Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion
Abstract Background To evaluate patient radiation dose and procedural duration recorded during pulmonary arteriovenous malformation (PAVM) embolisation performed using high-frequency jet ventilation (HFJV) as compared with conventional intermittent positive pressure ventilation (IPPV) Methods Patien...
Main Authors: | , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2019-07-01
|
Series: | European Radiology Experimental |
Subjects: | |
Online Access: | http://link.springer.com/article/10.1186/s41747-019-0103-8 |
id |
doaj-914ddbf84daa48e8963714d2b8297d49 |
---|---|
record_format |
Article |
spelling |
doaj-914ddbf84daa48e8963714d2b8297d492020-11-25T03:32:34ZengSpringerOpenEuropean Radiology Experimental2509-92802019-07-01311710.1186/s41747-019-0103-8Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motionEmanuele Boatta0Roberto Luigi Cazzato1Pierre De Marini2Mathieu Canuet3Julien Garnon4Bob Heger5Thi Mai Bernmann6Nitin Ramamurthy7Christine Jahn8Marc Lopez9Afshin Gangi10Service d’Imagerie Interventionelle, Hôpitaux Universitaires de StrasbourgService d’Imagerie Interventionelle, Hôpitaux Universitaires de StrasbourgService d’Imagerie Interventionelle, Hôpitaux Universitaires de StrasbourgService de Pneumologie, Hôpitaux Universitaires de StrasbourgService d’Imagerie Interventionelle, Hôpitaux Universitaires de StrasbourgService d’Anesthésie et de Réanimations Chirurgicales, Hôpitaux Universitaires de StrasbourgService d’Anesthésie et de Réanimations Chirurgicales, Hôpitaux Universitaires de StrasbourgDepartment of Radiology, Norfolk and Norwich University HospitalService d’Imagerie Interventionelle, Hôpitaux Universitaires de StrasbourgService d’Anesthésie et de Réanimations Chirurgicales, Hôpitaux Universitaires de StrasbourgService d’Imagerie Interventionelle, Hôpitaux Universitaires de StrasbourgAbstract Background To evaluate patient radiation dose and procedural duration recorded during pulmonary arteriovenous malformation (PAVM) embolisation performed using high-frequency jet ventilation (HFJV) as compared with conventional intermittent positive pressure ventilation (IPPV) Methods Patients undergoing PAVM embolisation with HFJV assistance after April 2017 were retrospectively identified as group A, and those treated with IPPV before April 2017 as group B. Primary outcomes were patient radiation dose and procedural duration between groups A and B. Secondary outcomes were difference in diaphragmatic excursion between groups A and B, in group A with/without HFJ assistance, technical/clinical success, and complications. Results Twelve PAVMs were embolised in 5 patients from group A, and 15 PAVMs in 10 patients from group B. Mean patient radiation was significantly lower in group A than in group B (54,307 ± 33,823 mGy cm2 [mean ± standard deviation] versus 100,704 ± 43,930 mGy cm2; p = 0.022). Procedural duration was 33.4 ± 16.1 min in group A versus 57.4 ± 14.9 min in group B (p = 0.062). Diaphragmatic excursion was significantly lower in group A (1.3 ± 0.4 mm) than in group B (19.7 ± 5.2 mm; p < 0.001) and lower with near statistical significance in group A with HFJV than without HFJV (1.3 ± 0.4 mm versus 10.9 ± 3.1 mm; p = 0.062). Technical and clinical success was 100% in both groups, without relevant complications. Conclusion HFJV-assisted PAVM embolisation is a safe, feasible technique resulting in reduced patient radiation doses and procedural time.http://link.springer.com/article/10.1186/s41747-019-0103-8Arteriovenous malformationsEmbolisation (therapeutic)LungAnesthesiologyHigh-frequency jet ventilation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Emanuele Boatta Roberto Luigi Cazzato Pierre De Marini Mathieu Canuet Julien Garnon Bob Heger Thi Mai Bernmann Nitin Ramamurthy Christine Jahn Marc Lopez Afshin Gangi |
spellingShingle |
Emanuele Boatta Roberto Luigi Cazzato Pierre De Marini Mathieu Canuet Julien Garnon Bob Heger Thi Mai Bernmann Nitin Ramamurthy Christine Jahn Marc Lopez Afshin Gangi Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion European Radiology Experimental Arteriovenous malformations Embolisation (therapeutic) Lung Anesthesiology High-frequency jet ventilation |
author_facet |
Emanuele Boatta Roberto Luigi Cazzato Pierre De Marini Mathieu Canuet Julien Garnon Bob Heger Thi Mai Bernmann Nitin Ramamurthy Christine Jahn Marc Lopez Afshin Gangi |
author_sort |
Emanuele Boatta |
title |
Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion |
title_short |
Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion |
title_full |
Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion |
title_fullStr |
Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion |
title_full_unstemmed |
Embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion |
title_sort |
embolisation of pulmonary arteriovenous malformations using high-frequency jet ventilation: benefits of minimising respiratory motion |
publisher |
SpringerOpen |
series |
European Radiology Experimental |
issn |
2509-9280 |
publishDate |
2019-07-01 |
description |
Abstract Background To evaluate patient radiation dose and procedural duration recorded during pulmonary arteriovenous malformation (PAVM) embolisation performed using high-frequency jet ventilation (HFJV) as compared with conventional intermittent positive pressure ventilation (IPPV) Methods Patients undergoing PAVM embolisation with HFJV assistance after April 2017 were retrospectively identified as group A, and those treated with IPPV before April 2017 as group B. Primary outcomes were patient radiation dose and procedural duration between groups A and B. Secondary outcomes were difference in diaphragmatic excursion between groups A and B, in group A with/without HFJ assistance, technical/clinical success, and complications. Results Twelve PAVMs were embolised in 5 patients from group A, and 15 PAVMs in 10 patients from group B. Mean patient radiation was significantly lower in group A than in group B (54,307 ± 33,823 mGy cm2 [mean ± standard deviation] versus 100,704 ± 43,930 mGy cm2; p = 0.022). Procedural duration was 33.4 ± 16.1 min in group A versus 57.4 ± 14.9 min in group B (p = 0.062). Diaphragmatic excursion was significantly lower in group A (1.3 ± 0.4 mm) than in group B (19.7 ± 5.2 mm; p < 0.001) and lower with near statistical significance in group A with HFJV than without HFJV (1.3 ± 0.4 mm versus 10.9 ± 3.1 mm; p = 0.062). Technical and clinical success was 100% in both groups, without relevant complications. Conclusion HFJV-assisted PAVM embolisation is a safe, feasible technique resulting in reduced patient radiation doses and procedural time. |
topic |
Arteriovenous malformations Embolisation (therapeutic) Lung Anesthesiology High-frequency jet ventilation |
url |
http://link.springer.com/article/10.1186/s41747-019-0103-8 |
work_keys_str_mv |
AT emanueleboatta embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT robertoluigicazzato embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT pierredemarini embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT mathieucanuet embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT juliengarnon embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT bobheger embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT thimaibernmann embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT nitinramamurthy embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT christinejahn embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT marclopez embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion AT afshingangi embolisationofpulmonaryarteriovenousmalformationsusinghighfrequencyjetventilationbenefitsofminimisingrespiratorymotion |
_version_ |
1724567438509473792 |