Crossed-Probes Cryoablation for the Treatment of a Sclerotic Vertebral Metastasis Abutting the Spinal Canal
A 44-year-old woman presented with lumbar pain (visual analog scale [VAS] = 9) secondary to adrenocortical carcinoma sclerotic L4-vertebral metastasis. The positron emission tomography-computed tomography hypermetabolic lesion (Fig 1a,d) was unresponsive to radiotherapy or chemotherapy. She refused surgery. Following general anesthesia and aseptic preparation, 2 power d rill-mounted (Aesculap, Center Valley, Pennsylvania) k-wires were inserted in each vertebral pedicle with lateromedial opposite directions, resulting in crossed wires.
Source: Journal of Vascular and Interventional Radiology : JVIR - Category: Radiology Authors: Ricardo Miguel Costa de Freitas, Jos é Guilherme Mendes Pereira Caldas, Silvia Mazzali Verst, Ana Oliveira Hoff, João Evangelista Bezerra Neto, Maria Candida Barisson Villares Fragoso Tags: Extreme IR Source Type: research
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