CardioVascular and Interventional Radiology

, Volume 33, Issue 1, pp 209–212 | Cite as

CT-Guided Percutaneous Fine-Needle Aspiration Biopsy of the Inferior Vena Cava Wall: A Posterior Coaxial Approach

  • Sebastian KosEmail author
  • Deniz Bilecen
  • Daniel Baumhoer
  • Nicolas Guillaume
  • Augustinus L. Jacob
Case Report


A 72-year-old man was referred to our department with an incidentally diagnosed bronchogenic carcinoma of the right upper lobe. Positron emission tomography (PET) combined with computed tomography (PET-CT) revealed an unexpected hot spot in the ventral wall of the infrarenal segment of the inferior vena cava (IVC). Diagnostic biopsy of this lesion was performed under CT guidance with semiautomated 20G fine-needle aspiration (FNA) through a 19G coaxial needle. Cytology revealed few carcinoma cells, which led to the remarkable diagnosis of a distant metastasis to the IVC wall. Both the immediate postinterventional CT control and the further surveillance period of the patient were unremarkable; in particular, no signs of bleeding complications were detected. We conclude that coaxial FNA of an IVC wall lesion is technically feasible and may even help diagnose distant metastasis.


Inferior vena cava Metastasis Coaxial FNA CT guided 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Sebastian Kos
    • 1
    Email author
  • Deniz Bilecen
    • 1
  • Daniel Baumhoer
    • 2
  • Nicolas Guillaume
    • 3
  • Augustinus L. Jacob
    • 1
  1. 1.Institute of RadiologyUniversity Hospital BaselBaselSwitzerland
  2. 2.Institute of PathologyUniversity Hospital BaselBaselSwitzerland
  3. 3.Institute of Nuclear MedicineUniversity Hospital BaselBaselSwitzerland

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