Percutaneous imaging-guided solid organ core needle biopsy: coaxial versus noncoaxial method

AJR. American Journal of Roentgenology
Malcolm K HatfieldGeorge X Zaleski

Abstract

The purpose of our study was to compare the diagnostic yield and complication rate of coaxial technique with those of noncoaxial technique in percutaneous imaging-guided renal and hepatic core biopsies. We also compared bleeding complication rates with and without absorbable gelatin sponge occlusion of the biopsy track. The records of 1,060 consecutively registered patients who underwent percutaneous imaging-guided hepatic or renal biopsy at two hospitals were retrospectively reviewed. Core specimens were obtained in all biopsies. Indications for biopsy included acquisition of general tissue specimens to evaluate for hepatic (n = 495) or renal disease (n = 243) and acquisition of specimens of specific hepatic (n = 289) and renal (n = 33) lesions. Samples were acquired with a coaxial set of needles (n = 764) or with a noncoaxial needle (n = 296 patients). Absorbable gelatin sponge was injected before removal of the outer needle in 269 of the 764 coaxial biopsies. Gelatin sponge was not injected in the other 495 coaxial biopsies. Complication rates were evaluated in a comparison of the two methods and of the coaxial biopsies with and without postprocedural injection of gelatin sponge. Complications were considered minor if follow...Continue Reading

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Citations

Aug 7, 2013·Journal of Medical Devices·Philip WongWilliam F Weitzel
Aug 3, 2013·Cardiovascular and Interventional Radiology·Stéphanie Franchi-AbellaDerek J Roebuck
Mar 23, 2010·Journal of Vascular and Interventional Radiology : JVIR·Sanjay GuptaUNKNOWN Society of Interventional Radiology Standards of Practice Committee
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