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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2023; 07(02): 108-112
DOI: 10.1055/s-0042-1751223
Case Series

Transcervical Access for Ultrasound-Guided Biopsy—A Safe Technique to Sample Apical Lung Lesions

Krishna Prasad Bellam Premnath 
1   Department of Radiology, Queen's Hospital, Romford, London, United Kingdom
,
Shubhada Yadavrao Bansode 
2   Department of Histopathology, Queen's Hospital, Romford, London, United Kingdom
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Abstract

Eight patients with apical lobe lung lesions referred for image-guided biopsy where the lesion was abutting the mediastinal or apical pleura, and was visible in ultrasound using a suprasternal–supraclavicular route were consented and subjected to successful ultrasound-guided transcervical biopsy using different routes based on lesion characteristics and location of vital vascular structures—either through the thyroid gland, by the side of the gland lateral to the common carotid artery, or between the thyroid gland and common carotid artery after hydrodissection. Transthyroid access was used in 50% of cases. There were no immediate or long-term complications in any patient over a mean follow-up period of 28.5 months. Sample adequacy was 100%.

Keywords

transcervical - transthyroid - lung apex - core biopsy

Data Availability Statement

The dataset is included in this manuscript.




Publication History

Article published online:
14 July 2022

© 2022. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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