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2010, Número 2

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Rev Mex Ing Biomed 2010; 31 (2)


Terapia térmica de alta temperatura basada en corrientes de radiofrecuencia: Una tecnología centenaria al servicio de la cirugía

Berjano EJ, Romero-Méndez R, Franco W

Idioma: Ingles.
Referencias bibliográficas: 69
Paginas: 142-153
Archivo PDF: 360.45 Kb.


RESUMEN

El uso de las corrientes eléctricas de radiofrecuencia (RF) para tratar quirúrgicamente enfermedades tan diferentes como por ejemplo el cáncer, las alteraciones del ritmo cardiaco o la hipermetropía ocular es relativamente reciente. Sin embargo, el mecanismo biofísico en que se basan estas técnicas se conoce desde hace más de 100 años. Este artículo de divulgación tiene por objetivo presentar de forma didáctica y sencilla el uso de las corrientes de RF para producir calentamiento en tejidos biológicos con fines terapéuticos y quirúrgicos. En primer lugar se presentan las bases biofísicas en las que se sustenta dicha aplicación, y posteriormente se exponen diferentes ejemplos de aplicación clínica actual de las corrientes de RF.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Pearce JA. 1996, Electrosurgery, Chapman and Hall, London.

  2. Radiofrequency ablation. National Institutes for Health Clinical Center web site. Available at: http://www.cc.nih.gov/drd/rfa/ index.html. Accessed October 2010.

  3. d’Arsonval MA. Action physiologique des courants alternatifs. CR Soc Biol 1891; 43: 283-286.

  4. Licht S. «History of therapeutic heat», in Therapeutic heat and cold, S. Licht, Ed New Heaven, Conn., Licht., 1965; sec. 6: 196-231.

  5. Beer E. Removal of neoplasms of the urinary bladder: a new method employing high frequency (oudin) currents through a cauterizing cystoscope. JAMA 1910; 54: 1768- 1769.

  6. Clark WL. Oscillatory desiccation in the treatment of accessible malignant growths and minor surgical conditions. J Adv Therap 1911; 29: 169-183.

  7. Clark WL, Morgan JD, Asnia EJ. Electrothermic methods in treatment of neoplasms and other lesions with clinical and histological observations. Radiology 1924; 2: 233-246.

  8. Cushing H, Bovie WT. Electro-surgery as an aid to the removal of intracranial tumors. Surg Gynecol Obstet 1928; 47: 751- 784.

  9. Brace CL. Radiofrequency and microwave ablation of the liver, lung, kidney, and bone: what are the differences? Curr Probl Diagn Radiol. 2009; 38(3): 135-43.

  10. Goldberg SN, Grassi CJ, Cardella JF, Charboneau JW, Dodd 3rd GD, Dupuy DE, Gervais D, Gillams AR, Kane RA, Lee Jr FT, Livraghi T, McGahan J, Phillips DA, RMI H, Silverman SG; Society of Interventional Radiology Technology Assessment Committee; International Working Group on Image-Guided Tumor Ablation. Image-guided tumor ablation: standardization of terminology and reporting criteria. Radiology 2005; 235: 728-739.

  11. Calkins H, Reynolds MR, Spector P, Sondhi M, Xu Y, Martin A, Williams CJ, Sledge I. Treatment of atrial fibrillation with antiarrhythmic drugs or radiofrequency ablation: two systematic literature reviews and meta-analyses. Circ Arrhythm Electrophysiol 2009; 2(4): 349-61.

  12. McCann CJ, Gal B, Geelen P. Ablation of a therapy-resistant posteroseptal accessory atrioventricular pathway: going for gold. Acta Cardiol 2010; 65(2): 269-70.

  13. Cosio FG, López-Gil M, Goicolea A, Arribas F, Barroso JL. Radiofrequency ablation of the inferior vena cava-tricuspid valve isthmus in common atrial flutter Am J Cardiol 1993; 71(8): 705-9.

  14. Lábrová R, Spinar J, Honzíková N. Radiofrequency ablation in treatment of atrial fibrillation Physiol Res 2010; 59 Suppl 1: S43-9.

  15. Nasso G, Bonifazi R, Fiore F, Balducci G, Conte M, Lopriore V, Speziale G. Minimally invasive epicardial ablation of lone atrial fibrillation in pediatric patient. Ann Thorac Surg 2010; 90(4): e49-51.

