Methods to Obtain Percutaneous Access to Difficult-to-Reach Masses and Collections in the Abdomen and Pelvis

Jason M. Low; Steven Y. Huang

doi:10.1055/s-0038-1660432

Digestive Disease Interventions, Inhaltsverzeichnis

Digestive Disease Interventions 2018; 02(02): 141-149
DOI: 10.1055/s-0038-1660432

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Methods to Obtain Percutaneous Access to Difficult-to-Reach Masses and Collections in the Abdomen and Pelvis

Authors

Jason M. Low

¹Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas
Steven Y. Huang

¹Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

Abstract

Image-guided biopsy and drainage of collections in the abdomen and pelvis are frequently performed in interventional radiology practices. Many options are available to facilitate access to masses and collections in challenging locations. This review focuses on the technique and efficacy associated with the various options available, including out-of-plane access, patient positioning, needle techniques (i.e., blunt and curved needle tip), adjunctive use of electromagnetic tracking devices, organ displacement, and transorgan access.

Keywords

difficult-to-reach biopsy - drainage - abdomen

Volltext

Referenzen

References
1 Ferrucci Jr JT, Wittenberg J. CT biopsy of abdominal tumors: aids for lesion localization. Radiology 1978; 129 (03) 739-744
2 Sundaram M, Wolverson MK, Heiberg E, Pilla T, Vas WG, Shields JB. Utility of CT-guided abdominal aspiration procedures. AJR Am J Roentgenol 1982; 139 (06) 1111-1115
3 Berkman WA, Bernardino ME, Sewell CW, Price RB, Sones Jr PJ. The computed tomography-guided adrenal biopsy. An alternative to surgery in adrenal mass diagnosis. Cancer 1984; 53 (10) 2098-2103
4 Kasugai H, Yamamoto R, Tatsuta M. , et al. Value of heparinized fine-needle aspiration biopsy in liver malignancy. AJR Am J Roentgenol 1985; 144 (02) 243-244
5 Yamamoto R, Tatsuta M, Noguchi S. , et al. Histocytologic diagnosis of pancreatic cancer by percutaneous aspiration biopsy under ultrasonic guidance. Am J Clin Pathol 1985; 83 (04) 409-414
6 Park J, Charles HW. Intra-abdominal abscess drainage: interval to surgery. Semin Intervent Radiol 2012; 29 (04) 311-313
7 Siewert B, Tye G, Kruskal J. , et al. Impact of CT-guided drainage in the treatment of diverticular abscesses: size matters. AJR Am J Roentgenol 2006; 186 (03) 680-686
8 Avella DM, Toth JW, Reed MF. , et al. Pleural space infections after image-guided percutaneous drainage of infected intraabdominal fluid collections: a retrospective single institution analysis. BMC Surg 2015; 15: 42
9 Ewertsen C, Săftoiu A, Gruionu LG, Karstrup S, Nielsen MB. Real-time image fusion involving diagnostic ultrasound. AJR Am J Roentgenol 2013; 200 (03) W249-55
10 Mauri G, Cova L, De Beni S. , et al. Real-time US-CT/MRI image fusion for guidance of thermal ablation of liver tumors undetectable with US: results in 295 cases. Cardiovasc Intervent Radiol 2015; 38 (01) 143-151
11 Jiao D, Xie N, Wu G, Ren J, Han X. C-arm cone-beam computed tomography with stereotactic needle guidance for percutaneous adrenal biopsy: initial experience. Acta Radiol 2017; 58 (05) 617-624
12 Shellikeri S, Setser RM, Hwang TJ. , et al. Real-time fluoroscopic needle guidance in the interventional radiology suite using navigational software for percutaneous bone biopsies in children. Pediatr Radiol 2017; 47 (08) 963-973
13 vanSonnenberg E, Wittenberg J, Ferrucci Jr JT, Mueller PR, Simeone JF. Triangulation method for percutaneous needle guidance: the angled approach to upper abdominal masses. AJR Am J Roentgenol 1981; 137 (04) 757-761
14 Kühn JP, Langner S, Hegenscheid K. , et al. Magnetic resonance-guided upper abdominal biopsies in a high-field wide-bore 3-T MRI system: feasibility, handling, and needle artefacts. Eur Radiol 2010; 20 (10) 2414-2421
