BackTable Vascular & Interventional Ep. 488 Ablation Techniques for Acetabular Lesions with Dr. Jason Levy
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Oct 15, 2024 Dr. Jason Levy, a seasoned expert in musculoskeletal interventional oncology from Atlanta, dives into the complexities of ablating acetabular lesions. He emphasizes the biomechanical challenges posed by this pelvic region and advocates for using radiofrequency ablation paired with cement augmentation for enhanced stability. The conversation covers the advantages of cone beam CT for precision imaging and the critical role of interdisciplinary collaboration with orthopedic oncologists. Dr. Levy also shares insights on avoiding complications and improving patient outcomes through innovative techniques.
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Collaborating with Orthopedic Oncologists
- When collaborating with orthopedic oncologists, demonstrate understanding of anatomy, biomechanics, and patient selection.
- Focus on cases suitable for ablation, avoiding those requiring extensive surgery or with high bleeding risk.
Cone Beam CT for Ablations
- Utilize cone beam CT for acetabular lesion ablations.
- It allows faster, more precise guidance, especially during cement augmentation, and better visualization of joint space leaks.
Avoid Under-Cementing
- Avoid under-cementing in acetabular ablations.
- Under-cementing increases fracture risk, and re-accessing through cement is challenging.