  16. Berjano EJ. Ablación quirúrgica. Fuentes de energía y tecnologías. Cirugía Cardiovascular 2008; 15: 375-383.

  17. Gilson N, Honoré C, Detry O, De Roover A, Coimbra C, Kohnen L, Polus M, Piront P, Van Daele D, Honoré P, Meurisse M. Surgical management of hepatic metastases of colorectal origin. Acta Gastroenterol Belg. 2009; 72(3): 321-6.

  18. Lyrdal D, Andersson M, Hellström M, Sternal J, Lundstam S. Ultrasound-guided percutaneous radiofrequency ablation of small renal tumors: Clinical results and radiological evolution during follow-up. Acta Radiol 2010; 51(7): 808-18.

  19. Pua BB, Thornton RH, Solomon SB. Ablation of pulmonary malignancy: current status. J Vasc Interv Radiol 2010; 21(8 Suppl): S223-32.

  20. Gillams A. Tumour ablation: current role in the kidney, lung and bone. Cancer Imaging 2009; 9 Spec No A: S68-70.

  21. Haemmerich D, Lee FT Jr. Multiple applicator approaches for radiofrequency and microwave ablation. Int J Hyperthermia 2005; 21(2): 93-106.

  22. Gulesserian T, Mahnken AH, Schernthaner R, Memarsadeghi M, Weber M, Tacke A, Kettenbach J. Comparison of expandable electrodes in percutaneous radiofrequency ablation of renal cell carcinoma. Eur J Radiol 2006; 59(2): 133-9.

  23. Burdío F, Berjano EJ, Navarro A, Burdío JM, Güemes A, Grande L, Sousa R, Subiró J, Gonzalez A, Cruz I, Castiella T, Tejero E, Lozano R, de Gregorio MA. FR tumor ablation with internally cooled electrodes and saline infusion: what is the optimal location of the saline infusion? Biomed Eng Online 2007; 6: 30.

  24. Weber JC, Navarra G, Jiao LR, Nicholls JP, Jensen SL, Habib NA. New technique for liver resection using heat coagulative necrosis. Ann Surg 2002; 236(5): 560-3.

  25. Burdío F, Berjano EJ, Navarro A, Burdío JM, Grande L, Gonzalez A, Cruz I, Güemes A, Sousa R, Subirá J, Castiella T, Poves I, Lequerica JL. Research and development of a new RFassisted device for bloodless rapid transection of the liver: computational modeling and in vivo experiments. Biomed Eng Online 2009; 8: 6.

  26. Nissen NN, Grewal N, Lee J, Nawabi A, Korman J. Completely laparoscopic nonanatomic hepatic resection using salinecooled cautery and hydrodissection. Am Surg 2007; 73(10): 987-90.

  27. Jiao LR, Navarra G, Weber JC, Havlik R, Nicholls JP, Habib NA. Radiofrequency assisted liver resection-a novel technique. Hepatogastroenterology 2005; 52(66): 1685-7.

  28. Rossi P, De Majo A, Mauti A, Mauti P, Quattrini V, Mattei M, Tognoni V, Cenci L, Manzelli A, Lorenzo ND, Gaspari AL. Bloodless hepatic resection with automatic bipolar radiofrequency generator and multielectrode device. Minim Invasive Ther Allied Technol 2007; 16(1): 66-72.

  29. Franco W, Kothare A, Goldberg DJ. Controlled volumetric heating of subcutaneous adipose tissue using a novel radiofrequency technology. Lasers Surg Med 2009; 41(10): 745-50.

  30. Franco W, Kothare A, Ronan SJ, Grekin RC, McCalmont TH. Hyperthermic injury to adipocyte cells by selective heating of subcutaneous fat with a novel radiofrequency device: feasibility studies. Lasers Surg Med 2010; 42(5): 361-70.

  31. Guy AW, Lehmann JF, Stonebridge JB. Therapeutic applications of electromagnetic power. Proc IEEE 1974; 62(1): 55-75.

  32. Sadick N. Tissue tightening technologies: fact or fiction. Aesthet Surg J 2008; 28(2): 180-8.

  33. Tillman DB, Treede RD, Meyer RA, Campbell JN. Response of c fibre nociceptors in the anaesthetized monkey to heat stimuli: Estimates of receptor depth and threshold. J Physiol 1995; 485(Pt 3): 753-765.

  34. Plaghki L, Mouraux A. How do we selectively activate skin nociceptors with a high power infrared laser? physiology and biophysics of laser stimulation. Neurophysiol Clin 2003; 33(6): 269-277.

  35. Hruza G, Taub AF, Collier SL, Mulholland SR. Skin rejuvenation and wrinkle reduction using a fractional radiofrequency system. J Drugs Dermatol 2009; 8(3): 259-65.

