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Percutaneous FNA/Biopsy and Drainage Procedures

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Basics of Hepatobiliary Interventions

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Abstract

Percutaneous nonvascular imaging-guided diagnostic as well as therapeutic procedures are one of the important tools in the armamentarium of interventional radiologist. These procedures are less invasive and can be performed on outpatient basis or daycare admission [1].

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References

  1. Mukund A, Bhardwaj K, Mohan C. Basic interventional procedures: practice essentials. Indian J Radiol Imaging. 2019;29(2):182–9.

    Article  Google Scholar 

  2. Kim JW, Shin SS. Ultrasound-guided percutaneous core needle biopsy of abdominal viscera: tips to ensure safe and effective biopsy. Korean J Radiol. 2017;18(2):309–22.

    Article  Google Scholar 

  3. Schiavon LHO, Tyng CJ, Travesso DJ, Rocha RD, Schiavon ACSA, Bitencourt AGV. Computed tomography-guided percutaneous biopsy of abdominal lesions: indications, techniques, results, and complications. Radiol Bras. 2018;51(3):141–6.

    Article  Google Scholar 

  4. Lipnik AJ, Brown DB. Image-guided percutaneous abdominal mass biopsy: technical and clinical considerations. Radiol Clin North Am. 2015;53:1049–59.

    Article  Google Scholar 

  5. Sainani NI, Arellano RS, Shyn PB, Gervais DA, Mueller PR, Silverman SG. The challenging image-guided abdominal mass biopsy: established and emerging techniques ‘if you can see it, you can biopsy it’. Abdom Imaging. 2013;38(4):672–96.

    Article  Google Scholar 

  6. Patel IJ, Rahim S, Davidson JC, Hanks SE, Tam AL, Walker TG, Wilkins LR, Sarode R, Weinberg I. Society of interventional radiology consensus guidelines for the periprocedural management of thrombotic and bleeding risk in patients undergoing percutaneous image-guided interventions—Part II: recommendations. J Vasc Interv Radiol. 2019;30(8):1168–1184.e1.

    Article  Google Scholar 

  7. Kandarpa K, Machan L. Handbook of interventional radiologic procedures. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2016.

    Google Scholar 

  8. American College of Radiology. ACR–SIR–SPR Practice parameter for the performance of image guided percutaneous needle biopsy (PNB). Revised 2018 (Res. 14). Available from http://www.acr.org/*/media/ACR/Documents/PGTS/guidelines/PNB.pdf

  9. Veltri A, Bargellini I, Giorgi L, Almeida P, Akhan O. CIRSE guidelines on percutaneous needle biopsy (PNB). Cardiovasc Intervent Radiol. 2017;40(10):1501–13. https://doi.org/10.1007/s00270-017-1658-5.

    Article  PubMed  Google Scholar 

  10. Gupta S, Wallace MJ, Cardella JF, et al. Quality improvement guidelines for percutaneous needle biopsy. J Vasc Interv Radiol. 2010;21:969–75.

    Article  Google Scholar 

  11. Gervais DA. In: Gervais DA, Sabharwal T, editors. Interventional radiology procedures in biopsy and drainage. New York: Springer; 2011. https://doi.org/10.1007/978-1-84800-899-1.

    Chapter  Google Scholar 

  12. Gervais D, Brown S, Connolly SA, Brec SL, Harisinghani MG, Mueller PR. Percutaneous imaging-guided abdominal and pelvic abscess drainage in children. Radiographics. 2004;24:737–54.

    Article  Google Scholar 

  13. Wallace MJ, Chin KW, Fletcher TB, et al. Quality improvement guidelines for percutaneous drainage/aspiration of abscess and fluid collections. J Vasc Interv Radiol. 2010;21:431–5.

    Article  Google Scholar 

  14. Nair AV, D’Agostino HR. Transcatheter fluid drainage. In: Valji K, editor. The practice of interventional radiology. Philadelphia: Saunders Elsevier; 2010. p. 106–25.

    Google Scholar 

  15. American College of Radiology. ACR-SIR-SPR Practice parameter for specifications and performance of image-guided percutaneous drainage/aspiration of abscesses and fluid collections (PDAFC). Revised 2018 (Res. 13) Available at https://www.acr.org/-/media/ACR/Files/Practice-Parameters/PDFAC.pdf

  16. Rockey DC, Caldwell SH, Goodman ZD, Nelson RC, Smith AD. Liver biopsy. Hepatology. 2009;49:1017–44.

    Article  Google Scholar 

  17. Vijayaraghavan GR, David S, Bermudez-Allende M, Sarwat H. Imaging-guided parenchymal liver biopsy: how we do it. J Clin Imaging Sci. 2010;1:30.