15 Kariniemi J, Blanco Sequeiros R, Ojala R, Tervonen O. MRI-guided abdominal biopsy in a 0.23-T open-configuration MRI system. Eur Radiol 2005; 15 (06) 1256-1262
16 Adam G, Bücker A, Nolte-Ernsting C, Tacke J, Günther RW. Interventional MR imaging: percutaneous abdominal and skeletal biopsies and drainages of the abdomen. Eur Radiol 1999; 9 (08) 1471-1478
17 Sharma KV, Venkatesan AM, Swerdlow D. , et al. Image-guided adrenal and renal biopsy. Tech Vasc Interv Radiol 2010; 13 (02) 100-109
18 Sainani NI, Arellano RS, Shyn PB, Gervais DA, Mueller PR, Silverman SG. The challenging image-guided abdominal mass biopsy: established and emerging techniques ‘if you can see it, you can biopsy it’. Abdom Imaging 2013; 38 (04) 672-696
19 Arellano RS, Maher M, Gervais DA, Hahn PF, Mueller PR. The difficult biopsy: let's make it easier. Curr Probl Diagn Radiol 2003; 32 (05) 218-226
20 Odisio BC, Tam AL, Avritscher R, Gupta S, Wallace MJ. CT-guided adrenal biopsy: comparison of ipsilateral decubitus versus prone patient positioning for biopsy approach. Eur Radiol 2012; 22 (06) 1233-1239
21 Gupta S. New techniques in image-guided percutaneous biopsy. Cardiovasc Intervent Radiol 2004; 27 (02) 91-104
22 Krücker J, Xu S, Glossop N. , et al. Electromagnetic tracking for thermal ablation and biopsy guidance: clinical evaluation of spatial accuracy. J Vasc Interv Radiol 2007; 18 (09) 1141-1150
23 Krücker J, Xu S, Venkatesan A. , et al. Clinical utility of real-time fusion guidance for biopsy and ablation. J Vasc Interv Radiol 2011; 22 (04) 515-524
24 Schubert T, Jacob AL, Pansini M, Liu D, Gutzeit A, Kos S. CT-guided interventions using a free-hand, optical tracking system: initial clinical experience. Cardiovasc Intervent Radiol 2013; 36 (04) 1055-1062
25 Akins EW, Hawkins Jr IF, Mladinich C, Tupler R, Siragusa RJ, Pry R. The blunt needle: a new percutaneous access device. AJR Am J Roentgenol 1989; 152 (01) 181-182
26 Heavner JE, Racz GB, Jenigiri B, Lehman T, Day MR. Sharp versus blunt needle: a comparative study of penetration of internal structures and bleeding in dogs. Pain Pract 2003; 3 (03) 226-231
27 de Bazelaire C, Farges C, Mathieu O. , et al. Blunt-tip coaxial introducer: a revisited tool for difficult CT-guided biopsy in the chest and abdomen. AJR Am J Roentgenol 2009; 193 (02) W144–8
28 Gupta S, Ahrar K, Morello Jr FA, Wallace MJ, Madoff DC, Hicks ME. Using a coaxial technique with a curved inner needle for CT-guided fine-needle aspiration biopsy. AJR Am J Roentgenol 2002; 179 (01) 109-112
29 De Filippo M, Saba L, Rossi E. , et al. Curved needles in CT-guided fine needle biopsies of abdominal and retroperitoneal small lesions. Cardiovasc Intervent Radiol 2015; 38 (06) 1611-1616
30 Rutigliano S, Abraham JA, Kenneally BE, Zoga AC, Nevalainen M, Roedl JB. Analysis of a steerable needle for fine needle aspiration and biopsy: efficiency and radiation dose compared with a conventional straight needle. J Comput Assist Tomogr 2017; 41 (06) 957-961
31 Singh AK, Leeman J, Shankar S, Ferrucci JT. Core biopsy with curved needle technique. AJR Am J Roentgenol 2008; 191 (06) 1745-1750
32 Haaga JR, Beale SM. Use of CO2 to move structures as an aid to percutaneous procedures. Radiology 1986; 161 (03) 829-830
33 Langen HJ, Jochims M, Günther RW. Artificial displacement of kidneys, spleen, and colon by injection of physiologic saline and CO2 as an aid to percutaneous procedures: experimental results. J Vasc Interv Radiol 1995; 6 (03) 411-416
34 de Baère T, Dromain C, Lapeyre M. , et al. Artificially induced pneumothorax for percutaneous transthoracic radiofrequency ablation of tumors in the hepatic dome: initial experience. Radiology 2005; 236 (02) 666-670
35 Favelier S, Guiu S, Cherblanc V, Cercueil JP, Krausé D, Guiu B. Transthoracic adrenal biopsy procedure using artificial carbon dioxide pneumothorax as outpatient procedure. Cardiovasc Intervent Radiol 2013; 36 (04) 1184-1187