  36. Hantash BM, Renton B, Berkowitz RL, Stridde BC, Newman J. Pilot clinical study of a novel minimally invasive bipolar microneedle radiofrequency device. Lasers Surg Med 2009; 41(2): 87-95.

  37. Halachmi S, Orenstein A, Meneghel T, Lapidoth M. A novel fractional micro-plasma radio-frequency technology for the treatment of facial scars and rhytids: a pilot study. J Cosmet Laser Ther 2010; 12(5): 208-12.

  38. Manstein D, Herron GS, Sink RK, Tanner H, Anderson RR. Fractional photothermolysis: a new concept for cutaneous remodeling using microscopic patterns of thermal injury. Lasers Surg Med 2004; 34(5): 426-38.

  39. Berjano EJ, Navarro E, Ribera V, Gorris J, Alió JL. Radiofrequency heating of the cornea: an engineering review of electrodes and applicators. Open Biomed Eng J 2007; 1: 71-6.

  40. Chang JS, Lau SY. Conductive Keratoplasty to Treat Hyperopic Overcorrection After LASIK for Myopia. J Refract Surg 2010; 25: 1-7.

  41. Ardjomand N, Wohlfart C, McAlister JC, El-Shabrawi Y, Vidic B. Conductive keratoplasty for asymmetric corneal astigmatism. J Cataract Refract Surg 2008; 34(5): 874-5.

  42. Alió JL, Claramonte PJ, Cáliz A, Ramzy MI. Corneal modeling of keratoconus by conductive keratoplasty. J Cataract Refract Surg 2005; 31(1): 190-7.

  43. Aziz AM, El-Khayat HR, Sadek A, Mattar SG, McNulty G, Kongkam P, Guda MF, Lehman GA. A prospective randomized trial of sham, single-dose Stretta, and double-dose Stretta for the treatment of gastroesophageal reflux disease. Surg Endosc 2010; 24(4): 818-25.

  44. Kim DW, Yoon HM, Park JS, Kim YH, Kang SB. Radiofrequency energy delivery to the anal canal: is it a promising new approach to the treatment of fecal incontinence? Am J Surg 2009; 197(1): 14-8.

  45. Reymunde A, Santiago N. Long-term results of radiofrequency energy delivery for the treatment of GERD: sustained improvements in symptoms, quality of life, and drug use at 4-year follow-up. Gastrointest Endosc 2007; 65(3): 361-6.

  46. Felt-Bersma RJ, Szojda MM, Mulder CJ. Temperature-controlled radiofrequency energy (SECCA) to the anal canal for the treatment of faecal incontinence offers moderate improvement. Eur J Gastroenterol Hepatol 2007; 19(7): 575-80.

  47. Neruntarat C, Chantapant S. Radiofrequency surgery for the treatment of obstructive sleep apnea: short-term and long-term results. Otolaryngol Head Neck Surg 2009; 141(6): 722-6.

  48. Bäck LJ, Hytönen ML, Roine RP, Malmivaara AO. Radiofrequency ablation treatment of soft palate for patients with snoring: a systematic review of effectiveness and adverse effects. Laryngoscope. 2009; 119(6): 1241-50.

  49. Ceylan K, Emir H, Kizilkaya Z, Tastan E, Yavanoglu A, Uzunkulaoglu H, Samim E, Felek SA. First-choice treatment in mild to moderate obstructive sleep apnea: single-stage, multilevel, temperature-controlled radiofrequency tissue volume reduction or nasal continuous positive airway pressure. Arch Otolaryngol Head Neck Surg 2009; 135(9): 915-9.

  50. Castro M, Musani AI, Mayse ML, Shargill NS. Bronchial thermoplasty: a novel technique in the treatment of severe asthma. Ther Adv Respir Dis 2010; 4(2): 101-16.

  51. Miller JD, Cox G, Vincic L, Lombard CM, Loomas BE, Danek CJ. A prospective feasibility study of bronchial thermoplasty in the human airway. Chest 2005; 127(6): 1999-2006.

  52. Castro M, Rubin AS, Laviolette M, Fiterman J, De Andrade Lima M, Shah PL, Fiss E, Olivenstein R, Thomson NC, Niven RM, Pavord ID, Simoff M, Duhamel DR, McEvoy C, Barbers R, Ten Hacken NH, Wechsler ME, Holmes M, Phillips MJ, Erzurum S, Lunn W, Israel E, Jarjour N, Kraft M, Shargill NS, Quiring J, Berry SM, Cox G; AIR2 Trial Study Group. Effectiveness and safety of bronchial thermoplasty in the treatment of severe asthma: a multicenter, randomized, double-blind, shamcontrolled clinical trial. Am J Respir Crit Care Med 2010; 181(2): 116-24.

