Akhilesh Pillai , Achintya A. Patel MD , Ankit Mehta MD , Moaz M. Choudhary MD
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Transvenous biopsy of abdominal-pelvic lesions with no safe percutaneous access: How we do it
Recent developments in cancer genomics have allowed for comprehensive genomic profiling of tumors, thereby allowing oncologists to provide targeted therapies for patients with advanced cancers. This has made it even more important to obtain adequate core biopsies of lesions targeted for biopsies. While most lesions can be biopsied safely percutaneously using CT and ultrasound guidance, some lesions do not have a safe percutaneous window, thereby necessitating alternative biopsy techniques, such as transvenous biopsies, to aid in diagnosis and treatment. This review explores the use and technique of the transvenous approach for targeting small abdominal and pelvic masses using intravascular ultrasound guidance.
期刊介绍:
Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.