William T. Derry MD, Presenter: Nothing to Disclose

Anshuman Kumar Bansal MD, Abstract Co-Author: Nothing to Disclose

Scott J. Genshaft MD, Abstract Co-Author: Nothing to Disclose

Fereidoun G. Abtin MD, Abstract Co-Author: Nothing to Disclose

Antonio Joel Gutierrez MD, Abstract Co-Author: Nothing to Disclose

Robert D. Suh MD, Abstract Co-Author: Nothing to Disclose

The objective of this exhibit is to illustrate tips for performing successful percutaneous biopsy of lesions in precarious intrathoracic locations. We highlight practices that should help maximize the chances for a successful tissue yield while minimizing the rate of biopsy-associated complications. Management and prevention of common complications will also be addressed. 

A. Patient preparation and contraindications B. Pre-procedure preparation (indications, contraindications, choice of imaging modality, methods of sampling) C. Periprocedural considerations (positioning, anesthesia) D. Parenchyma (subpleural and central lesions, needle trajectories that decrease risk of pneumothorax, avoiding vascular structures, displacing lung) E. Mediastinum (inducing pleural effusions, direct mediastinal approach, transpleural approach with iatrogenic pneumothorax, techniques to expand the extrapleural window) F. Post-procedure care G. Complications and prevention

http://abstract.rsna.org/uploads/2014/14012049/14012049_bysu.pdf

Derry, W, Bansal, A, Genshaft, S, Abtin, F, Gutierrez, A, Suh, R, The Extreme Transthoracic Biopsy: Maximizing Yield and Minimizing Complications.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14012049.html