  53. Sakr MF, Moussa MM. LigaSure hemorrhoidectomy versus stapled Hemorrhoidopexy: a prospective, randomized clinical trial. Dis Colon Rectum 2010; 53(8): 1161-7.

  54. Singh P, O’Connell D, Langille M, Dziegielewski P, Allegretto M, Harris J. LigaSure versus conventional hemostasis in thyroid surgery: prospective randomized controlled trial. J Otolaryngol Head Neck Surg 2010; 39(4): 378-84.

  55. Hartwig W, Duckheim M, Strobel O, Dovzhanskiy D, Bergmann F, Hackert T, Büchler MW, Werner J. LigaSure for pancreatic sealing during distal pancreatectomy. World J Surg 2010; 34(5): 1066-70.

  56. Seckiner I, Yesilli C, Akduman B, Altan K, Mungan NA. A prospective randomized study for comparing bipolar plasmakinetic resection of the prostate with standard TURP. Urol Int 2006; 76(2): 139-43.

  57. Naslund MJ, Carlson AM, Williams MJ. A cost comparison of medical management and transurethral needle ablation for treatment of benign prostatic hyperplasia during a 5-year period. J Urol 2005; 173(6): 2090-3.

  58. Cherukuri P, Glazer ES, Curley SA. Targeted hyperthermia using metal nanoparticles. Adv Drug Deliv Rev 2010; 62(3): 339-45.

  59. Cardinal J, Klune JR, Chory E, Jeyabalan G, Kanzius JS, Nalesnik M, Geller DA. Noninvasive radiofrequency ablation of cancer targeted by gold nanoparticles. Surgery 2008; 144(2): 125-32.

  60. Fleming CP, Quan KJ, Rollins AM. Toward guidance of epicardial cardiac radiofrequency ablation therapy using optical coherence tomography. J Biomed Opt 2010; 15(4): 041510.

  61. Reddy VY, Morales G, Ahmed H, Neuzil P, Dukkipati S, Kim S, Clemens J, D’Avila A. Catheter ablation of atrial fibrillation without the use of fluoroscopy. Heart Rhythm 2010; 7(11): 1644-53.

  62. Leonelli FM, Tomassoni G, Richey M, Natale A. Usefulness of three-dimensional non-fluoroscopic mapping in the ablation of typical atrial flutter. Ital Heart J 2002; 3(6): 360-5.

  63. Frich L. Non-invasive thermometry for monitoring hepatic radiofrequency ablation. Minim Invasive Ther Allied Technol. 2006; 15(1): 18-25.

  64. Lyrdal D, Andersson M, Hellström M, Sternal J, Lundstam S. Ultrasound-guided percutaneous radiofrequency ablation of small renal tumors: Clinical results and radiological evolution during follow-up. Acta Radiol 2010; 51(7): 808-18.

  65. Iyer RS, Timm BA, Mitsumori LM, Kolokythas O. Image fusion as a new postprocessing method to evaluate the radiofrequency ablation zone after treatment of malignant liver tumors. J Comput Assist Tomogr 2010; 34(2): 226-8.

  66. Mansour M, Forleo GB, Pappalardo A, Barrett C, Heist EK, Avella A, Bencardino G, Dello Russo A, Casella M, Ruskin JN, Tondo C. Combined use of cryoballoon and focal openirrigation radiofrequency ablation for treatment of persistent atrial fibrillation: results from a pilot study. Heart Rhythm 2010; 7(4): 452-8.

  67. Rempp H, Voigtländer M, Clasen S, Kempf S, Neugebauer A, Schraml C, Schmidt D, Claussen CD, Enderle MD, Goldberg SN, Pereira PL. Increased ablation zones using a cryo-based internally cooled bipolar RF applicator in ex vivo bovine liver. Invest Radiol 2009; 44(12): 763-8.

  68. Hines-Peralta A, Hollander CY, Solazzo S, Horkan C, Liu ZJ, Goldberg SN. Hybrid radiofrequency and cryoablation device: preliminary results in an animal model. J Vasc Interv Radiol 2004; 15(10): 1111-20.

  69. Andreuccetti D, Fossi R, Petrucci C. Dielectric properties of body tissues, 1997–2007. URL http://niremf.ifac.cnr.it/tissprop/. Internet database.




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