Evidence map›Paper›PMID 38901493›Full record

ArticleJournal of vascular and interventional radiology : JVIR2024

Changes in Microwave Ablation Zone Dimensions after Transarterial Embolization in an Ex Vivo Human Kidney Perfusion Model.

Carlos B Ortiz, Kade Derrick, Annie Dang, Marina Borrego, Seiji Yamaguchi, Daniel Grosser, Leon Bunegin, John Walker, Jorge Lopera

Abstract readComparative Study
In one paragraph

Article in Journal of vascular and interventional radiology : JVIR, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Carlos B OrtizDepartment of Radiology, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas; Long School of Medicine, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas. Electronic address: oritzc1@uthscsa.edu.
Kade DerrickLong School of Medicine, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas.
Annie DangLong School of Medicine, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas.
Marina BorregoDepartment of Radiology, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas.
Seiji YamaguchiLong School of Medicine, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas; University Transplant Center, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas.
Daniel GrosserDepartment of Pathology, Case Western Reserve University, Cleveland, Ohio.
Leon BuneginLong School of Medicine, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas; Vascular Perfusion Solutions, San Antonio, Texas.
John WalkerDepartment of Radiology, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas; Long School of Medicine, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas.
Jorge LoperaDepartment of Radiology, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas; Long School of Medicine, The University of Texas Health Sciences Center San Antonio, San Antonio, Texas.

Funding

South Texas Medical Scientist Training Program (STX-MSTP)T32GM113896 · NIGMS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CAVAZOS, JOSE E · 2018 to 2022
$1.1M
NIGMS NIH HHS T32 GM113896
6 · The paper itself

Abstract

purposeTo utilize a novel ex vivo perfused human renal model and quantify microwave ablation (MWA) size differences in renal tissue when combining MWA with transarterial embolization (TAE). MATERIALS AND

methodsHuman kidneys (n = 5) declined for transplantation were obtained and connected to a fluoroscopy-compatible ex vivo perfusion system. Two ablations-1 standard MWA and 1 TAE-MWA-were performed in each kidney for 2 minutes at 100 W using a MWA system (Solero Angiodynamics). MWA alone was performed in the upper pole. In the lower pole, MWA was performed after TAE with 40-90 μm radiopaque microspheres to achieve angiographic stasis. Ablation zones of coagulative necrosis were sectioned along the long axis and segmented for maximal short-axis diameter (SAD) and long-axis diameter (LAD) measurements.

resultsA total of 10 ablations (5 MWAs and 5 TAE-MWAs) were performed in 5 human kidneys. TAE-MWA resulted in significantly increased SAD, LAD, volume, and sphericity compared with standard MWA ± SD, with mean measurements as follows (5 standard MWAs ± SD vs 5 TAE-MWAs ± SD, 2-tailed t-test): (a) SAD, 1.8 cm (SD ± 0.1) versus 2.5 cm (SD ± 0.1) (P < .001); (b) LAD, 2.9 cm (SD ± 0.3) versus 3.2 cm (SD ± 0.1) (P = .039); (c) volume, 5.0 mL (SD ± 0.5) versus 11.0 mL (SD ± 0.7) (P < .001); and (d) sphericity, 0.4 (SD ± 0.2) versus 0.6 (SD ± 0.1) (P = .049). Histology demonstrated no differences in TAE-MWA other than concentrated microspheres.

conclusionsThis ex vivo human kidney perfusion model confirmed that combined MWA-TAE significantly increased ablation size and spherical shape compared with MWA alone.

Indexed as

Embolization, TherapeuticKidneyMicrowavesPerfusionAblation TechniquesHumansIn Vitro TechniquesNecrosis

Identifiers

PMID38901493
PMCPMC12908888

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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.