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Percutaneous Cryoablation โ€” Soft Tissue

Interventional Radiology ยท Cochin Hospital AP-HP ยท Paris

โ„๏ธ Oncology ยท Interventional

Percutaneous Cryoablation โ€” Soft Tissue Tumours

CT/ultrasound-guided ยท โˆ’40ยฐC ยท No surgery ยท Local or general anaesthesia ยท Day case ยท Paris Cochin AP-HP

What is percutaneous cryoablation?

Cryoablation uses extreme cold (temperatures of โˆ’40ยฐC) to destroy tissue. One or more cryoprobes are inserted percutaneously (through the skin) into the target lesion under CT or ultrasound guidance. Freezeโ€“thaw cycles create an "ice ball" that ablates the lesion while sparing surrounding structures.

Key advantage over radiofrequency ablation: the ice ball is clearly visible on CT and ultrasound, enabling precise real-time control of the ablation zone. Cryoablation is preferred near sensitive structures (nerves, bile ducts, ureter) where thermal ablation would carry higher risk.

At a glance โ€” key figures

Cryoablation destroys tissue using extreme cold (โˆ’40 to โˆ’150ยฐC) delivered through fine needles placed under imaging guidance โ€” used across multiple organs including kidney, lung, bone and soft tissue.

CriterionData
PrincipleIce ball formation destroys targeted tissue while sparing surrounding structures
AdvantageThe treated zone is clearly visible on CT during the procedure, improving precision
AnaesthesiaLocal or general depending on the target organ
CostYes. At Cochin AP-HP (a French public hospital), this procedure is covered by national health insurance with no out-of-pocket fees. Contact ri.cch@aphp.fr or +33 1 58 41 46 12.

Data validated by the team of Prof. Anthony Dohan, Department of Interventional Radiology, Cochin Hospital AP-HP.

Indications

๐ŸŒธ Abdominal wall endometriosis

One of the pioneering centres worldwide at Cochin AP-HP (Pr Dohan). Cryoablation of parietal endometriosis nodules (C-section scar endometriosis). 80โ€“95% efficacy. General anaesthesia.

๐Ÿฆถ Morton's neuroma

CT/ultrasound-guided cryoablation of the intermetatarsal neuroma. Immediate weight-bearing. No scar. Local anaesthesia. 70โ€“85% pain reduction.

๐Ÿฉป Renal tumours

T1a renal cell carcinoma โ€” cryoablation as alternative to surgery. Preferred near renal collecting system or ureter.

๐Ÿฆด Bone & soft tissue

Osteoid osteoma (small bone tumours), desmoid tumours, soft tissue masses.

FAQs

Both destroy tissue but by different mechanisms โ€” cold vs heat. Cryoablation is preferred near sensitive structures (nerve, ureter, bile duct) because the ice ball provides a sharp margin and is clearly visible on imaging. RFA is faster and preferred for larger lesions away from critical structures.
Performed under local anaesthesia (small lesions) or general anaesthesia (abdominal procedures). Post-procedure discomfort is typically mild and managed with oral analgesia for 2โ€“5 days.
Usually a single session is sufficient. If the ablation is incomplete or the lesion recurs, a second session can be performed.

Frequently asked questions

Cryoablation is used for kidney and lung tumours, bone tumours, abdominal wall endometriosis, and some soft-tissue tumours, among other indications.
The 'ice ball' created by cryoablation is clearly visible on CT during the procedure, allowing precise control โ€” useful near sensitive structures such as bile ducts or nerves.
Yes. At Cochin AP-HP (a French public hospital), this procedure is covered by national health insurance with no out-of-pocket fees. Contact ri.cch@aphp.fr or +33 1 58 41 46 12.

Related pages

Why this page is trustworthy

Written by the Interventional Radiology team at Cochin Hospital AP-HP, Universitรฉ Paris Citรฉ. Medically reviewed by an interventional radiologist of the department. Last updated: August 2026.

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