SandhiyaR
New
PROCEDURE: CT-guided biopsy inferior vena cava intraluminal mass
COMPARISON: Multiple prior CTs and MR venography
INDICATION: vena cava mass
SEDATION: Moderate IV, 2 mg Versed, 100 mcg Fentanyl, 20 minutes
sedation time, monitored by nursing staff
TECHNIQUE:
With patient in prone position, localizing images of the upper abdomen
were performed and optimal approach path was determined. Sterile prep
and drape was performed followed by administration of local anesthesia
and advancement of 17-gauge guide and coaxial advancement of 18-gauge
core biopsy needle to the posterior wall of the inferior vena cava. 50
cc intravenous contrast was given at this point to better define the
intracaval mass. After optimal position was confirmed 3 18-gauge core
samples were retrieved and submitted to pathology for further
evaluation. Follow-up images showed no significant complicating factor.
IMPRESSION:
1. Uncomplicated CT-guided biopsy intraluminal vena cava mass
COMPARISON: Multiple prior CTs and MR venography
INDICATION: vena cava mass
SEDATION: Moderate IV, 2 mg Versed, 100 mcg Fentanyl, 20 minutes
sedation time, monitored by nursing staff
TECHNIQUE:
With patient in prone position, localizing images of the upper abdomen
were performed and optimal approach path was determined. Sterile prep
and drape was performed followed by administration of local anesthesia
and advancement of 17-gauge guide and coaxial advancement of 18-gauge
core biopsy needle to the posterior wall of the inferior vena cava. 50
cc intravenous contrast was given at this point to better define the
intracaval mass. After optimal position was confirmed 3 18-gauge core
samples were retrieved and submitted to pathology for further
evaluation. Follow-up images showed no significant complicating factor.
IMPRESSION:
1. Uncomplicated CT-guided biopsy intraluminal vena cava mass