Parvinian Ahmad, Hibbert Rebecca, Kurup A Nicholas, Weisbrod Adam
Department of Radiology, Mayo Clinic, Rochester, USA.
Abdom Radiol (NY). 2025 Aug 22. doi: 10.1007/s00261-025-05155-9.
Percutaneous image-guided interventions are minimally invasive alternatives to surgery for diagnosis and management of various abdominal disease processes. However, persistent misconceptions about these procedures continue to hinder their appropriate use. This review addresses common myths that can lead to unnecessary treatment delays or use of more invasive interventions, including concerns about the safety of splenic biopsy, rigid contraindications for antiplatelet medication use, bleeding risks with direct liver mass puncture, tumor seeding from renal biopsies, complications from multiple liver biopsy passes, and increased risk of liver biopsy in the setting of ascites. By clarifying these issues, this article aims to promote evidence-based use of percutaneous procedures.
经皮影像引导介入是用于诊断和管理各种腹部疾病过程的手术的微创替代方法。然而,对这些手术持续存在的误解继续阻碍其合理使用。本综述探讨了可能导致不必要的治疗延迟或使用更具侵入性的干预措施的常见误区,包括对脾活检安全性的担忧、抗血小板药物使用的严格禁忌证、直接肝肿块穿刺的出血风险、肾活检导致的肿瘤种植、多次肝活检穿刺的并发症以及腹水情况下肝活检风险增加。通过澄清这些问题,本文旨在促进经皮手术的循证使用。