Microwave ablation zones are larger than they macroscopically appear - Reevaluation based on NADH vitality staining ex vivo

Autor: Stefan M Niehues, Christina A Neizert, Kai S. Lehmann, Franz Poch, Janis L Vahldiek, Ole Gemeinhardt, Beatrice Geyer, Robert Klopfleisch
Rok vydání: 2019
Předmět:
Zdroj: Clinical hemorheology and microcirculation. 73(2)
ISSN: 1875-8622
Popis: BACKGROUND Animal liver is established as an ex vivo model for studies on hepatic microwave ablation (MWA). Macroscopically visible color changes in the ablation zone are used to assess cell destruction and confirm successful ablation ex vivo. OBJECTIVE Macroscopy and histology of MWA zones regarding cell viability in ex vivo porcine livers were compared in this study. METHODS Six MWA were performed in porcine livers post mortem. A 14-G antenna and microwave generator (928 MHz; 9.0 kJ) were used. MWA were cut at the maximum cross section in vertical alignment to the antenna. NADH-diaphorase staining determined cell vitality. Macroscopic and microscopic ablation zones were statistically analyzed. RESULTS Histology showed two distinct ablation zones: central white zone (WZH) with no cell viability and peripheral red zone (RZH) with partial cell viability. However, the macroscopically visible WZM was significantly smaller than the microscopic WZH with an area difference of 43.1% (p
Databáze: OpenAIRE
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