Nerve Cryoablation

Presented During:   Poster Session

Final ID:

599 

Submission Number:

268 

Abstract Type:

Educational Exhibit-Poster Only  

Authors:

R. Bittman1, J. Jennings2, Z. Bercu1, J. Prologo3

Institutions:

1Emory University School of Medicine, Atlanta, GA, 2Washington University School of Medicine, Saint Louis, MO, 3Emory University School of Medicine, Division of Interventional Radiology and Image Guided Medicine, Atlanta, GA

Abstract Presenter:

Ross Warren Bittman  
Emory University School of Medicine
Atlanta, GA

Co-Author(s):

Jack W Jennings, MD PhD  
Washington University School of Medicine
Saint Louis, MO
Zachary Louis Bercu, MD  
Emory University School of Medicine
Atlanta, GA
J. David D. Prologo, MD  
Emory University School of Medicine, Division of Interventional Radiology and Image Guided Medicine
Atlanta, GA

Learning Objectives:

The purpose of this exhibit is to 1) illustrate the spectrum of indications for image-guided nerve cryoablation, 2) demonstrate technical methods of image-guided nerve cryoablation in a variety of settings, and 3) describe existing evidence to support the cryoablation of nerves in interventional radiology.

Background:

Cryoablation/cryoanalgesia of nerves has been effectively employed for decades, beginning as intercostal nerve "freezing" in the setting of painful post-thoracotomy syndromes. Recently, the application of advanced imaging to cryoablative technology has afforded interventional radiologists new access for the potential management of several established, nerve-related pain syndromes (1-4).

Clinical Findings/Procedure Details:

The exhibit will discuss and illustrate the indications, literature support, technical details, and outcomes of image-guided nerve cryoablation in several scenarios: phantom limb syndrome, intractable abdominal pain related to neoplasm, pudendal neuralgia, premature ejaculation, greater occipital neuralgia, facetogenic lumbar pain, and the ablation of intercostal, inferior alveolar, and obturator nerves for pain.

Conclusion and/or Teaching Points:

Interventional radiologists are uniquely positioned to integrate the evolution of cryoablative technology and advanced imaging guidance to treat nerve-related pain disorders in a variety of settings. Case examples of image-guided nerve cryoablation demonstrate the indications, techniques, outcomes, and literature support for these procedures.

Abstract Categories:

Non-Vascular Interventions: Other

Keywords:

Cryoablation
Nerves