@article{67ab46463f8b4ad2ac8ae76ea4e7c20d,
title = "Image-guided nerve cryoablation for post-thoracotomy pain syndrome",
abstract = "Chronic post-thoracotomy pain syndrome (PTPS) can cause significant patient distress and is frequently difficult to manage. Percutaneous intercostal nerve (ICN) cryoablation by palpation of surface landmarks can be risky, as inaccurate probe placement can lead to hemo- or pneumothorax. Experience with image-guided ICN cryoablation with treatment planning and device navigation is limited. A patient with intractable PTPS was treated with ICN cryoablation under cone-beam computed tomography guidance with software-assisted needle trajectory planning and ablation zone simulation. This procedure provided the patient ∼8 weeks of relief. This case demonstrated that ICN cryoablation is feasible under image guidance with device navigation and ablation simulation and may result in a few months of pain relief in cases of intractable PTPS.",
keywords = "Clinical practice, Cryoablation, Experimental IR, Pain management, Spine/nervous system",
author = "Yilun Koethe and Mannes, {Andrew J.} and Wood, {Bradford J.}",
note = "Funding Information: The year-long research fellowship for Yilun Koethe was made possible through the National Institutes of Health (NIH) Medical Research Scholars Program, a public–private partnership supported jointly by the NIH and generous contributions to the Foundation for the NIH from Pfizer Inc, The Leona M. and Harry B. Helmsley Charitable Trust, and the Howard Hughes Medical Institute, as well as other private donors. For a complete list, please visit the Foundation website at http://www.fnih.org/work/programs-development/medical-research-scholars-program ). The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government. Andrew J. Mannes declares that he has no conflicts of interest. This research was supported by the NIH Intramural Research Program, the NIH Center for Interventional Oncology, and through a Cooperative Research and Development Agreement (CRADA) between the NIH Center for Interventional Oncology and Philips Healthcare (Best, Netherlands). NIH may have intellectual property in the area. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.",
year = "2014",
month = jun,
doi = "10.1007/s00270-013-0718-8",
language = "English (US)",
volume = "37",
pages = "843--846",
journal = "Cardiovascular and interventional radiology",
issn = "0174-1551",
publisher = "Springer Verlag",
number = "3",
}