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Percutaneous Cryoablation under Conscious Sedation: A Safe, Effective and Painless Option for the Treatment of Pediatric Osteoid Osteoma

Background: Percutaneous CT-guided cryoablation is an emerging technique for treating bone tumors. However, experience with using this procedure for osteoid osteomas in pediatric patients remains limited. Our study aims to assess its technical feasibility, clinical efficacy, and safety in children t...

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Autores principales: Pusceddu, Claudio, Vergantino, Elva, Santucci, Domiziana, Marsico, Salvatore, Cappucci, Matteo, Vaccarino, Federica, Beomonte Zobel, Bruno, Grasso, Rosario Francesco, Faiella, Eliodoro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10650217/
https://www.ncbi.nlm.nih.gov/pubmed/37959354
http://dx.doi.org/10.3390/jcm12216889
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author Pusceddu, Claudio
Vergantino, Elva
Santucci, Domiziana
Marsico, Salvatore
Cappucci, Matteo
Vaccarino, Federica
Beomonte Zobel, Bruno
Grasso, Rosario Francesco
Faiella, Eliodoro
author_facet Pusceddu, Claudio
Vergantino, Elva
Santucci, Domiziana
Marsico, Salvatore
Cappucci, Matteo
Vaccarino, Federica
Beomonte Zobel, Bruno
Grasso, Rosario Francesco
Faiella, Eliodoro
author_sort Pusceddu, Claudio
collection PubMed
description Background: Percutaneous CT-guided cryoablation is an emerging technique for treating bone tumors. However, experience with using this procedure for osteoid osteomas in pediatric patients remains limited. Our study aims to assess its technical feasibility, clinical efficacy, and safety in children treated under conscious anesthesia. Methods: We conducted a retrospective study of consecutive pediatric patients who underwent CT-guided percutaneous cryoablation for osteoid osteomas at our institution between September 2017 and March 2021. All patients received conscious anesthesia. Data on peri-procedural VAS scores, post-procedural VAS scores, imaging findings, and nonsteroidal anti-inflammatory drug (NSAID) usage rates were collected for each patient. Technical success was defined as proper cryoprobe placement at the nidus center, while clinical success referred to pain relief without NSAID use. Intra- and post-operative complications were also evaluated. Results: Nine patients underwent CT-guided percutaneous cryoablation for osteoid osteomas under conscious sedation, with a 100% overall success rate with low peri-procedural and median VAS scores (p < 0.01). No complications were observed during or after the procedure. Conclusions: CT-guided percutaneous cryoablation of pediatric osteoid osteomas is an effective and safe minimally invasive procedure feasible under conscious anesthesia, holding promise as a valuable treatment option.
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spelling pubmed-106502172023-11-01 Percutaneous Cryoablation under Conscious Sedation: A Safe, Effective and Painless Option for the Treatment of Pediatric Osteoid Osteoma Pusceddu, Claudio Vergantino, Elva Santucci, Domiziana Marsico, Salvatore Cappucci, Matteo Vaccarino, Federica Beomonte Zobel, Bruno Grasso, Rosario Francesco Faiella, Eliodoro J Clin Med Article Background: Percutaneous CT-guided cryoablation is an emerging technique for treating bone tumors. However, experience with using this procedure for osteoid osteomas in pediatric patients remains limited. Our study aims to assess its technical feasibility, clinical efficacy, and safety in children treated under conscious anesthesia. Methods: We conducted a retrospective study of consecutive pediatric patients who underwent CT-guided percutaneous cryoablation for osteoid osteomas at our institution between September 2017 and March 2021. All patients received conscious anesthesia. Data on peri-procedural VAS scores, post-procedural VAS scores, imaging findings, and nonsteroidal anti-inflammatory drug (NSAID) usage rates were collected for each patient. Technical success was defined as proper cryoprobe placement at the nidus center, while clinical success referred to pain relief without NSAID use. Intra- and post-operative complications were also evaluated. Results: Nine patients underwent CT-guided percutaneous cryoablation for osteoid osteomas under conscious sedation, with a 100% overall success rate with low peri-procedural and median VAS scores (p < 0.01). No complications were observed during or after the procedure. Conclusions: CT-guided percutaneous cryoablation of pediatric osteoid osteomas is an effective and safe minimally invasive procedure feasible under conscious anesthesia, holding promise as a valuable treatment option. MDPI 2023-11-01 /pmc/articles/PMC10650217/ /pubmed/37959354 http://dx.doi.org/10.3390/jcm12216889 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pusceddu, Claudio
Vergantino, Elva
Santucci, Domiziana
Marsico, Salvatore
Cappucci, Matteo
Vaccarino, Federica
Beomonte Zobel, Bruno
Grasso, Rosario Francesco
Faiella, Eliodoro
Percutaneous Cryoablation under Conscious Sedation: A Safe, Effective and Painless Option for the Treatment of Pediatric Osteoid Osteoma
title Percutaneous Cryoablation under Conscious Sedation: A Safe, Effective and Painless Option for the Treatment of Pediatric Osteoid Osteoma
title_full Percutaneous Cryoablation under Conscious Sedation: A Safe, Effective and Painless Option for the Treatment of Pediatric Osteoid Osteoma
title_fullStr Percutaneous Cryoablation under Conscious Sedation: A Safe, Effective and Painless Option for the Treatment of Pediatric Osteoid Osteoma
title_full_unstemmed Percutaneous Cryoablation under Conscious Sedation: A Safe, Effective and Painless Option for the Treatment of Pediatric Osteoid Osteoma
title_short Percutaneous Cryoablation under Conscious Sedation: A Safe, Effective and Painless Option for the Treatment of Pediatric Osteoid Osteoma
title_sort percutaneous cryoablation under conscious sedation: a safe, effective and painless option for the treatment of pediatric osteoid osteoma
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10650217/
https://www.ncbi.nlm.nih.gov/pubmed/37959354
http://dx.doi.org/10.3390/jcm12216889
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