This article by Sag et al from Duke University is certain to broaden your outlook on the applications of #cryoneurolysis bit.ly/3WvJhpD @AlanAlperMD @DukeRadiology @DukeIR @frankieprologo @FriedbergEric @nnezami1 @IR_ummc @jdprologo @EmoryRadiology @EmoryIRad
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There are of course various #ablation techniques and lets begin with some disadvantages of liquid neurolytics and RFA #RGphx
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What does #cyroneurolysis do? 🎯Axonotmesis or Sunderland Grade 2 injury 👉Major A/E: Neurapaxia (Grade 1) ➡️ allodynia and worsening symptoms (temporary) #RGphx
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US cannot 👁️ deep margin Main challenge is lack of consistent #protocols accounting for #nerve size/location and patient factors #RGphx
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Let’s look at some examples. Starting with pudendal nerves Nerve #regeneration from Sunderland 2 injury ➡️ benefit in non-pain indications. Check out the article to learn more 👉probe in ischiorectal fat without penetrating nerve itself #RGphx
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Ganglion impar is visceral counterpart of pudendal nerves Consider #hydrodissection or #pneumodissection for visceral and dermoprotection #RGphx
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Indicated in #intractablepain from upper abdominal viscera, typically from #malignancy 👁️ for hypertensive crisis with inadvertent adrenal ablation #RGphx
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Note the probes above and below the renal artery in this case! #RGphx

Nov 4, 2022 · 5:01 AM UTC

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One of the earliest targets of #cryoneurolysis #RGphx
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Read the article to learn about the two sites of possible #neurolysis for #inguinodynia #RGphx
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Indication includes mild to moderate obesity 🦺 concern: Esophagus #RGphx
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For more details on these and additional targets, check out the article. bit.ly/3WvJhpD #RGphx
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In summary, there is an expanding range of targets for percutaneous #neurolysis and #neuroregeneration bit.ly/3WvJhpD
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