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August 2, 2026American Journal of Interventional RadiologyOpen Access

Thermal-assisted visceral pleural dissection to overcome pleural tenting during lung ablation: A technical innovation

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Authors

EKErez KleinJMJoseph McCarthyBKBéla Kis

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Overview

Randomized trial demonstrates improved probe access in lung lesions, suggesting a new technique to overcome pleural tenting.

Key Points

  • Exploring a new technique to improve access to lung lesions by overcoming visceral pleural tenting during thermal ablation procedures.
  • Described a technique using controlled thermal activation of the ablation probe.
  • Conducted procedures under general anesthesia with a controlled breath-hold technique.
  • Applied microwave energy or cryoablation probes for pleural dissection in four patients with metastatic lung lesions.
  • Immediate CT imaging confirmed successful pleural disruption in all cases, allowing probe advancement to target lesions.
  • No pneumothorax, pleural complications, or bronchial fistula were noted during or immediately after procedures.

Cite This Study

Klein et al. (2026) studied this question.

synapsesocial.com/papers/6a6eeaf51b0468a7eeab3b29https://doi.org/10.25259/ajir_3_2026
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