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Thoracic Interventional Radiology

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Demystifying Interventional Radiology

Abstract

The interventional radiologist has a significant role in the management of vascular and nonvascular pathologies in the thorax and serves an important role as part of the treatment team by providing expertise in image-guided percutaneous interventions.

Interventional radiology procedures of the thorax are a well-established field, with percutaneous transthoracic lung biopsy (PTLB) first described by Dahlgren and Nordenstrom in 1966 (Transthoracic needle biopsy, Year Book, Chicago, 1966). In the diagnosis of thoracic pathologies, percutaneous thoracic biopsy (PTB) of lung, pleural, and mediastinal tissue and cells is comparable in effectiveness to surgical biopsy with reduced morbidity and complications (Duncan et al., Respirology 15:401–12, 2010).

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References

  1. Duncan M, Wijesekera N, Padley S. Interventional radiology of the thorax. Respirology. 2010;15:401–12.

    Article  Google Scholar 

  2. Lorenz JM. Updates in percutaneous lung biopsy: new indications, techniques and controversies. Semin Intervent Radiol. 2012;29(4):319–24.

    Article  Google Scholar 

  3. Loubeyre P, Copercini M, Dietrich PY. Percutaneous CT-guided multisampling core needle biopsy of thoracic lesions. Am J Roentgenol. 2005;185(5):1294–8.

    Article  Google Scholar 

  4. Manhire A, Charig M, Clelland C, Gleeson F, Miller R, Moss H, Pointon K, Richardson C, Sawicka E. Guidelines for radiologically guided lung biopsy. Thorax. 2003;58:920–36.

    Article  CAS  Google Scholar 

  5. Gupta S, Seaberg K, Wallace MJ, Madoff DC, Morello FA Jr, Ahrar K, Murthy R, Hicks ME. Imaging-guided percutaneous biopsy of mediastinal lesions: different approaches and anatomical considerations. Radiographics. 2005;25:763–88.

    Article  Google Scholar 

  6. Gupta S, Wallace MJ, Cardella JF, Kundu S, Miller DL, Rose SC. Quality improvement guidelines for percutaneous needle biopsy. J Vasc Interv Radiol. 2010;21:969–75.

    Article  Google Scholar 

  7. Sinner W. Complications of percutaneous thoracic needle aspiration biopsy. Acta Radiol Diagn (Stockh). 1976;17:813–28.

    Article  CAS  Google Scholar 

  8. Richardson CM, Pointon KS, Manhire AR, Macfarlane JT. Percutaneous lung biopsies: a survey of UK practice based on 5444 biopsies. Br J Radiol. 2002;75(897):731–5.

    Article  CAS  Google Scholar 

  9. Heerink WJ, de Bock GH, de Jonge GJ, Groen HJ, Vliegenthart R, Oudkerk M. Complication rates of CT-guided transthoracic lung biopsy: meta-analysis. Eur Radiol. 2017;27(1):138–48.

    Article  CAS  Google Scholar 

  10. Kulkarni S, Kulkarni A, Roy D, Thakur MH. Percutaneous computed tomography-guided core biopsy for the diagnosis of mediastinal masses. Ann Thorac Med. 2008;3(1):13–7.

    Article  Google Scholar 

  11. Rubens DJ, Strang JG, Fultz PJ, Gottlieb RH. Sonographic guidance of mediastinal biopsy: an effective alternative to CT guidance. Am J Roentgenol. 1997;169(6):1605–10.

    Article  CAS  Google Scholar 

  12. Ghaye B, Dondelinger RF. Imaging guided thoracic interventions. Eur Respir J. 2001;17:507–28.

    Article  CAS  Google Scholar 

  13. Lyon S, Mott N, Koukounaras J, Shoobridge J, Hudson PV. Role of interventional radiology in the management of chylothorax: a review of the current management of high output chylothorax. Cardiovasc Intervent Radiol. 2013;36:599–607.

