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Transosseous Temperature Monitoring of the Anterior Epidural Space during Thermal Ablation in the Thoracic Spine

  • Technical Note
  • Non-Vascular Interventions
  • Published:
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Abstract

Purpose

To present the technique of combined temperature monitoring and hydrodissection of the anterior epidural space during thermal ablation in the thoracic spine.

Materials and Methods

Data from 8 patients were retrieved retrospectively with thoracic spinal metastases located near the posterior wall of the vertebral body. Thermal ablation was performed with temperature monitoring and hydrodissection of the anterior epidural space.

Results

Technical success, defined as a fulfilled ablation protocol without changes of the temperature of the epidural space below 10°/above 45° that could not be controlled by active hydrodissection, was 100%. The mean time to deploy the thermosensor was 19.5 ± 4.8 min (range 13–35). There was one post-operative transient intercostal neuralgia. No spinal cord or nerve root injuries arose. Two local recurrences occurred at a mean follow-up of 20 ± 9 months.

Conclusion

Transosseous temperature monitoring of the anterior epidural space in the thoracic spine is a feasible technique and seems safe.

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References

  1. Tsoumakidou G, Koch G, Caudrelier J, et al. Image-guided spinal ablation: a review. Cardiovasc Intervent Radiol. 2016;39(9):1229–38.

    Article  Google Scholar 

  2. Rybak LD, Gangi A, Buy X, et al. Thermal ablation of spinal osteoid osteomas close to neural elements: technical considerations. AJR Am J Roentgenol. 2010;195(4):W293–8.

    Article  Google Scholar 

  3. Nakatsuka A, Yamakado K, Takaki H, et al. Percutaneous radiofrequency ablation of painful spinal tumors adjacent to the spinal cord with real-time monitoring of spinal canal temperature: a prospective study. Cardiovasc Intervent Radiol. 2009;32(1):70–5.

    Article  Google Scholar 

  4. Lecigne R, Garnon J, Cazzato RL, et al. Transforaminal insertion of a thermocouple on the posterior vertebral wall combined with hydrodissection during lumbar spinal radiofrequency ablation. AJNR Am J Neuroradiol. 2019;40(10):1786–90.

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Reyad RM, Ghobrial HZ, Shaker EH, et al. Modified technique for thermal radiofrequency ablation of Thoracic dorsal root ganglia under combined fluoroscopy and CT guidance: a randomized clinical trial. BMC Anesthesiol. 2019;19(1):234.

    Article  CAS  Google Scholar 

  6. Wallace AN, Greenwood TJ, Jennings JW. Use of imaging in the management of metastatic spine disease with percutaneous ablation and vertebral augmentation. AJR Am J Roentgenol. 2015;205(2):434–41.

    Article  Google Scholar 

  7. Filippiadis DK, Binkert C, Pellerin O, et al. Cirse quality assurance document and standards for classification of complications: the cirse classification system. Cardiovasc Intervent Radiol. 2017;40(8):1141–6.

    Article  CAS  Google Scholar 

  8. Westbroek EM, Goodwin ML, Hui F, et al. Thermal injury to spinal cord, a rare complication of percutaneous microwave spine tumor ablation: case report. J Clin Neurosci. 2019;64:50–4.

    Article  Google Scholar 

  9. Huntoon K, Eltobgy M, Mohyeldin A, et al. Lower extremity paralysis after radiofrequency ablation of vertebral metastases. World Neurosurg. 2020;133:178–84.

    Article  Google Scholar 

  10. Nour SG, Aschoff AJ, Mitchell IC, et al. MR imaging-guided radio-frequency thermal ablation of the lumbar vertebrae in porcine models. Radiology. 2002;224(2):452–62.

    Article  Google Scholar 

  11. Wallace AN, Hillen TJ, Friedman MV, et al. Percutaneous spinal ablation in a sheep model: protective capacity of an intact cortex, correlation of ablation parameters with ablation zone size, and correlation of postablation MRI and pathologic findings. AJNR Am J Neuroradiol. 2017;38(8):1653–9.

    Article  CAS  Google Scholar 

  12. Yoon JT, Nesbitt J, Raynor BL, et al. Utility of motor and somatosensory evoked potentials for neural thermoprotection in ablations of musculoskeletal tumors. J Vasc Interv Radiol. 2020;31(6):903–11.

    Article  Google Scholar 

  13. Garnon J, Cazzato RL, Caudrelier J, et al. Adjunctive thermoprotection during percutaneous thermal ablation procedures: review of current techniques. Cardiovasc Intervent Radiol. 2019;42(3):344–57.

    Article  Google Scholar 

  14. Lindeire S, Hauser JM. Anatomy, Back, Artery Of Adamkiewicz. 2018.StatPearls.

  15. Kennedy DJ, Dreyfuss P, Aprill CN, et al. Paraplegia following image-guided transforaminal lumbar spine epidural steroid injection: two case reports. Pain Med. 2009;10(8):1389–94.

    Article  Google Scholar 

  16. Buy X, Tok CH, Szwarc D, et al. Thermal protection during percutaneous thermal ablation procedures: interest of carbon dioxide dissection and temperature monitoring. Cardiovasc Intervent Radiol. 2009;32(3):529–34.

    Article  Google Scholar 

  17. Wallace AN, Tomasian A, Vaswani D, et al. Radiographic local control of spinal metastases with percutaneous radiofrequency ablation and vertebral augmentation. AJNR Am J Neuroradiol. 2016;37(4):759–65.

    Article  CAS  Google Scholar 

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Funding

The authors have no financial relationships relevant to this article to disclose

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Authors and Affiliations

  1. Department of Musculoskeletal Imaging, CHU de Rennes, Université de Rennes 1, 2 Avenue du Professeur Léon Bernard, 35000, Rennes, France

    Romain Lecigne

  2. Department of Interventional Radiology, Hopitaux Universitaires de Strasbourg (HUS), 1, place de l’Hopital, 67000, Strasbourg, France

    Roberto Luigi Cazzato, Afshin Gangi & Julien Garnon

  3. Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust Windmill Rd, Oxford, OX3 7LD, UK

    Danoob Dalili

  4. 119 rue Dumont d′Urville, Lille, France

    Romain Lecigne

Authors
  1. Romain Lecigne
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  2. Roberto Luigi Cazzato
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  3. Danoob Dalili
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  4. Afshin Gangi
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  5. Julien Garnon
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Corresponding author

Correspondence to Romain Lecigne.

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It was obtained for every individual person’s data included in this study.

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Lecigne, R., Cazzato, R.L., Dalili, D. et al. Transosseous Temperature Monitoring of the Anterior Epidural Space during Thermal Ablation in the Thoracic Spine. Cardiovasc Intervent Radiol 44, 982–987 (2021). https://doi.org/10.1007/s00270-021-02771-y

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  • DOI: https://doi.org/10.1007/s00270-021-02771-y

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