Quality Improvement Guidelines for Image-guided Percutaneous Biopsy in Adults: Society of Cardiovascular &amp; Interventional Radiology Standards of Practice Committee

Cardella, John F.; Bakal, Curtis W.; Bertino, Raymond E.; Burke, Dana R.; Drooz, Alain; Haskal, Ziv J.; Lewis, Curtis A.; Malloy, Patrick C.; Meranze, Steven G.; Oglevie, Steven B.; Sacks, David; Towbin, Richard B.

doi:10.1016/s1051-0443(96)70875-8

Cited by 33 publications

(19 citation statements)

References 34 publications

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“…The drawback of the coaxial technique is the need to use an external cannula, which increases the overall diameter of the biopsy system and therefore the risk of complication. 1,4,18 However, the progressive increase in the size of our biopsy systems over time, from a mean diameter of 18 gauge in 1995 to 16.2 gauge in 1999, has not been followed by an increase in the number of complications in our series. This may be partly due to technical progress, such as the compression system that we developed for abdominal procedures, 10 and improvement of the skill of our radiologic staff.…”

Section: Discussionmentioning

confidence: 66%

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Image-guided core-needle biopsy in patients with suspected or recurrent lymphomas

Kerviler

Guermazi

Zagdanski

et al. 2000

Cancer

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Section: Discussionmentioning

confidence: 66%

“…[1][2][3][4] Among all diseases that may be diagnosed by IGNB, lymphomas are among the greatest challenges for pathologists. In fact, tissue sampling should allow not only diagnosis but also accurate subtyping of the disease prior to initiation of therapy.…”

mentioning

confidence: 99%

Image-guided core-needle biopsy in patients with suspected or recurrent lymphomas

Kerviler

Guermazi

Zagdanski

et al. 2000

Cancer

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“…CT-guided transthoracic lung biopsy is a widely accepted procedure [3, 4], although the reported complication rate varies greatly. Where some papers report a higher complication rate for core needle biopsy compared to fine needle aspiration (FNA) [5, 6], other studies [7, 8] do not.…”

Section: Introductionmentioning

confidence: 99%

Complication rates of CT-guided transthoracic lung biopsy: meta-analysis

et al. 2016

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ObjectivesTo meta-analyze complication rate in computed tomography (CT)-guided transthoracic lung biopsy and associated risk factors.MethodsFour databases were searched from 1/2000 to 8/2015 for studies reporting complications in CT-guided lung biopsy. Overall and major complication rates were pooled and compared between core biopsy and fine needle aspiration (FNA) using the random-effects model. Risk factors for complications in core biopsy and FNA were identified in meta-regression analysis.ResultsFor core biopsy, 32 articles (8,133 procedures) were included and for FNA, 17 (4,620 procedures). Pooled overall complication rates for core biopsy and FNA were 38.8 % (95 % CI: 34.3–43.5 %) and 24.0 % (95 % CI: 18.2–30.8 %), respectively. Major complication rates were 5.7 % (95 % CI: 4.4–7.4 %) and 4.4 % (95 % CI: 2.7–7.0 %), respectively. Overall complication rate was higher for core biopsy compared to FNA (p < 0.001). For FNA, larger needle diameter was a risk factor for overall complications, and increased traversed lung parenchyma and smaller lesion size were risk factors for major complications. For core biopsy, no significant risk factors were identified.ConclusionsIn CT-guided lung biopsy, minor complications were common and occurred more often in core biopsy than FNA. Major complication rate was low. For FNA, smaller nodule diameter, larger needle diameter and increased traversed lung parenchyma were risk factors for complications.Key Points• Minor complications are common in CT-guided lung biopsy • Major complication rate is low in CT-guided lung biopsy • CT-guided lung biopsy complications occur more often in core biopsy than FNA • Major complication rate is similar in core biopsy and FNA • Risk factors for FNA are larger needle diameter, smaller lesion size Electronic supplementary materialThe online version of this article (doi:10.1007/s00330-016-4357-8) contains supplementary material, which is available to authorized users.

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“…CT-gesteuerte Interventionen sind bewährte Verfahren, die in vielen Fällen operative Eingriffe verhindern können. Sie kön-nen zum Teil ambulant durchgeführt werden, sind kosteneffektiv und haben sowohl bei Patienten als auch bei zuweisenden Ärzten aufgrund der minimalen Invasivität eine breite Akzeptanz [14,16]. Besondere Situationen wie schwer erreichbare Zielregionen, agitierte und nicht kooperative Patienten oder eng benachbarte vitale Strukturen können ein zielsicheres Vorführen großlumiger Bestecke deutlich erschweren [17].…”

Section: Diskussionunclassified

Evaluierung einer neuen Seldinger-Nadel für computertomografisch gesteuerte Interventionen: Erste Erfahrungen

Plumhans

Mahnken²,

Iwa³

et al. 2008

Fortschr Röntgenstr

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Quality Improvement Guidelines for Image-guided Percutaneous Biopsy in Adults: Society of Cardiovascular & Interventional Radiology Standards of Practice Committee

Cited by 33 publications

References 34 publications

Image-guided core-needle biopsy in patients with suspected or recurrent lymphomas

Image-guided core-needle biopsy in patients with suspected or recurrent lymphomas

Complication rates of CT-guided transthoracic lung biopsy: meta-analysis

Evaluierung einer neuen Seldinger-Nadel für computertomografisch gesteuerte Interventionen: Erste Erfahrungen

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