Sherk William M, Khaja Minhaj S, Majdalany Bill S, Saad Wael E, Udager Aaron M, Cooper Kyle J, Williams David M
Department of Radiology, University of Michigan Medical School, University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI 48103.
Department of Radiology, University of Michigan Medical School, University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI 48103.
J Vasc Interv Radiol. 2019 Jan;30(1):54-60. doi: 10.1016/j.jvir.2018.08.002. Epub 2018 Nov 5.
Between September 2008 and August 2017, 36 patients (mean age 56 y; range, 30-89 y) underwent transvenous biopsy of suspected tumor thrombus or perivascular tumor. Intravascular biopsy was pursued because of inaccessible percutaneous access in 9 patients (25%) and as part of a planned revascularization procedure in 27 patients (75%). Histopathologic results showed malignancy in 26 patients (72%) and benign etiologies in 10 patients (28%). No patients required repeat biopsy. There were no complications related to the biopsy procedure. The present series suggests that transvenous biopsy is a safe and accurate method of intravascular and perivascular mass tissue sampling.
2008年9月至2017年8月期间，36例患者（平均年龄56岁；范围30 - 89岁）接受了经静脉活检，以检查疑似肿瘤血栓或血管周围肿瘤。9例患者（25%）因经皮穿刺无法进行而进行血管内活检，27例患者（75%）作为计划性血管重建手术的一部分进行血管内活检。组织病理学结果显示，26例患者（72%）为恶性病变，10例患者（28%）为良性病因。无患者需要重复活检。没有与活检操作相关的并发症。本系列研究表明，经静脉活检是一种安全、准确的血管内和血管周围肿块组织采样方法。
