Transthoracic Adrenal Biopsy Procedure Using Artificial Carbon Dioxide Pneumothorax as Outpatient Procedure

Journal Article · Thu Aug 01 00:00:00 EDT 2013 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-012-0508-8· OSTI ID:22121744

Favelier, Sylvain ^[1]; Guiu, Severine ^[2]; Cherblanc, Violaine; Cercueil, Jean-Pierre; Krause, Denis; Guiu, Boris ^[1]

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1. CHU (University Hospital), Department of Radiology (France)
2. Georges-Francois Leclerc Cancer Center, Department of Oncology (France)

Many routes have been described for percutaneous adrenal gland biopsy. They require either a complex non-axial path or a long hydrodissection or even pass through an organ thereby increasing complications. We describe here an approach using an artificially-induced carbon dioxide (CO{sub 2}) pneumothorax, performed as an outpatient procedure in a 57-year-old woman. Under local anaesthesia, 200 ml of CO{sub 2} was injected in the pleural space through a Veress needle under computed tomography fluoroscopy, to clear the lung parenchyma from the biopsy route. Using this technique, transthoracic adrenal biopsy can be performed under simple local anaesthesia as an safely outpatient procedure.

• OSTI ID: 22121744
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 36, Issue 4; Other Information: Copyright (c) 2013 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ADRENAL GLANDS
ANESTHESIA
BIOPSY
CARBON DIOXIDE
COMPUTERIZED TOMOGRAPHY
FLUOROSCOPY
LUNGS
WOMEN