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CardioVascular and Interventional Radiology

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01.02.2014 | Technical Note

Complications in CT-guided Procedures: Do We Really Need Postinterventional CT Control Scans?

verfasst von: Johanna Nattenmüller, Matthias Filsinger, Mark Bryant, Wolfram Stiller, Boris Radeleff, Lars Grenacher, Hans-Ullrich Kauczor, Waldemar Hosch

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 1/2014

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Abstract

Purpose

The aim of this study is twofold: to determine the complication rate in computed tomography (CT)-guided biopsies and drainages, and to evaluate the value of postinterventional CT control scans.

Methods

Retrospective analysis of 1,067 CT-guided diagnostic biopsies (n = 476) and therapeutic drainages (n = 591) in thoracic (n = 37), abdominal (n = 866), and musculoskeletal (ms) (n = 164) locations. Severity of any complication was categorized as minor or major. To assess the need for postinterventional CT control scans, it was determined whether complications were detected clinically, on peri-procedural scans or on postinterventional scans only.

Results

The complication rate was 2.5 % in all procedures (n = 27), 4.4 % in diagnostic punctures, and 1.0 % in drainages; 13.5 % in thoracic, 2.0 % in abdominal, and 3.0 % in musculoskeletal procedures. There was only 1 major complication (0.1 %). Pneumothorax (n = 14) was most frequent, followed by bleeding (n = 9), paresthesia (n = 2), material damage (n = 1), and bone fissure (n = 1). Postinterventional control acquisitions were performed in 65.7 % (701 of 1,067). Six complications were solely detectable in postinterventional control acquisitions (3 retroperitoneal bleeds, 3 pneumothoraces); all other complications were clinically detectable (n = 4) and/or visible in peri-interventional controls (n = 21).

Conclusion

Complications in CT-guided interventions are rare. Of these, thoracic interventions had the highest rate, while pneumothoraces and bleeding were most frequent. Most complications can be detected clinically or peri-interventionally. To reduce the radiation dose, postinterventional CT controls should not be performed routinely and should be restricted to complicated or retroperitoneal interventions only.

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Titel: Complications in CT-guided Procedures: Do We Really Need Postinterventional CT Control Scans?
verfasst von: Johanna Nattenmüller
Matthias Filsinger
Mark Bryant
Wolfram Stiller
Boris Radeleff
Lars Grenacher
Hans-Ullrich Kauczor
Waldemar Hosch
Publikationsdatum: 01.02.2014
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 1/2014
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-013-0673-4

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Complications in CT-guided Procedures: Do We Really Need Postinterventional CT Control Scans?