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- Title
CT-guided percutaneous biopsies of mediastinal and paramediastinal masses in the lateral decubitus position.
- Authors
Padovani, Bernard; Boutros, Jacques; Marquette, Charles-Hugo; Hofman, Véronique; Ducreux, Dorothée; Mouroux, Jérome; Diascorn, Yann; Leroy, Sylvie
- Abstract
<bold>Background: </bold>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.<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Key Points: </bold>• 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.
- Subjects
BIOPSY; HEMATOMA; DIAGNOSIS; PNEUMOTHORAX; MEDIASTINUM; LUNG tumors; MEDIASTINAL tumors; COMPUTED tomography; PATIENT positioning
- Publication
European Radiology, 2020, Vol 30, Issue 6, p3146
- ISSN
0938-7994
- Publication type
journal article
- DOI
10.1007/s00330-020-06659-2