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Title: Percutaneous Management of Accidentally Retained Foreign Bodies During Image-Guided Non-vascular Procedures: Novel Technique Using a Large-Bore Biopsy System

Abstract

ObjectiveTo describe a novel percutaneous image-guided technique using a large-bore biopsy system to retrieve foreign bodies (FBs) accidentally retained during non-vascular interventional procedures.Materials and MethodsBetween May 2013 and October 2015, five patients underwent percutaneous retrieval of five iatrogenic FBs, including a biopsy needle tip in the femoral head following osteoblastoma biopsy and radiofrequency ablation (RFA); a co-axial needle shaft within a giant desmoid tumour following cryoablation; and three post-vertebroplasty cement tails within paraspinal muscles. All FBs were retrieved immediately following original procedures under local or general anaesthesia, using combined computed tomography (CT) and fluoroscopic guidance. The basic technique involved positioning a 6G trocar sleeve around the FB long axis and co-axially advancing an 8G biopsy needle to retrieve the FB within the biopsy core. Retrospective chart review facilitated analysis of procedures, FBs, technical success, and complications.ResultsMean FB size was 23 mm (range 8–74 mm). Four FBs were located within 10 mm of non-vascular significant anatomic structures. The basic technique was successful in 3 cases; 2 cases required technical modifications including using a stiff guide-wire to facilitate retrieval in the case of the post-cryoablation FB; and using the central mandrin of the 6G trocar to push a cement tract back into an augmented vertebramore » when initial retrieval failed. Overall technical success (FB retrieval or removal to non-hazardous location) was 100 %, with no complications.ConclusionPercutaneous image-guided retrieval of iatrogenic FBs using a large-bore biopsy system is a feasible, safe, effective, and versatile technique, with potential advantages over existing methods.« less

Authors:
;  [1];  [2]; ; ; ; ; ;  [1]
  1. Hôpitaux Universitaires de Strasbourg, HUS, Department of Interventional Radiology, Nouvel Hôpital Civil (France)
  2. Norfolk and Norwich University Hospital, Department of Radiology (United Kingdom)
Publication Date:
OSTI Identifier:
22642490
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 39; Journal Issue: 7; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABLATION; ANESTHESIA; BIOPSY; CEMENTS; COMPUTERIZED TOMOGRAPHY; HEAD; IMAGES; MINE SHAFTS; MODIFICATIONS; MUSCLES; NEOPLASMS; PATIENTS; RADIOWAVE RADIATION; REVIEWS; VERTEBRAE

