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Interventional Cryoneurolysis: An Illustrative Approach.

J David Prologo1, Faramarz Edalat1, Mohamad Moussa2

  • 1Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image Guided Medicine, Emory University School of Medicine, Atlanta, GA.

Techniques in Vascular and Interventional Radiology
|December 14, 2020
PubMed
Summary
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Advanced imaging and interventional radiology techniques expand targets for cryoneurolysis. Basic science advancements increase confidence in patient selection and management for this evolving procedure.

Area of Science:

  • Interventional Radiology
  • Neurology
  • Cryobiology

Background:

  • Advanced imaging guidance and interventional radiology skills are broadening the scope of treatable nerve and nerve plexus targets.
  • Basic science research in cryoneurolysis is enhancing proceduralists' confidence in patient selection and clinical management.

Purpose of the Study:

  • To highlight the expanding applications of cryoneurolysis.
  • To emphasize the need for a structured approach to the diverse indications for cryoneurolysis as the field evolves.

Main Methods:

  • Utilizing advanced imaging guidance (e.g., ultrasound, CT, MRI) for precise targeting of neural structures.
  • Applying interventional radiology techniques for minimally invasive cryoneurolysis procedures.
  • Reviewing advancements in the basic science underpinning cryoneurolysis.
Keywords:
CryoablationCryoneurolysisInterventional

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Main Results:

  • Expansion of the range of nerve and nerve plexus targets amenable to cryoneurolysis.
  • Increased confidence among proceduralists in selecting and managing patients for cryoneurolysis.
  • Growing body of evidence supporting the efficacy and safety of cryoneurolysis for various indications.

Conclusions:

  • Cryoneurolysis is an expanding field with a growing number of potential applications.
  • A structured approach is becoming necessary to manage the diverse indications for cryoneurolysis.
  • Continued advancements in imaging, technique, and basic science will further solidify cryoneurolysis as a valuable therapeutic option.