Solid Carbon Dioxide Based Cryosurgical Device and Its Application for Stereotactic Brain Surgery

Authors

  • Andrey I. Kholyavin N.P. Bekhtereva Institute of Human Brain of Russian Academy of Sciences, St. Petersburg, Russia
  • Vladimir B. Nizkovolos N.P. Bekhtereva Institute of Human Brain of Russian Academy of Sciences, St. Petersburg, Russia

DOI:

https://doi.org/10.15407/cryo24.04.354

Keywords:

stereotaxis, neurosurgery, intracerebral tumors, cryosurgery, cryodestruction, Parkinson's disease, epilepsy, obsessive-compulsive disorder

Abstract

In the laboratory of stereotactic methods of IHB RAS there has been designed the cryosurgical device based on solid carbon dioxide as a cold source. This device was applied at neurosurgical clinic in stereotactic brain surgeries such as: punctate destructions of subcortical structures in therapy of epilepsy, Parkinson's disease and other chronic CNS diseases; multiposition cryodestructions of intracerebral tumours, localised in deep and functionally important brain compartments. Clinical results demonstrate the advantages of the device when exposed to brain tissue such as: the safety, controllability, easy handling, etc. As a result of cryodestruction application there was a significant increase in survival rate of patients with deep brain tumours previously considered as inoperable.


Probl Cryobiol Cryomed 2014; 24(4):354-365.

Author Biographies

Andrey I. Kholyavin, N.P. Bekhtereva Institute of Human Brain of Russian Academy of Sciences, St. Petersburg, Russia

Laboratory of Stereotaxic Methods

Vladimir B. Nizkovolos, N.P. Bekhtereva Institute of Human Brain of Russian Academy of Sciences, St. Petersburg, Russia

Laboratory of Stereotaxic Methods

References

Anichkov A.D., Polonsky Yu.Z., Nizkovolos V.B. Stereotactic systems. St.-Petersburg: Nauka; 2006.

PMCid:PMC1764970

Budrik V.V. Physical grounds of cryomethods in medicine: manual for students. In: Arkharova A.M., Kochenova V.I, editors. Moscow: Lika; 2007. p.136.

Cooper I.S. Cryogenic cooling and freezing of the basal ganglia. Confin Neurol 1962; 22: 336–342. CrossRef

Fukagai T., Tazawa K., Higaki Y., Imamura K. Changes in immunoparameters following cryosurgery in prostate cancer. Hinyokika Kiyo Acta Urologica Japonica 1990; 36(3): 307–317. PubMed

Gaidar B.V., Parfenov V.E., Nizkovolos V.B. et al., inventors. Method of therapy of brain glial neoplasms. Patent 2250087 (Russia), IPC7 A61B 18/02, 6/03. 2005 April 20.

Kandel E.I. Functional and stereotactic neurosurgery. Moscow: Meditsina; 1981.

PMCid:PMC1619807

Kholyavin A.I., Anichkov A.D., Nizkovolos V.B., Oblyapin A.V. Cryosurgical technique in functional stereotactic neurosurgery. Vestnik Khirurgii im. I.I. Grekova 2010(5): 94–99.

Kholyavin A.I., Martynov B.V., Nizkovolos V.B. et al. Preoperative planning of stereotactic cryodestructions of brain tumors. The Russian Journal of Neurosurgery 2009(1): 49–53.

Kindzel'ski L.P., Zlochevskaia L.L., Zakharychev V.D. et al. Changes in cytotoxicity of natural killer cells and level of large granule-containing lymphocytes in patients with lung cancer under the effects of cryosurgery. Klinicheskaia Khirurgiia 1991; 5: 3–5.

Laponogov O.A. Comparative analysis of results of cryodestruction and high-frequency electrocoagulation in talamotomy in patients with Parkinson's disease with drug-resistant tremor. Proceedings of the All-Russian Research and Practical Conference 'Polenovskie Chtenia'; 22–24 April 2009; St.-Petersburg; 2009. P. 371. PubMed

Martynov B.V., Kholyavin A.I., Parfenov V.E. et al. Method of stereotactic cryodestruction in therapy of patients with brain gliomas. Voprosy neirokhirurgii imeni N.N. Burdenko 2011; 75(4): 17–24.

Nizkovolos V.B., Kholyavin A.I., Gurchin A.F. Practical aspects of use of matched MSKT-PET in stereotactic neurooncology. Rus Neurosurg Journ named after Prof. A.L. Polenov. 2012; (2): 16–19.

Nizkovolos V.B., Anichkov A.D., inventors. Cryosurgical device. Patent N 2115377 (Russia), IPC7 A61B 17/36. 1998 July 20.

Polonsky Yu.Z., Kholyavin A.I., Martynov B.V. et al. Frameless rated magnetic resonance imaging with stereotactic manipulators of the Oreol class. Vestnik Rossiiskoi Voenno–Meditsinskoi Academii 2009; 28(4): 71–78.

Tsitlakidis A., Foroglou N., Venetis C.A. et al. Biopsy versus resection in the management of malignant gliomas: a systematic review and meta-analysis. J Neurosurg 2010; 112(5): 1020–1032. CrossRef PubMed

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Published

2014-12-20

How to Cite

Kholyavin, A. I., & Nizkovolos, V. B. (2014). Solid Carbon Dioxide Based Cryosurgical Device and Its Application for Stereotactic Brain Surgery. Problems of Cryobiology and Cryomedicine, 24(4), 354–365. https://doi.org/10.15407/cryo24.04.354