Citation Formats

Cazzato, Roberto Luigi, E-mail: gigicazzato@hotmail.it, Garnon, Julien, E-mail: juleiengarnon@gmail.com, Ramamurthy, Nitin, E-mail: nitin-ramamurthy@hotmail.com, Tsoumakidou, Georgia, E-mail: georgia.tsoumakidou@chru-strasbourg.fr, Caudrelier, Jean, E-mail: jean.caudrelier@chru-strasbourg.fr, Thénint, Marie-Aude, E-mail: marie-aude.thenint@chru-strasbourg.fr, Rao, Pramod, E-mail: pramodrao@me.com, Koch, Guillaume, E-mail: guillaume.koch@chru-strasbourg.fr, and Gangi, Afshin, E-mail: gangi@unistra.fr. Percutaneous Management of Accidentally Retained Foreign Bodies During Image-Guided Non-vascular Procedures: Novel Technique Using a Large-Bore Biopsy System. United States: N. p., 2016. Web. doi:10.1007/S00270-016-1302-9.
Cazzato, Roberto Luigi, E-mail: gigicazzato@hotmail.it, Garnon, Julien, E-mail: juleiengarnon@gmail.com, Ramamurthy, Nitin, E-mail: nitin-ramamurthy@hotmail.com, Tsoumakidou, Georgia, E-mail: georgia.tsoumakidou@chru-strasbourg.fr, Caudrelier, Jean, E-mail: jean.caudrelier@chru-strasbourg.fr, Thénint, Marie-Aude, E-mail: marie-aude.thenint@chru-strasbourg.fr, Rao, Pramod, E-mail: pramodrao@me.com, Koch, Guillaume, E-mail: guillaume.koch@chru-strasbourg.fr, & Gangi, Afshin, E-mail: gangi@unistra.fr. Percutaneous Management of Accidentally Retained Foreign Bodies During Image-Guided Non-vascular Procedures: Novel Technique Using a Large-Bore Biopsy System. United States. doi:10.1007/S00270-016-1302-9.
Cazzato, Roberto Luigi, E-mail: gigicazzato@hotmail.it, Garnon, Julien, E-mail: juleiengarnon@gmail.com, Ramamurthy, Nitin, E-mail: nitin-ramamurthy@hotmail.com, Tsoumakidou, Georgia, E-mail: georgia.tsoumakidou@chru-strasbourg.fr, Caudrelier, Jean, E-mail: jean.caudrelier@chru-strasbourg.fr, Thénint, Marie-Aude, E-mail: marie-aude.thenint@chru-strasbourg.fr, Rao, Pramod, E-mail: pramodrao@me.com, Koch, Guillaume, E-mail: guillaume.koch@chru-strasbourg.fr, and Gangi, Afshin, E-mail: gangi@unistra.fr. Fri . "Percutaneous Management of Accidentally Retained Foreign Bodies During Image-Guided Non-vascular Procedures: Novel Technique Using a Large-Bore Biopsy System". United States. doi:10.1007/S00270-016-1302-9.
@article{osti_22642490,
title = {Percutaneous Management of Accidentally Retained Foreign Bodies During Image-Guided Non-vascular Procedures: Novel Technique Using a Large-Bore Biopsy System},
author = {Cazzato, Roberto Luigi, E-mail: gigicazzato@hotmail.it and Garnon, Julien, E-mail: juleiengarnon@gmail.com and Ramamurthy, Nitin, E-mail: nitin-ramamurthy@hotmail.com and Tsoumakidou, Georgia, E-mail: georgia.tsoumakidou@chru-strasbourg.fr and Caudrelier, Jean, E-mail: jean.caudrelier@chru-strasbourg.fr and Thénint, Marie-Aude, E-mail: marie-aude.thenint@chru-strasbourg.fr and Rao, Pramod, E-mail: pramodrao@me.com and Koch, Guillaume, E-mail: guillaume.koch@chru-strasbourg.fr and Gangi, Afshin, E-mail: gangi@unistra.fr},
abstractNote = {ObjectiveTo describe a novel percutaneous image-guided technique using a large-bore biopsy system to retrieve foreign bodies (FBs) accidentally retained during non-vascular interventional procedures.Materials and MethodsBetween May 2013 and October 2015, five patients underwent percutaneous retrieval of five iatrogenic FBs, including a biopsy needle tip in the femoral head following osteoblastoma biopsy and radiofrequency ablation (RFA); a co-axial needle shaft within a giant desmoid tumour following cryoablation; and three post-vertebroplasty cement tails within paraspinal muscles. All FBs were retrieved immediately following original procedures under local or general anaesthesia, using combined computed tomography (CT) and fluoroscopic guidance. The basic technique involved positioning a 6G trocar sleeve around the FB long axis and co-axially advancing an 8G biopsy needle to retrieve the FB within the biopsy core. Retrospective chart review facilitated analysis of procedures, FBs, technical success, and complications.ResultsMean FB size was 23 mm (range 8–74 mm). Four FBs were located within 10 mm of non-vascular significant anatomic structures. The basic technique was successful in 3 cases; 2 cases required technical modifications including using a stiff guide-wire to facilitate retrieval in the case of the post-cryoablation FB; and using the central mandrin of the 6G trocar to push a cement tract back into an augmented vertebra when initial retrieval failed. Overall technical success (FB retrieval or removal to non-hazardous location) was 100 %, with no complications.ConclusionPercutaneous image-guided retrieval of iatrogenic FBs using a large-bore biopsy system is a feasible, safe, effective, and versatile technique, with potential advantages over existing methods.},
doi = {10.1007/S00270-016-1302-9},
journal = {Cardiovascular and Interventional Radiology},
number = 7,
volume = 39,
place = {United States},
year = {Fri Jul 15 00:00:00 EDT 2016},
month = {Fri Jul 15 00:00:00 EDT 2016}
}