakuharaEmail author
  • Tadashi Shimizu
  • Daisuke Abo
  • Yu Hasegawa
  • Fumi Kato
  • Yoshihisa Kodama
  • Hiroki Shirato
Laboratory Investigation

Abstract

Purpose

During radiofrequency ablation (RFA), there is a risk that the multitined expandable electrode will come into contact with one of the surgical staples used to treat local recurrence after surgical operations. Our objective was to evaluate whether a surgical staple would influence the RFA of egg white using a multitined expandable electrode.

Methods

Multitined expandable electrodes, LeVeen needles (expandable diameter 3.0 cm), were sunk into an egg white bath with (a) no surgical staple, (b) a surgical staple touching one of the tines, or (c) a surgical staple touching two of the tines simultaneously. By connecting the LeVeen needle and copper plate at the bottom of the bath, RFA was then performed on the egg whites as a substitute for human tissue. Ten egg white baths were ablated under each of conditions (a), (b), and (c), for a total of 30 sets of coagulated egg white.

Results

There was no significant difference in the time from the power-on to the roll-off (i.e., the completion and shutting off of the electric circuit) or in the maximum diameter of the thermal lesion between conditions (a) and (b) or (a) and (c). However, the minimum diameter of the thermal lesion was significantly smaller in (c) compared with (a) (p < 0.01).

Conclusions

Surgical staples have the capacity to interfere with the electromagnetic field and decrease the minimum diameter of the thermal lesion in the event that a staple touches two of the tines of a multitined expandable electrode during RFA. Although the difference might be small enough to be neglected under many clinical circumstances, we recommend that, if possible, the tines not be expanded near metallic material.

Keywords

Radiofrequency Ablation Minimum Diameter Coagulation Necrosis Surgical Clip Thermal Lesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Yusuke Sakuhara
    • 1
    Email author
  • Tadashi Shimizu
    • 1
  • Daisuke Abo
    • 1
  • Yu Hasegawa
    • 1
  • Fumi Kato
    • 1
  • Yoshihisa Kodama
    • 1
  • Hiroki Shirato
    • 1
  1. 1.Department of RadiologyHokkaido University School of MedicineHokkaidoJapan

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