Logaraj Anthony, Edwards Philip
Department of Radiology Royal North Shore Hospital Sydney Australia.
Respirol Case Rep. 2016 Dec 20;5(2):e00213. doi: 10.1002/rcr2.213. eCollection 2017 Mar.
Imaging-guided percutaneous chest biopsy is a commonly performed procedure and considered the minimally invasive gold standard for histopathological investigation of thoracic masses. Recognized complications include pneumothorax, air embolism, and seeding of the biopsy tract. We describe a novel approach to diagnostic sampling of a mediastinal mass in a critically unwell patient using a transjugular hepatic biopsy needle. Transcaval mediastinal biopsy may represent a safer alternative to percutaneous biopsy of mediastinal masses in critically unwell patients.
影像引导下经皮胸部活检是一种常用的操作，被认为是胸部肿块组织病理学检查的微创金标准。公认的并发症包括气胸、空气栓塞和活检通道种植转移。我们描述了一种在病情危急的患者中使用经颈静脉肝活检针诊断性取材纵隔肿块的新方法。经腔静脉纵隔活检可能是病情危急的患者纵隔肿块经皮活检的一种更安全的替代方法。