    Article  Google Scholar 

  18. Farrell RJ, Smiddy PF, Pilkington RM, Tobin AA, Mooney EE, Temperley IJ, et al. Guided versus blind liver biopsy for chronic hepatitis C: clinical benefits and costs. J Hepatol. 1999;30:580–7.

    Article  CAS  Google Scholar 

  19. Bravo AA, Sheth SG, Chopra S. Liver biopsy. N Engl J Med. 2001;344:495–500.

    Article  CAS  Google Scholar 

  20. Tsang WK, Luk WH, Lo A. Ultrasound-guided plugged percutaneous biopsy of solid organs in patients with bleeding tendencies. Hong Kong Med J. 2014;20:107–12.

    CAS  PubMed  Google Scholar 

  21. Atar E, Ben Ari Z, Bachar GN, et al. A comparison of transjugular and plugged-percutaneous liver biopsy in patients with contraindications to ordinary percutaneous liver biopsy and an “in-house” protocol for selecting the procedure of choice. Cardiovasc Intervent Radiol. 2010;33:560–4.

    Article  Google Scholar 

  22. Cai YL, Xiong XZ, Lu J, et al. Percutaneous needle aspiration versus catheter drainage in the management of liver abscess: a systematic review and meta-analysis. HPB (Oxford). 2015 Mar;17(3):195–201.

    Article  Google Scholar 

  23. Rajak CL, Gupta S, Jain S, Chawla Y, Gulati M, Suri S. Percutaneous treatment of liver abscesses: needle aspiration versus catheter drainage. AJR Am J Roentgenol. 1998;170:1035–9.

    Article  CAS  Google Scholar 

  24. Zerem E, Hadzic A. Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. AJR Am J Roentgenol. 2007;189:W138–42.

    Article  Google Scholar 

  25. Singh AK, Shankar S, Gervais DA, Hahn PF, Mueller PR. Image guided percutaneous splenic interventions. Radiographics. 2012;32(2):523–34.

    Article  Google Scholar 

  26. Kang M, Kalra N, Gulati M, Lal A, Kochhar R, Rajwanshi A. Image guided percutaneous splenic interventions. Eur J Radiol. 2007;64(1):140–6.

    Article  Google Scholar 

  27. Sammon J, Twomey M, Crush L, Maher MM, O’Connor OJ. Image-guided percutaneous splenic biopsy and drainage. Semin Interv Radiol. 2012;29:301–10.

    Article  Google Scholar 

  28. Tyng CJ, Almeida MF, Barbosa PN, et al. Computed tomography-guided percutaneous core needle biopsy in pancreatic tumor diagnosis. World J Gastroenterol. 2015;21(12):3579–86.

    Article  Google Scholar 

  29. Okasha HH, Naga MI, Esmat S, et al. Endoscopic ultrasound-guided fine needle aspiration versus percutaneous ultrasound-guided fine needle aspiration in diagnosis of focal pancreatic masses. Endosc Ultrasound. 2013;2(4):190–3.

    Article  Google Scholar 

  30. Maher MM, Gervais DA, Kalra MK, et al. The inaccessible or undrainable abscess: how to drain it. Radiographics. 2004;24:717–35.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Radiology, VMMC & Safdarjung Hospital, New Delhi, India

    Krishna Bhardwaj

  2. Interventional Radiology, BLK Superspecialty Hospital, New Delhi, India

    Chander Mohan

  3. Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India

    Amar Mukund

Authors
  1. Krishna Bhardwaj
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  2. Chander Mohan
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  3. Amar Mukund
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Editor information

Editors and Affiliations

  1. Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India

    Amar Mukund

Appendix

Appendix

Basic knowledge of the hardware for these procedures is mandatory for IR persons for optimal results. Tables 1.1 and 1.2 comprises of list of hardware needed in basic percutaneous procedures which can be tailored as per individual procedures [1].

Table 1.1 General hardware requirement for percutaneous FNAC/biopsy procedures
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Table 1.2 General hardware requirement for percutaneous drainage procedures
Full size table

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Bhardwaj, K., Mohan, C., Mukund, A. (2021). Percutaneous FNA/Biopsy and Drainage Procedures. In: Mukund, A. (eds) Basics of Hepatobiliary Interventions. Springer, Singapore. https://doi.org/10.1007/978-981-15-6856-5_1

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  • DOI: https://doi.org/10.1007/978-981-15-6856-5_1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-6855-8

  • Online ISBN: 978-981-15-6856-5

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