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CT-guided percutaneous biopsies of mediastinal and paramediastinal masses in the lateral decubitus position

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Abstract

Background

Percutaneous parasternal puncture is a common procedure that allows sampling of mediastinal lesions. The trans-pulmonary route is sometimes mandatory in the dorsal position and is associated with complications such as pneumothorax.

Methods

Our study explored the efficacy of the lateral decubitus position in avoiding the trans-pulmonary route. Sixteen patients were included between 2005 and 2019. In three patients, the procedure was intended to place fiducial markers.

Results

No pneumothorax or hematoma occurred. Access to the lesion was not possible in 1 patient. A histological diagnosis was made for all patients undergoing sampling. This technique seems to be safe and efficient.

Key Points

• Parasternal access to mediastinal and paramediastinal lesions whenever a trans-pulmonary crossing is mandatory in the dorsal position is safe, simple, and efficient in the lateral decubitus position.

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Abbreviations

COPD:

Chronic obstructive pulmonary disease

CT:

Computed tomography

FM:

Fiducial marker

IMV:

Internal mammary vessel

LUL:

Left upper lobe

TNB:

Transthoracic needle biopsy

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Funding

The authors state that this work has not received any funding.

Author information

Author notes

  1. Yann Diascorn and Sylvie Leroy contributed equally to this work.

Authors and Affiliations

  1. Department of Radiology, Université Côte d’Azur, CHU de Nice, Nice, France

    Bernard Padovani, Dorothée Ducreux & Yann Diascorn

  2. Department of Pulmonary Medicine, Université Côte d’Azur, CHU de Nice, Nice, France

    Jacques Boutros, Charles-Hugo Marquette & Sylvie Leroy

  3. FHU OncoAge, CNRS UMR7284, Inserm U1081, Institute of Research on Cancer and Ageing (IRCAN), Université Côte d’Azur, Nice, France

    Charles-Hugo Marquette & Véronique Hofman

  4. FHU OncoAge, Centre Hospitalier Universitaire de Nice, Laboratory of Clinical and Experimental Pathology, Université Côte d’Azur, Nice, France

    Véronique Hofman

  5. Department of Thoracic Surgery, CHU de Nice, Université Côte d’Azur, Nice, France

    Jérome Mouroux

  6. CNRS UMR 7275, Institut de Pharmacologie Moléculaire et Cellulaire, Université Côte d’Azur, Sophia Antipolis, France

    Sylvie Leroy

Authors
  1. Bernard Padovani
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  2. Jacques Boutros
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  3. Charles-Hugo Marquette
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  4. Véronique Hofman
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  5. Dorothée Ducreux
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  6. Jérome Mouroux
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  7. Yann Diascorn
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  8. Sylvie Leroy
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Corresponding author

Correspondence to Bernard Padovani.

Ethics declarations

Guarantor

The scientific guarantor of this publication is Pr. Bernard Padovani.

Conflict of interest

The authors declare that they have no conflict of interest.

Statistics and biometry

No complex statistical methods were necessary for this paper.

Informed consent

Written informed consent was not required for this study because since 2014, the Nice University Hospital’s confidentiality policy allows the publication of scientific data for research purposes provided that the concerned patients have not objected and that the data have been de-identified. For all patients whose biopsies were performed before 2014, an individual authorization was requested.

Ethical approval

Institutional review board approval was not required because since 2014, the Nice University Hospital’s confidentiality policy allows the publication of scientific data for research purposes provided that the concerned patients have not objected and that the data have been de-identified. For all patients whose biopsies were performed before 2014, an individual authorization was requested.

Methodology

• retrospective

• observational

• performed at one institution

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Padovani, B., Boutros, J., Marquette, CH. et al. CT-guided percutaneous biopsies of mediastinal and paramediastinal masses in the lateral decubitus position. Eur Radiol 30, 3146–3151 (2020). https://doi.org/10.1007/s00330-020-06659-2

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  • DOI: https://doi.org/10.1007/s00330-020-06659-2

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