Open AccessInterventional Cryoneurolysis: What Is the Same, What Is Different, What Is New?
Author(s) -
Ross W. Bittman,
Keywan Behbahani,
Felix M. Gonzalez,
J. David Prologo
Publication year - 2019
Publication title -
seminars in interventional radiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.35
H-Index - 40
eISSN - 1098-8963
pISSN - 0739-9529
DOI - 10.1055/s-0039-1696705
Subject(s) - medicine , deep brain stimulation , interventional pain management , interventional radiology , medical physics , radiology , surgery , pain management , disease , physical therapy , pathology , parkinson's disease
Cryoneurolysis is the deliberate application of cold temperatures to nerves for therapeutic purposes. The idea of treating pain with this technique is thousands of years old and has evolved over time through the application of surgical techniques, nerve stimulation and/or landmark guidance, and through device development. Recent integration of the interventional radiology skill set to this space has unlocked a myriad of opportunities-primarily through a unique ability to percutaneously access deep structures in the body with accuracy and precision, and the capacity to monitor ablation zones. Understanding of the specific neurohistological process that follows targeted cryoneurolysis leads to new options for treating patients in pain without drugs and opens doors for the potential modification of a wide array of disease states.