Transvenous Biopsy of Cavo-Atrial Tumors with the Quick-Core Needle

Schertler, Thomas; Kurrer, Michael; Marinček, Borut; Pfammatter, Thomas

doi:10.1007/s00270-003-0142-6

Cited by 7 publications

(3 citation statements)

References 18 publications

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“…The curvature of the stiffing cannula (40 • ) is designed for optimal access to the lower pole of native right kidneys via a transjugular approach. In the event of an unsuitable angle between the iliac vein and the transplant vein, slight modification of the curvature of the biopsy needle by bending or straightening the metallic stiffening cannula is possible as previously described (22).…”

Section: Device Descriptionmentioning

confidence: 99%

Transvenous Renal Transplant Biopsy via a Transfemoral Approach

Schmid

Jacobi

Kuefner

et al. 2013

American Journal of Transplantation

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Percutaneous renal biopsy (PRB) of kidney transplants might be prevented by an elevated risk of bleeding or limited access to the allograft. In the following, we describe our initial experience with 71 transvenous renal transplant biopsies in 53 consecutive patients with unexplained reduced graft function who were considered unsuitable candidates for PRB (4.2% of all renal transplant biopsies at our institution). Biopsies were performed via the ipsilateral femoral vein with a renal biopsy set designed for transjugular renal biopsy (TJRB) of native kidneys. Positioning of the biopsy system within the transplant vein was achievable in 58 of 71 (81.7%) procedures. The specimen contained a median of 10 glomeruli (range 0-38). Tissue was considered as adequate for diagnosis in 56 of 57 (98.2%) biopsies. With respect to BANFF 50.9% of the specimen were adequate (>10 glomeruli), 47.4% marginally adequate (1-9 glomeruli) and 1.8% inadequate (no glomeruli). After implementation of realtime assessment all specimen contained glomeruli. One of the fifty-eight (1.8%) procedure-related major complications occurred (hydronephrosis requiring nephrostomy due to gross hematuria). Transfemoral renal transplant biopsy (TFRTB) is feasible and appears to be safe compared to PRB. It offers a useful new alternative for histological evaluation of graft dysfunction in selected patients with contraindications to PRB.

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Section: Device Descriptionmentioning

confidence: 99%

Transvenous Renal Transplant Biopsy via a Transfemoral Approach

Schmid

Jacobi

Kuefner

et al. 2013

American Journal of Transplantation

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“…IVLBCLs involving proliferation within abdominal vessels other than small vessels have been reported. [3][4][5][6][7][8][9] The lymphoma cells have been found in veins such as the mesenteric veins and the saphenous vein. However, IVLBCL with extensive growth within the lumina of large blood vessels, such as the pulmonary trunk, aorta and carotis, has not yet been reported.…”

Section: Introductionmentioning

confidence: 99%

“…IVLBCLs involving proliferation within abdominal vessels other than small vessels have been reported . The lymphoma cells have been found in veins such as the mesenteric veins and the saphenous vein.…”

mentioning

confidence: 99%

Intravascular large B‐cell lymphoma involving large blood vessels, three autopsy cases

Sato

Teshima

Nakamura

et al. 2019

Pathology International

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Although intravascular large B‐cell lymphoma (IVLBCL) is an extranodal lymphoma characterized by the selective growth of lymphoma cells within the lumina of small vessels, we here report three autopsy cases of IVLBCL characterized by the proliferation within large blood vessels. These three cases were diagnosed as IVLBCL of the bone marrow or skin biopsy. Two cases died suddenly before treatment, whereas the other died during treatment. Autopsies showed a large embolus of dense lymphoma cells extending from the truncus pulmonalis to the pulmonary arteries in Case 1, emboli of lymphoma cells in the aorta and carotis in Case 2, and a mass of lymphoma cells blocking the lumen of the aortic arch in Case 3. This is the first report of IVLBCL involving large blood vessels, and it is essential to note that this type of IVLBCL might cause sudden death because of tumor emboli within large blood vessels.

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