    Article  Google Scholar 

  14. Imazio M, Spodick DH, Brucato A, Trinchero R, Adler Y. Controversial issues in the management of pericardial diseases. Circulation. 2010;121:916–28.

    Article  Google Scholar 

  15. Ketai LH, Mohammed TH, Kirsch J, Kanne JP, Chung JH, Donnelly EF, Ginsburg ME, Heitkamp DE, Henry TS, Kazerooni EA, Lorenz JM, McComb BL, Ravenel JG, Saleh AG, Shah RD, Steiner RM, Suh RD, et al. ACR appropriateness criteria hemoptysis. J Thoracic Imaging. 2014;29:W19–22.

    Article  Google Scholar 

  16. Larici AR, Franchi P, Occhipinti M, Contegiacomo A, del Ciello A, Calandriello L, Storto ML, Marano R, Bonomo L. Diagnosis and management of hemoptysis. Diagn Interv Radiol. 2014;20:299–309. https://doi.org/10.5152/dir.2014.13426.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Bruzzi JF, Remy-Jardin M, Delhaye D, Teisseire A, Khalil C, Remy J. Multi-detector row CT of hemoptysis. Radiographics. 2006;26:3–22.

    Article  Google Scholar 

  18. Ramakantan R, Bandekar VG, Gandhi MS, Aulakh BG, Deshmukh HL. Massive hemoptysis due to pulmonary tuberculosis: control with bronchial artery embolization. Radiology. 1996;200(3):691–4.

    Article  CAS  Google Scholar 

  19. Yoon W, Kim JK, Kim YH, Chung TW, Kang HK. Bronchial and nonbronchial systemic artery embolization for life-threatening hemoptysis: a comprehensive review. Radiographics. 2002;22(6):1395–409.

    Article  Google Scholar 

  20. Sopko DR, Smith TP. Bronchial artery embolization for hemoptysis. Semin Intervent Radiol. 2011;28(1):48–62.

    Article  Google Scholar 

  21. Burke CT, Mauro MA. Bronchial artery embolization. Semin Intervent Radiol. 2004;21(1):43–8.

    Article  Google Scholar 

  22. Medsinge A, Zajko A, Orons P, Amesur N, Santos E. A case-based approach to common embolization agents used in vascular interventional radiology. Am J Roentgenol. 2014;203(4):699–708.

    Article  Google Scholar 

  23. De Gregorio MA, Medrano J, Mainar A, Alfonso ER, Rengel M. Endovascular treatment of massive hemoptysis by bronchial artery embolization: short-term and long-term follow-up over a 15-year period. Arch Bronconeumol. 2006;42:49–56.

    Article  Google Scholar 

  24. Gossage JR, Kanj G. Pulmonary arteriovenous malformations: a state of the art review. Am J Respir Crit Care Med. 1998;158(2):643–61.

    Article  CAS  Google Scholar 

  25. Hong J, Lee SY, Cha JG, Lim JK, Park J, Lee J, et al. Pulmonary arteriovenous malformation (PAVM) embolization: prediction of angiographically-confirmed recanalization according to PAVM diameter changes on CT. CVIR Endovasc. 2021;4(1):1–8.

    Article  Google Scholar 

  26. Duvnjak S, Andersen PE. Endovascular treatment of superior vena cava syndrome. Int Angiol. 2011;30:458–61.

    CAS  PubMed  Google Scholar 

  27. Dahlgren SE, Nordenstrom B. Transthoracic needle biopsy. Chicago: Year Book; 1966.

    Google Scholar 

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Acknowledgment

We would like to thank Dr. Lazar Milovanovic for his contributions to this chapter (information given on first page of chapter).

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Correspondence to Ruqqiyah Rana .

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Rana, R., Milovanovic, L. (2022). Thoracic Interventional Radiology. In: Athreya, S., Albahhar, M. (eds) Demystifying Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-031-12023-7_11

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  • DOI: https://doi.org/10.1007/978-3-031-12023-7_11

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  • Publisher Name: Springer, Cham

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