New generation argon plasma coagulation in flexible endoscopy: Ex vivo study and clinical experience

2006 ◽  
Vol 21 (7) ◽  
pp. 1122-1128 ◽  
Author(s):  
KAZUKI SUMIYAMA ◽  
MITSURU KAISE ◽  
MASAYUKI KATO ◽  
SYOUICHI SAITO ◽  
KENICHI GODA ◽  
...  
2017 ◽  
Vol 32 (5) ◽  
pp. 1040-1045 ◽  
Author(s):  
Eun Jeong Gong ◽  
Ji Yong Ahn ◽  
Hwoon-Yong Jung ◽  
Young Soo Park ◽  
Hee Kyong Na ◽  
...  

2014 ◽  
Vol 2 (5) ◽  
pp. 383-390 ◽  
Author(s):  
Hendrik Manner ◽  
Alexander Neugebauer ◽  
Marcus Scharpf ◽  
Kirsten Braun ◽  
Andrea May ◽  
...  

2016 ◽  
Vol 83 (5) ◽  
pp. AB546
Author(s):  
Ji Yong Ahn ◽  
Hwoon-Yong Jung ◽  
Hee Kyong Na ◽  
Kee Wook Jung ◽  
Jeong Hoon Lee ◽  
...  

2021 ◽  
Vol 09 (06) ◽  
pp. E790-E795
Author(s):  
Andrew Fetz ◽  
David Farnell ◽  
Shayan Irani ◽  
S. Ian Gan

Abstract Background and study aims Argon plasma coagulation (APC) is an effective and safe modality for many gastrointestinal conditions requiring hemostasis and/or ablation. However, it can be quite costly. A potentially more cost-effective alternative is snare-tip spray coagulation (SC). This study aimed to determine whether SC would be a safe and effective alternative to APC using an ex-vivo model. Methods Using two resected porcine stomach, 36 randomized gastric areas were ablated for 2 seconds with either APC at 1.0 L/min 20 W (APC20) and 1.4 L/min 40 W (APC40) or SC with Effect 2 60 W (SC60) and 80 W (SC80) from 3 mm. Extent of tissue injury was then analyzed histopathologically. Results The mean coagulation depth was 790 ± 159 µm and 825 ± 467 µm for SC60 (n = 9) and SC80 (n = 8), respectively. This was compared to 539 ± 151 µm for APC20 (n = 8) and 779 ± 267 µm for APC40 (n = 9). Mean difference (MD) in coagulation depth between SC60 and APC40 was 12 µm (95 % confidence interval [CI], –191 to 214 µm; P = 0.91) and was 47 µm (95 %CI, –162 to 255 µm; P = 0.81) between SC80 and APC40. There was a greater depth of injury with APC40 (MD, 240 µm; 95 %CI, 62 to 418 µm; P = 0.04) and with SC60 (MD, 252 µm; 95 %CI, 141 to 362 µm; P = 0.004) when compared to APC20. Mean cross-sectional area of coagulation was 2.39 ± 0.852 mm² for SC60 and 2.54 ± 1.83 mm² for SC80 compared to 1.22 ± 0.569 mm² for APC20 and 1.99 ± 0.769 mm² for APC40. Seventy-eight percent reached the muscularis mucosa (MM) and 11 % the submucosa in the SC60 group compared to 50 % and 38 % in SC80 and 56 % and 11 % in APC40, respectively. Thirty-eight percent of APC20 specimens reached the MM. The muscularis propria was unaffected. Conclusions This small ex-vivo study suggests that SC60 and SC80 may be safe alternatives to APC40 with comparable coagulation depths and area effects.


2003 ◽  
Vol 44 (2) ◽  
pp. 272-276 ◽  
Author(s):  
Oliver Reich ◽  
Peter Schneede ◽  
Anwar Mseddi ◽  
Dirk Zaak ◽  
Michael Siebels ◽  
...  

Plasma ◽  
2018 ◽  
Vol 1 (1) ◽  
pp. 189-200 ◽  
Author(s):  
Lawan Ly ◽  
Sterlyn Jones ◽  
Alexey Shashurin ◽  
Taisen Zhuang ◽  
Warren Rowe ◽  
...  

The use of plasma energy has expanded in surgery and medicine. Tumor resection in surgery and endoscopy has incorporated the use of a plasma scalpel or catheter for over four decades. A new plasma energy has expanded the tools in surgery: Cold Atmospheric Plasma (CAP). A cold plasma generator and handpiece are required to deliver the CAP energy. The authors evaluated a new Cold Plasma Jet System. The Cold Plasma Jet System consists of a USMI Cold Plasma Conversion Unit, Canady Helios Cold Plasma® Scalpel, and the Canady Plasma® Scalpel in Hybrid and Argon Plasma Coagulation (APC) modes. This plasma surgical system is designed to remove the target tumor with minimal blood loss and subsequently spray the local area with cold plasma. In this study, various operational parameters of the Canady Plasma® Scalpels were tested on ex vivo normal porcine liver tissue. These conditions included various gas flow rates (1.0, 3.0, 5.0 L/min), powers (20, 40, 60 P), and treatment durations (30, 60, 90, 120 s) with argon and helium gases. Plasma length, tissue temperature changes, and depth and eschar injury magnitude measurements resulting from treatment were taken into consideration in the comparison of the scalpels. The authors report that a new cold plasma jet technology does not produce any thermal damage to normal tissue.


1997 ◽  
Vol 111 (4) ◽  
pp. 381-384 ◽  
Author(s):  
W. Bergler ◽  
M. Hönig ◽  
K. Götte ◽  
G. Petroianu ◽  
K. Hörmann

AbstractExtension of recurrent respiratory papillomatosis (RRP) to the lower airway in children is life-threatening and an extremely difficult condition to treat. We present the case of a seven-year-old girl with progressive RRP since the age of two. Repeated CO2 laser treatment and interferon-alpha treatment could not prevent tracheotomy and spread to the trachea. We used argon plasma coagulation (APC) with flexible endoscopy for the first time for the treatment of RRP. APC gives a controlled limited penetration into the tissue and good control of bleeding. There is no carbonization or vaporization which makes it a suitable method for the treatment of lower airway RRP. After a few treatments with APC, we gained very good control of the disease with no side-effects or complications. The described application of APC seems to be a promising way to treat lower airway RRP.


2009 ◽  
Vol 70 (2) ◽  
pp. 362-368 ◽  
Author(s):  
Georg F. Kähler ◽  
Mara N.I. Szyrach ◽  
Ansgar Hieronymus ◽  
Rainer Grobholz ◽  
Markus D. Enderle

2003 ◽  
Vol 57 (1) ◽  
pp. 110-112 ◽  
Author(s):  
Khalid Khan ◽  
Sarah Jane Schwarzenberg ◽  
Harvey Sharp ◽  
Sally Weisdorf-Schindele

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