Jose Carmelo Albillos Merino MD, Presenter: Nothing to Disclose

Susana Hernandez Muniz MD, Abstract Co-Author: Nothing to Disclose

Javier Azpeitia Arman MD, Abstract Co-Author: Nothing to Disclose

Rosa M. Lorente-Ramos MD, PhD, Abstract Co-Author: Nothing to Disclose

Alvaro Paniagua MD, Abstract Co-Author: Nothing to Disclose

To describe the main thoracic interventions that can be achieved by ultrasound guidance. To propose a tailored approach with tips and tricks.

US-guided interventional procedures main advantages are that can be performed at the patient bed-side, permit a safe real-time control of the interventions without the use of ionizing radiation and are cost and time-effective. US has been considered to have a secondary role in interventions on the thorax. Nevertheless, most thoracic structures are adequately imaged by US and, as a result, interventional procedures can be safely performed with US-guidance. The main procedures that can be performed are biopsies (fine-needle and core biopsy) and drainage of fluid collections. The organs that can be reached by US are located in the chest wall, mediastinum, pericardium, pleura, pleural cavity and in the subpleural pulmonary parenchimas. We propose a guide to the interventions based on a tailored approach with real cases. Several steps must be followed: To depict the lesion with avalaible imaging techniques . To decide the best approach to the lesion. To verify correct visualization of the lesion with US. To perform the procedure with adequate technique and material. To assess  absence of complications.  

http://abstract.rsna.org/uploads/2014/14004645/14004645_gx9e.pdf

Albillos Merino, J, Hernandez Muniz, S, Azpeitia Arman, J, Lorente-Ramos, R, Paniagua, A, Ultrasound-Guided Thoracic Interventions: Practical Guide With Tips and Tricks.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14004645.html