Evidence map›Paper›PMID 27593589›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2016

Induction of rapid, reproducible hepatic ablations using next-generation, high frequency irreversible electroporation (H-FIRE) in vivo.

Imran A Siddiqui, Eduardo L Latouche, Matthew R DeWitt, Jacob H Swet, Russell C Kirks, Erin H Baker, David A Iannitti, Dionisios Vrochides, Rafael V Davalos, Iain H McKillop

Open access · bronzeAbstract read
In one paragraph

Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 68 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Imran A SiddiquiDivision of HPB Surgery, Dept. Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Eduardo L LatoucheSchool of Biomedical Engineering and Mechanics, Virginia Polytechnic and State University, Blacksburg, VA, USA.
Matthew R DeWittSchool of Biomedical Engineering and Mechanics, Virginia Polytechnic and State University, Blacksburg, VA, USA.
Jacob H SwetDivision of HPB Surgery, Dept. Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Russell C KirksDivision of HPB Surgery, Dept. Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Erin H BakerDivision of HPB Surgery, Dept. Surgery, Carolinas Medical Center, Charlotte, NC, USA.
David A IannittiDivision of HPB Surgery, Dept. Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Dionisios VrochidesDivision of HPB Surgery, Dept. Surgery, Carolinas Medical Center, Charlotte, NC, USA.
Rafael V DavalosSchool of Biomedical Engineering and Mechanics, Virginia Polytechnic and State University, Blacksburg, VA, USA.
Iain H McKillopDivision of HPB Surgery, Dept. Surgery, Carolinas Medical Center, Charlotte, NC, USA. Electronic address: Iain.Mckillop@carolinashealthcare.org.
Carolinas Medical Center · USVirginia Tech · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIrreversible electroporation (IRE) offers an alternative to thermal tissue ablation in situ. High-frequency IRE (H-FIRE), employing ultra-short bipolar electrical pulses, may overcome limitations associated with existing IRE technology to create rapid, reproducible liver ablations in vivo.

methodsIRE electrodes (1.5 cm spacing) were inserted into the hepatic parenchyma of swine (n = 3) under surgical anesthesia. In the absence of paralytics or cardiac synchronization five independent H-FIRE ablations were performed per liver using 100, 200, or 300 pulses (2250 V, 2-5-2 μs configuration). Animals were maintained under isoflurane anesthesia for 6 h prior to analysis of ablation size, reproducibility, and apoptotic cell death.

resultsMean ablation time was 230 ± 31 s and no EKG abnormalities occurred during H-FIRE. In 1/15 HFIRE's minor muscle twitch (rectus abdominis) was recorded. Necropsy revealed reproducible ablation areas (34 ± 4 mm(2), 88 ± 11 mm(2) and 110 ± 11 mm(2); 100-, 200- and 300-pulses respectively). Tissue damage was predominantly apoptotic at pulse delivery ≤200 pulses, after which increasing evidence of tissue necrosis was observed.

conclusionH-FIRE can be used to induce rapid, predictable ablations in hepatic tissue without the need for intraoperative paralytics or cardiac synchronization. These advantages may overcome limitations that restrict currently available IRE technology for hepatic ablations.

Indexed as

ElectroporationAnimalsApoptosisFemaleHepatectomyLiverModels, AnimalReproducibility of ResultsSus scrofaTime Factors

Identifiers

PMID27593589
PMCPMC5011100
OpenAlexW2495119399

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.