nach oben

CardioVascular and Interventional Radiology

Erschienen in:

01.02.2011 | Technical Note

MDCT-Guided Transthoracic Needle Aspiration Biopsy of the Lung Using the Transscapular Approach

verfasst von: Umberto G. Rossi, Sara Seitun, Carlo Ferro

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 1/2011

Einloggen, um Zugang zu erhalten

Abstract

The purpose of this study is to report our preliminary experience using MDCT-guided percutaneous transthoracic needle aspiration biopsy using the transscapular approach in the upper posterolateral lung nodules, an area that it is difficult or hazardous to reach with the conventional approach. Five patients underwent CT-guided percutaneous transthoracic needle aspiration biopsy of the lung via the transscapular approach. A coaxial needle technique was used in all patients. Biopsy was successful in all patients. No major complications were encountered. One patient developed a minimal pneumothorax next to the lesion immediately after biopsy, which resolved spontaneously. MDCT-guided percutaneous transthoracic needle aspiration biopsy of the lung via the transscapular approach is an effective and safe procedure that reduces the risk of pneumothorax in selected patients.

Li H, Boiselle PM, Shepard JO et al (1996) Diagnostic accuracy and safety of CT-guided percutaneous needle aspiration biopsy of the lung: comparison of small and large pulmonary nodules. AJR Am J Roentgenol 167:105–109PubMed

Cox JE, Chiles CC, McManus CM et al (1999) Transthoracic needle aspiration biopsy:variables that affect risk of pneumothorax. Radiology 212:165–168PubMed

Geraghty PR, Kee ST, McFarlane G et al (2003) CT-guided transthoracic needle aspiration biopsy of pulmonary nodules: needle size and pneumothorax rate. Radiology 229:475–481CrossRefPubMed

Westcott JL (1988) Percutaneous transthoracic needle biopsy. Radiology 169:593–601PubMed

Laurent F, Michel P, Latrabe V et al (1999) Pneumothoraces and chest tube placement after CT-guided technique. AJR Am J Roentgenol 172:1049–1053PubMed

Kazerooni EA, Lim FT, Mikhail A et al (1996) Risk of pneumothorax in CT-guided transthoracic needle aspiration biopsy of the lung. Radiology 198:371–375PubMed

Haaga JR, Alfidi RJ (1976) Precise biopsy localization by computed tomography. Radiology 118:603–607PubMed

Greif J, Marmur S, Schwarz Y et al (1998) Percutaneous core cutting needle biopsy compared with fine-needle aspiration in the diagnosis of peripheral lung malignant lesions. Cancer 84:144–147CrossRefPubMed

Manhire A, Charing M, Clelland C et al (2003) Guidelines for radiologically guided lung biopsy. Thorax 58:920–936CrossRefPubMed

10.

Austin JH, Cohen MB (1993) Value of having a cytopathologist present during percutaneous fine-needle aspiration biopsy. AJR Am J Roentgenol 160:175–177PubMed

11.

Greene R, Szyfelbein WM, Isler RJ et al (1985) Supplemental core-tissue histology for fine-needle transthoracic aspiration biopsy. AJR Am J Roentgenol 144:787–792PubMed

12.

Greif J, Marmur S, Schwarz Y et al (1999) Percutaneous core needle biopsy vs. fine needle aspiration diagnosis in diagnosing benign lung lesions. Acta Cytol 44:756–760

13.

Yankelevitz DF, Davis SD, Chiarella DA et al (1996) Pitfalls in CT-guided transthoracic needle biopsy of pulmonary nodules. Radiographics 16:1073–1084PubMed

14.

De Filippo M, Onniboni M, Rusca M et al (2008) Advantages of multidetector-row CT with multiplanar reformation in guiding percutaneous lung biopsies. Radiol Med 113:945–953CrossRefPubMed

15.

Gupta S, Seaberg K, Wallace MJ et al (2005) Imaging-guided percutaneous biopsy of mediastinal lesions: different approaches and anatomic considerations. Radiographics 25:763–788CrossRefPubMed

16.

Tatsumara T, Sato H, Mori A et al (1994) A new surgical approach to apical segment lung disease, including carcinomas and inflammatory diseases. J Thorac Cardiovasc Surg 107:32–33

17.

Harrell JS, Chiou-Tan FY, Zhang H et al (2009) Procedure-oriented sectional anatomy of the shoulder. J Comput Assist Tomogr 33:814–817CrossRefPubMed

Titel: MDCT-Guided Transthoracic Needle Aspiration Biopsy of the Lung Using the Transscapular Approach
verfasst von: Umberto G. Rossi
Sara Seitun
Carlo Ferro
Publikationsdatum: 01.02.2011
Verlag: Springer-Verlag
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 1/2011
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-010-9816-z

Neu im Fachgebiet Radiologie

23.04.2024 | Pankreaskarzinom | Nachrichten

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

MDCT-Guided Transthoracic Needle Aspiration Biopsy of the Lung Using the Transscapular Approach

Abstract

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1/2011

Transarterial Thrombin Injection Secured with an Embolic Protection Device as a Treatment for a Superior Mesenteric Artery Pseudoaneurysm

Percutaneous Radiofrequency Ablation of Osteoid Osteomas with Use of Real-Time Needle Guidance for Accurate Needle Placement: A Pilot Study

Multidetector-Row Computed Tomography in the Evaluation of Transjugular Intrahepatic Portosystemic Shunt Performed with Expanded-Polytetrafluoroethylene-Covered Stent-Graft

CIRSE Vascular Closure Device Registry

Vascular Access in Children

Management of Transjugular Intrahepatic Portosystemic Shunt (TIPS)-associated Refractory Hepatic Encephalopathy by Shunt Reduction Using the Parallel Technique: Outcomes of a Retrospective Case Series

Neu im Fachgebiet Radiologie

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Wie toxische Männlichkeit der Gesundheit von Männern schadet

Update Radiologie