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Safety of High-Frequency Jet Ventilation During Image-Guided Thermal Ablation Procedures

  • Clinical Investigation
  • Non-Vascular Interventions
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Rationale and Objective

Percutaneous thermal ablative technique is a common radiological procedure for malignant lesions treatment. Controlled assisted ventilation during general anesthesia is the usual mode of ventilation, but high-frequency jet ventilation (HFJV) can be a helpful alternative for the operator. The objective was to evaluate the safety of HFJV during thermal ablation procedures.

Materials and Methods

This monocentric prospective analysis included adult patients undergoing percutaneous thermal ablation procedures for abdominal tumor performed under HFJV. Procedures with a transpulmonary path were excluded. The primary outcome was the incidence of respiratory complications. Secondary outcomes included gas exchange modifications (hypercapnia, hypoxemia, pulmonary atelectasis) and the incidence of barotrauma.

Results

Sixty patients were included during the study period. The mean duration time was 88 min. All procedures went according to the protocol and there was no respiratory complication. There was no barotrauma event. Three patients had an exhaled capnia above 45 mmHg at the end of the procedure which normalized within 10 min of conventional ventilation.

Conclusion

HFJV during thermal ablation procedures is safe regarding gas exchange and barotrauma. This technique could be an interesting alternative to conventional ventilation during image-guided thermal ablation procedures.

Clinical Trials database

This study was registered in Clinical Trials database (NCT04209608).

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Funding

This work was supported by the Centre Hospitalier et Universitaire de Nantes (RC19_0416).

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Authors and Affiliations

  1. Department of Radiology, Nantes University Hospital, 1, place Alexis Ricordeau, 44093, Nantes, France

    Théophane Trochu, Renan Liberge, Frédéric Douane & Arthur David

  2. Pôle d’Anesthésie Réanimation Chirurgicale, CHU Nantes, Université de Nantes, Hôtel-Dieu, 1, place Alexis Ricordeau, 44093, Nantes, France

    Nathalie Desfriches-Doria, Nicolas Grillot & Romain Dumont

  3. SPHERE U1246, DRCI, Plateforme de Méthodologie et de Biostatistique, INSERM, CHU Nantes & Nantes Université, Université de Tours, 1, place Alexis Ricordeau, 44093, Nantes, France

    Fanny Feuillet

  4. Research and Innovation Department, CHU Nantes, Nantes Université, 53, Chaussée de la Madeleine, 44000, Nantes, France

    David Lair

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  1. Théophane Trochu
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Contributions

All authors attest that they meet the current International Committee of Medical Journal Editors (ICMJE) criteria for Authorship. We disclose no conflict of interest and state that all the authors have contributed to this work. Their participation is as follows: TT: conceptualization, methodology, writing - original draft, writing - review & editing. ND-D: conceptualization, funding acquisition, investigation, project administration, writing - original draft. NG: conceptualization, methodology, investigation, writing - original draft, supervision. FF: methodology, data curation, formal analysis. DL: conceptualization, design. RL: investigation. FD: investigation. RD: conceptualization, methodology, investigation, writing - original draft, supervision. AD: conceptualization, methodology, investigation, writing - original draft, writing - review & editing, supervision.

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Correspondence to Théophane Trochu.

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The authors declare that the work described has been carried out in accordance with the Declaration of Helsinki of the World Medical Association revised in 2013 for experiments involving humans.

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The authors declare that this report does not contain any personal information that could lead to the identification of the patients and that all patients gave their oral consent.

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Co-first author: Nathalie Desfriches-Doria

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Trochu, T., Desfriches-Doria, N., Grillot, N. et al. Safety of High-Frequency Jet Ventilation During Image-Guided Thermal Ablation Procedures. Cardiovasc Intervent Radiol 46, 360–368 (2023). https://doi.org/10.1007/s00270-023-03358-5

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  • DOI: https://doi.org/10.1007/s00270-023-03358-5

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