36 Arellano RS, Gervais DA, Mueller PR. CT-guided drainage of abdominal abscesses: hydrodissection to create access routes for percutaneous drainage. AJR Am J Roentgenol 2011; 196 (01) 189-191
37 de Kerviler E, Guermazi A, Gossot D. , et al. Use of an abdominal compression device for CT-guided biopsy of enlarged abdominal or pelvic lymph nodes. J Vasc Interv Radiol 1998; 9 (02) 353-357
38 Puylaert JB. Acute appendicitis: US evaluation using graded compression. Radiology 1986; 158 (02) 355-360
39 Memel DS, Dodd III GD, Esola CC. Efficacy of sonography as a guidance technique for biopsy of abdominal, pelvic, and retroperitoneal lymph nodes. AJR Am J Roentgenol 1996; 167 (04) 957-962
40 Kim JW, Shin SS. Ultrasound-guided percutaneous core needle biopsy of abdominal viscera: tips to ensure safe and effective biopsy. Korean J Radiol 2017; 18 (02) 309-322
41 Park SY, Park BK, Kim CK. Sonographically guided transhepatic core biopsies of right renal and adrenal masses: safety and short-term follow-up. J Ultrasound Med 2013; 32 (11) 2013-2021
42 Yamakado K, Takaki H, Nakatsuka A. , et al. Percutaneous transhepatic drainage of inaccessible abdominal abscesses following abdominal surgery under real-time CT-fluoroscopic guidance. Cardiovasc Intervent Radiol 2010; 33 (01) 161-163
43 Ciftci TT, Akinci D, Akhan O. Percutaneous transhepatic drainage of inaccessible postoperative abdominal abscesses. AJR Am J Roentgenol 2012; 198 (02) 477-481
44 Mueller PR, Ferrucci Jr JT, Simeone JF. , et al. Lesser sac abscesses and fluid collections: drainage by transhepatic approach. Radiology 1985; 155 (03) 615-618
45 McDermott S, Levis DA, Arellano RS. Approaches to the difficult drainage and biopsy. Semin Intervent Radiol 2012; 29 (04) 256-263
46 Gupta S, Ahrar K, Morello Jr FA, Wallace MJ, Hicks ME. Masses in or around the pancreatic head: CT-guided coaxial fine-needle aspiration biopsy with a posterior transcaval approach. Radiology 2002; 222 (01) 63-69
47 Sofocleous CT, Schubert J, Brown KT, Brody LA, Covey AM, Getrajdman GI. CT-guided transvenous or transcaval needle biopsy of pancreatic and peripancreatic lesions. J Vasc Interv Radiol 2004; 15 (10) 1099-1104
48 Maher MM, Gervais DA, Kalra MK. , et al. The inaccessible or undrainable abscess: how to drain it. Radiographics 2004; 24 (03) 717-735
49 Tseng HS, Chen CY, Chan WP, Chiang JH. Percutaneous transgastric computed tomography-guided biopsy of the pancreas using large needles. World J Gastroenterol 2009; 15 (47) 5972-5975
50 Ferrucci Jr JT, Wittenberg J, Mueller PR. , et al. Diagnosis of abdominal malignancy by radiologic fine-needle aspiration biopsy. AJR Am J Roentgenol 1980; 134 (02) 323-330
51 Mueller PR, Miketic LM, Simeone JF. , et al. Severe acute pancreatitis after percutaneous biopsy of the pancreas. AJR Am J Roentgenol 1988; 151 (03) 493-494
52 Sacks D, Robinson ML. Transgastric percutaneous drainage of pancreatic pseudocysts. AJR Am J Roentgenol 1988; 151 (02) 303-306
53 Petit P, Bret PM, Lough JO, Reinhold C. Risks associated with intestinal perforation during experimental percutaneous drainage. Invest Radiol 1992; 27 (12) 1012-1019
54 Gupta S, Wallace MJ, Morello Jr FA, Ahrar K, Hicks ME. CT-guided percutaneous needle biopsy of intrathoracic lesions by using the transsternal approach: experience in 37 patients. Radiology 2002; 222 (01) 57-62
55 Gupta S, Nguyen HL, Morello Jr FA. , et al. Various approaches for CT-guided percutaneous biopsy of deep pelvic lesions: anatomic and technical considerations. Radiographics 2004; 24 (01) 175-189
56 Chehab M, Zintsmaster S, Jafri SZ, Richards M, Roy A. CT-guided transosseous soft tissue biopsy: techniques, outcomes and complications in 50 cases. Cardiovasc Intervent Radiol 2017; 40 (09) 1461-1468