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CardioVascular and Interventional Radiology

, Volume 41, Issue 11, pp 1773–1778 | Cite as

Evaluation of the Heat Sink Effect After Transarterial Embolization When Performed in Combination with Thermal Ablation of the Liver in a Rabbit Model

  • Charles J. Puza
  • Qi Wang
  • Charles Y. Kim
Laboratory Investigation
  • 102 Downloads

Abstract

Purpose

To assess the contribution of the heat sink effect when combining thermal ablation with transarterial embolization (TAE).

Materials and Methods

Radiofrequency ablation (RFA) or microwave ablation (MWA) were performed in the liver of non-tumor bearing rabbits. Three perfusion groups were used: rabbits that were killed then immediately ablated (non-perfused liver group to simulate embolized tumor with no heat sink), rabbits that underwent hepatic TAE followed by ablation (embolized liver group), and rabbits that underwent ablation while alive (normally perfused liver control group). For each perfusion group, 8 RFAs and 8 MWAs were performed. Probes were inserted using ultrasound guidance to avoid areas with major blood vessels. During ablation, temperatures were obtained from a thermocouple located 1 cm away from the ablation probe to assess heat conduction. With MWA, temperatures were also measured from the antennae tip.

Results

For RFA, embolization of normal liver did not increase temperature conduction when compared to the control group. However, temperature conduction was significantly increased in the non-perfused group (simulating embolized tumor) compared to controls (p = 0.007). For MWA, neither embolization nor non-perfusion increased temperature conduction compared to controls. With MWA, the probe tip temperature was significantly higher in the non-perfused group compared to the control and embolized group.

Conclusions

In non-perfused tissue simulating tumor, RFA demonstrated modest enhancement of temperature conduction, whereas MWA did not. Embolization of normal liver did not affect RFA or MWA. Findings suggest that heat sink mitigation plays a limited role with combination embolization-ablation therapies, albeit more with RFA than MWA.

Keywords

Microwave ablation Radiofrequency ablation Heat sink Combination therapy Embolization 

Notes

Acknowledgements

This study was funded by the National Cancer Institute (Grant No. 5R03CA191978), Society of Interventional Radiology (Dr. and Mrs. W.C. Culp Student Research Grant), Radiologic Society of North America (Medical Student Research Grant), and the Duke University Department of Radiology (Charles Putnum Vision Grant).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Human and animal rights

All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2018

Authors and Affiliations

  1. 1.Division of Interventional RadiologyDuke University Medical CenterDurhamUSA
  2. 2.Department of Radiology, Union Hospital, Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanPeople’s Republic of China

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