Percutaneous endovascular biopsy of intravascular masses: efficacy and safety in establishing pre-therapy diagnosis View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-08-04

AUTHORS

Anastasia Pomoni, Charalampos Sotiriadis, Frédérique Gay, Anne-Marie Jouannic, Salah D. Qanadli

ABSTRACT

PurposeTo evaluate the efficacy and safety of percutaneous endovascular biopsy (PEB) in intravascular filling-defect lesions (IVLs) of the great vessels.Material and methodsWe retrospectively reviewed 19 patients (age 65 ± 12 years), 11 men and eight women, who underwent PEB for IVLs, between March 2004 and November 2014. All PEBs were performed for early diagnosis and/or characterization of the IVL, or in case of reasonable doubt about the IVL nature. Pre-intervention imaging work-up included CT, MRI and/or PET-CT. PEBs were obtained with a 7F biopsy forceps device. Clinical profile, procedure technical success and safety, and clinical success were evaluated.ResultsPEB was technically successful in all patients (mean of two samples per IVL). No intra- or post-procedural complications were reported. Histopathological analysis provided a diagnosis in all PEBs with a clinical success of 100%. Of the 19 IVLs, 14 were malignant (74%). The most frequent malignant lesion observed was leiomyosarcoma (29%). Benign lesions (26%) included three thrombi (pulmonary artery) and two myxomas.ConclusionPEB is a safe and efficient procedure providing the most effective technique to obtain a tissue sample of high diagnostic quality, which serves to establish early diagnosis in patients with suspected malignant lesions.Key Points• Intravascular filling-defect lesions are related to both benign conditions and malignant tumours.• Endovascular biopsy is indicated in case of doubt about intravascular lesion nature.• Percutaneous endovascular biopsy is a safe technique.• Endovascular biopsy provides tissue samples leading to correct histopathological analysis.• Percutaneous endovascular biopsy provides early diagnosis of malignant intravascular lesions. More... »

PAGES

301-307

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00330-017-4983-9

DOI

http://dx.doi.org/10.1007/s00330-017-4983-9

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1091051593

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28779399


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