Percutaneous Management of Accidentally Retained Foreign Bodies During Image-Guided Non-vascular Procedures: Novel Technique Using a Large-Bore Biopsy System.

Détails

ID Serval
serval:BIB_74CBE8016A38
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Percutaneous Management of Accidentally Retained Foreign Bodies During Image-Guided Non-vascular Procedures: Novel Technique Using a Large-Bore Biopsy System.
Périodique
Cardiovascular and interventional radiology
Auteur⸱e⸱s
Cazzato R.L., Garnon J., Ramamurthy N., Tsoumakidou G., Caudrelier J., Thénint M.A., Rao P., Koch G., Gangi A.
ISSN
1432-086X (Electronic)
ISSN-L
0174-1551
Statut éditorial
Publié
Date de publication
07/2016
Peer-reviewed
Oui
Volume
39
Numéro
7
Pages
1050-1056
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To describe a novel percutaneous image-guided technique using a large-bore biopsy system to retrieve foreign bodies (FBs) accidentally retained during non-vascular interventional procedures.
Between May 2013 and October 2015, five patients underwent percutaneous retrieval of five iatrogenic FBs, including a biopsy needle tip in the femoral head following osteoblastoma biopsy and radiofrequency ablation (RFA); a co-axial needle shaft within a giant desmoid tumour following cryoablation; and three post-vertebroplasty cement tails within paraspinal muscles. All FBs were retrieved immediately following original procedures under local or general anaesthesia, using combined computed tomography (CT) and fluoroscopic guidance. The basic technique involved positioning a 6G trocar sleeve around the FB long axis and co-axially advancing an 8G biopsy needle to retrieve the FB within the biopsy core. Retrospective chart review facilitated analysis of procedures, FBs, technical success, and complications.
Mean FB size was 23 mm (range 8-74 mm). Four FBs were located within 10 mm of non-vascular significant anatomic structures. The basic technique was successful in 3 cases; 2 cases required technical modifications including using a stiff guide-wire to facilitate retrieval in the case of the post-cryoablation FB; and using the central mandrin of the 6G trocar to push a cement tract back into an augmented vertebra when initial retrieval failed. Overall technical success (FB retrieval or removal to non-hazardous location) was 100 %, with no complications.
Percutaneous image-guided retrieval of iatrogenic FBs using a large-bore biopsy system is a feasible, safe, effective, and versatile technique, with potential advantages over existing methods.
Mots-clé
Administration, Cutaneous, Adult, Aged, Biopsy, Needle/instrumentation, Catheterization, Cryosurgery/instrumentation, Female, Fluoroscopy, Foreign Bodies/surgery, Humans, Image-Guided Biopsy, Male, Multimodal Imaging, Needles, Polymethyl Methacrylate, Postoperative Complications/surgery, Reoperation, Retrospective Studies, Surgery, Computer-Assisted/instrumentation, Tomography, X-Ray Computed, Vertebroplasty, Foreign bodies, Interventional radiology, Non-vascular
Pubmed
Web of science
Création de la notice
09/10/2018 12:38
Dernière modification de la notice
20/08/2019 15:32
Données d'usage