IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp...
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Transcript of IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp...
![Page 1: IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp Wiggermann.](https://reader035.fdocuments.in/reader035/viewer/2022062401/5a4d1b4f7f8b9ab0599a6dac/html5/thumbnails/1.jpg)
IRE of HCC with robotic assistance
Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp
Wiggermann
![Page 2: IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp Wiggermann.](https://reader035.fdocuments.in/reader035/viewer/2022062401/5a4d1b4f7f8b9ab0599a6dac/html5/thumbnails/2.jpg)
Patient history
• 62 years old, male• Liver cirrhosis Child B• Successfull microwave ablation of HCC in
segment VII (03/2014)• HCC in segment IVa– 3,4 x 3,0 cm– next to portal vein and recanalised V. umbilicalis
![Page 3: IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp Wiggermann.](https://reader035.fdocuments.in/reader035/viewer/2022062401/5a4d1b4f7f8b9ab0599a6dac/html5/thumbnails/3.jpg)
Preinterventional CT
V. umbilicalis
HCC
arterial phase
![Page 4: IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp Wiggermann.](https://reader035.fdocuments.in/reader035/viewer/2022062401/5a4d1b4f7f8b9ab0599a6dac/html5/thumbnails/4.jpg)
Procedure
• IRE– Simultaneous placement of 5 needles– No heat sink effect
• Robotic guidance (Perfint MAXIO)– Avoids use of CT fluoroscopy– Simultaneous placement of up to 6 probes– Exact positioning (+- 1mm)– Faster interventions
![Page 5: IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp Wiggermann.](https://reader035.fdocuments.in/reader035/viewer/2022062401/5a4d1b4f7f8b9ab0599a6dac/html5/thumbnails/5.jpg)
Assisted needle placement
Semi-automatic needle placement with Perfint MAXIO
![Page 6: IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp Wiggermann.](https://reader035.fdocuments.in/reader035/viewer/2022062401/5a4d1b4f7f8b9ab0599a6dac/html5/thumbnails/6.jpg)
native control scan
Periinterventional CT
IRE needle
V. umbilicalis
ablation area
![Page 7: IRE of HCC with robotic assistance Lukas P. Beyer, Benedikt Pregler, Christoph Nießen, Philipp Wiggermann.](https://reader035.fdocuments.in/reader035/viewer/2022062401/5a4d1b4f7f8b9ab0599a6dac/html5/thumbnails/7.jpg)
Follow-up (12 weeks)complete ablation
• no peri- or postinterventional complications• complete ablation in CEUS, MRI and CT