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09.06.2020 | Musculoskeletal

Efficacy and safety of bone marrow aspiration and biopsy using fluoroscopic guidance and a drill-powered needle: clinical experience from 775 cases

verfasst von: Jeremiah R. Long, J. Derek Stensby, Elizabeth L. Wiesner, Wesley N. Bryson, Travis J. Hillen, Jack W. Jennings

Erschienen in: European Radiology | Ausgabe 11/2020

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Abstract

Objectives

To evaluate the efficacy and safety of performing a fluoroscopically guided bone marrow aspiration and biopsy (BMAB) using a drill-powered needle in a large patient population.

Methods

This retrospective study received institutional review board approval with a waiver of patient informed consent. We identified all BMAB procedures from August 2012 through December 2016 performed at our institution using fluoroscopic guidance and a drill-powered needle. Clinical diagnosis, patient age, patient gender, biopsy site, biopsy needle gauge, bone marrow aspirate volume, bone marrow core biopsy length, patient platelet count, conscious sedation details, complications, and diagnostic adequacy were investigated for each case and summarized.

Results

A total of 775 BMAB procedures were performed and analyzed. These were performed in 436 female patients and 339 male patients ranging in age between 16 and 91 years (average age of 53 years). Samples obtained from the procedures in our series were diagnostic in 95.0% of cases. The complication rate for our series was 0.3%.

Conclusions

The use of fluoroscopic guidance and a drill-powered needle for bone marrow aspiration and biopsy is a safe and efficacious procedure.

Key Points

• Fluoroscopy can be utilized for imaging guidance during bone marrow aspiration and biopsy.

• The use of fluoroscopic guidance and a drill-powered needle for bone marrow aspiration and biopsy has a high diagnostic yield.

• The procedure has an excellent patient safety profile.

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Titel: Efficacy and safety of bone marrow aspiration and biopsy using fluoroscopic guidance and a drill-powered needle: clinical experience from 775 cases
verfasst von: Jeremiah R. Long
J. Derek Stensby
Elizabeth L. Wiesner
Wesley N. Bryson
Travis J. Hillen
Jack W. Jennings
Publikationsdatum: 09.06.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 11/2020
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-020-06987-3

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Efficacy and safety of bone marrow aspiration and biopsy using fluoroscopic guidance and a drill-powered needle: clinical experience from 775 cases