Fatal mediastinal biopsy: How interventional radiology saves the day.

Annals of Thoracic Medicine
Y YaacobR Zakaria

Abstract

This was a case of a 35-year-old man with mediastinal mass requiring computed tomography (CT)-guided biopsy for tissue diagnosis. A posterior approach with an 18-gauge biopsy needle was used to obtain tissue sample. Post biopsy, patient condition deteriorated and multiphase CT study detected active bleeding in arterial phase at the biopsy site with massive hemothorax. Subsequent angiography showed arterial bleeder arising from the apical branch of the right pulmonary artery. Selective endovascular embolization with NBCA (n-Butyl cyanoacrylate) was successful. Patient survived the complication. The case highlighted a rare complication in a common radiology procedure and the value of the interventional radiology unit in avoiding a fatal outcome.

References

Nov 1, 1984·AJR. American Journal of Roentgenology·J RemyF Steenhouwer
Feb 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F VenutaC Ricci
Sep 11, 2004·Journal of Intensive Care Medicine·Alexandre R AbreuBruce P Krieger
Oct 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Mark BlockChris Hannegan
Mar 1, 2007·Journal of Vascular and Interventional Radiology : JVIR·Chung-Wei LeeHon-Man Liu
Sep 23, 2010·AJR. American Journal of Roentgenology·Scott O Trerotola, Reed E Pyeritz

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BETA
biopsy
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