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Performance of a New Blunt-Tip Coaxial Needle for Percutaneous Biopsy and Drainage of “Hard-To-Reach” Targets

  • Clinical Investigation
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Abstract

Aim

To present a new blunt-tip coaxial needle (SoftGuard) applied to access “hard-to-reach” targets undergoing percutaneous image-guided biopsy or drainage.

Materials and Methods

All consecutive patients presenting between August and December 2016 with “hard-to-reach” (<10 mm from a critical nearby structure such as vessels, nerves, bowel or adjacent parenchymal organs) solid lesions requiring biopsy (group A) or abscesses requiring drainage for sepsis (group B) were prospectively included. The individual features of each patient and lesion as well as technical and clinical data were collected and analysed.

Results

Twenty-six patients (18 males, 8 females, mean age 59.81 ± 17.53 years) were enrolled in group A and nine (6 males, 3 females, mean age 58.33 ± 13.8 years) in group B. Technical success was achieved in 92.3% of cases from group A and 100% of cases from group B. Five (19.2%) minor complications were noted in group A (four small self-limiting pneumothoraces and one small self-limiting peri-pancreatic haematoma). There were no complications in group B. Histological results in group A accounted for 95% sensitivity, 100% specificity and 95.2% diagnostic accuracy. In group B, mean post-operative C-reactive protein was 41 ± 48.3 mg/L in comparison with 155 ± 117.5 mg/L at baseline (P = 0.004).

Conclusions

The SoftGuard blunt-tip needle is a safe and effective tool when applied as a coaxial working cannula for percutaneous biopsy or drainage of “hard-to-reach” targets.

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References

  1. Krishna Kandarpa LM. Handbook of interventional radiologic procedures. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2011.

    Google Scholar 

  2. Gupta S, Madoff DC. Image-guided percutaneous needle biopsy in cancer diagnosis and staging. Tech Vasc Interv Radiol. 2007;10:88–101.

    Article  PubMed  Google Scholar 

  3. Edalat F, Cazzato RL, Garnon J, Tsoumakidou G, Avérous G, Caudrelier J, Koch G, Gangi A. Percutaneous biopsy of retrobulbar masses: anatomical considerations and MRI guidance. Cardiovasc Interv Radiol. 2017;40(4):591–5.

    Google Scholar 

  4. Grasso RF, Cazzato RL, Luppi G, D’Agostino F, Schena E, Del Vescovo R, Giurazza F, Faiella E, Zobel BB. Percutaneous lung biopsies: performance of an optical CT-based navigation system with a low-dose protocol. Eur Radiol. 2013;23:3071–6.

    Article  PubMed  Google Scholar 

  5. Wood BJ, Zhang H, Durrani A, Glossop N, Ranjan S, Lindisch D, Levy E, Banovac F, Borgert J, Krueger S, Kruecker J, Viswanathan A, Cleary K. Navigation with electromagnetic tracking for interventional radiology procedures: a feasibility study. J Vasc Interv Radiol. 2005;16:493–505.

    Article  PubMed  PubMed Central  Google Scholar 

  6. vanSonnenberg E, Wittenberg J, Ferrucci JT Jr, Mueller PR, Simeone JF. Triangulation method for percutaneous needle guidance: the angled approach to upper abdominal masses. AJR Am J Roentgenol. 1981;137:757–61.

    Article  Google Scholar 

  7. Langen HJ1, Klose KC, Keulers P, Adam G, Jochims M, Günther RW. Artificial widening of the mediastinum to gain access for extrapleural biopsy: clinical results. Radiology. 1995;196:703–6.

    Article  CAS  PubMed  Google Scholar 

  8. De Filippo M, Saba L, Rossi E, Nizzoli R, Tiseo M, Pedrazzi G, Brunese L, Rotondo A, Rossi C. Curved needles in CT-guided fine needle biopsies of abdominal and retroperitoneal small lesions. Cardiovasc Interv Radiol. 2015;38:1611–6.

    Article  Google Scholar 

  9. Garnon J, Cazzato RL, Ramamurthy N, Tsoumakidou G, Bauones S, Caudrelier J, Koch G, Gangi A. Curved needles: beyond diagnostic procedures. Cardiovasc Interv Radiol. 2016;39:1521–4.

    Article  Google Scholar 

  10. de Bazelaire C, Farges C, Mathieu O, Zagdanski AM, Bourrier P, Frija J, de Kerviler E. Blunt-tip coaxial introducer: a revisited tool for difficult CT-guided biopsy in the chest and abdomen. AJR Am J Roentgenol. 2009;193:W144–8.

    Article  PubMed  Google Scholar 

  11. Sacks D, McClenny TE, Cardella JF, Lewis CA. Society of interventional radiology clinical practice guidelines. J Vasc Interv Radiol. 2003;14:S199–202.

    Article  PubMed  Google Scholar 

  12. Abi-Jaoudeh N, Fisher T, Jacobus J, Skopec M, Radaelli A, Van Der Bom IM, Wesley R, Wood BJ. Prospective randomized trial for image-guided biopsy using cone-beam CT navigation compared with conventional CT. J Vasc Interv Radiol. 2016;27:1342–9.

    Article  PubMed  Google Scholar 

  13. Akins EW, Hawkins IF Jr, Mladinich C, Tupler R, Siragusa RJ, Pry R. The blunt needle: a new per- cutaneous access device. AJR Am J Roentgenol. 1989;152:181–2.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Interventional Radiology, Nouvel Hôpital Civil, (Hôpitaux Universitaires de Strasbourg, HUS), 1, place de l’Hôpital, 67000, Strasbourg, France

    Roberto Luigi Cazzato, Julien Garnon, Jean Caudrelier, Salem Bauones, Georgia Tsoumakidou, Guillaume Koch & Afshin Gangi

  2. Interventional Radiology Department, Royal Devon and Exeter Hospital NHS Trust, Barrack Rd, Exeter, EX2 5DW, UK

    Behnam Shaygi

Authors
  1. Roberto Luigi Cazzato
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  2. Julien Garnon
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  3. Behnam Shaygi
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  4. Jean Caudrelier
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  5. Salem Bauones
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  6. Georgia Tsoumakidou
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  7. Guillaume Koch
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  8. Afshin Gangi
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Corresponding author

Correspondence to Roberto Luigi Cazzato.

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Conflict of interest

Roberto Luigi Cazzato, Julien Garnon, Behnam Shaygi, Jean Caudrelier, Salem Bauones, Georgia Tsoumakidou, Guillaume Koch have no conflict of interest to disclose. Afshin Gangi is consultant for Apriomed AB (Uppsala, Sweden).

Ethical Standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Cazzato, R.L., Garnon, J., Shaygi, B. et al. Performance of a New Blunt-Tip Coaxial Needle for Percutaneous Biopsy and Drainage of “Hard-To-Reach” Targets. Cardiovasc Intervent Radiol 40, 1431–1439 (2017). https://doi.org/10.1007/s00270-017-1663-8

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  • DOI: https://doi.org/10.1007/s00270-017-1663-8

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