Percutaneous endovascular biopsy of intravascular masses: efficacy and safety in establishing pre-therapy diagnosis.

Détails

ID Serval
serval:BIB_36D6E4926338
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Percutaneous endovascular biopsy of intravascular masses: efficacy and safety in establishing pre-therapy diagnosis.
Périodique
European radiology
Auteur(s)
Pomoni A., Sotiriadis C., Gay F., Jouannic A.M., Qanadli S.D.
ISSN
1432-1084 (Electronic)
ISSN-L
0938-7994
Statut éditorial
Publié
Date de publication
01/2018
Peer-reviewed
Oui
Volume
28
Numéro
1
Pages
301-307
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
To evaluate the efficacy and safety of percutaneous endovascular biopsy (PEB) in intravascular filling-defect lesions (IVLs) of the great vessels.
We retrospectively reviewed 19 patients (age 65 ± 12 years), 11 men and eight women, who underwent PEB for IVLs, between March 2004 and November 2014. All PEBs were performed for early diagnosis and/or characterization of the IVL, or in case of reasonable doubt about the IVL nature. Pre-intervention imaging work-up included CT, MRI and/or PET-CT. PEBs were obtained with a 7F biopsy forceps device. Clinical profile, procedure technical success and safety, and clinical success were evaluated.
PEB was technically successful in all patients (mean of two samples per IVL). No intra- or post-procedural complications were reported. Histopathological analysis provided a diagnosis in all PEBs with a clinical success of 100%. Of the 19 IVLs, 14 were malignant (74%). The most frequent malignant lesion observed was leiomyosarcoma (29%). Benign lesions (26%) included three thrombi (pulmonary artery) and two myxomas.
PEB is a safe and efficient procedure providing the most effective technique to obtain a tissue sample of high diagnostic quality, which serves to establish early diagnosis in patients with suspected malignant lesions.
• Intravascular filling-defect lesions are related to both benign conditions and malignant tumours. • Endovascular biopsy is indicated in case of doubt about intravascular lesion nature. • Percutaneous endovascular biopsy is a safe technique. • Endovascular biopsy provides tissue samples leading to correct histopathological analysis. • Percutaneous endovascular biopsy provides early diagnosis of malignant intravascular lesions.
Mots-clé
Aged, Aged, 80 and over, Biopsy/methods, Diagnostic Imaging/methods, Female, Humans, Male, Middle Aged, Radiology, Interventional/methods, Reproducibility of Results, Retrospective Studies, Vascular Neoplasms/diagnostic imaging, Vascular Neoplasms/pathology, Angiography, Early diagnosis, Endovascular biopsy, Intravascular filling-defect, Sarcoma
Pubmed
Web of science
Création de la notice
16/08/2017 11:55
Dernière modification de la notice
20/08/2019 14:25
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