Key result
Transcaval mediastinal biopsy offers a potentially safer alternative to percutaneous biopsy in critically ill patients.
Why the study?
Percutaneous chest biopsy of thoracic masses carries recognized risks and may be unsafe in critically unwell patients with mediastinal masses.
Does transcaval biopsy using a transjugular hepatic biopsy needle provide a safe alternative for diagnostic sampling in a critically unwell patient with a mediastinal mass?
Case Report (n=1)
Does transcaval biopsy using a transjugular hepatic biopsy needle provide a safe alternative for diagnostic sampling in a critically unwell patient with a mediastinal mass?
Transcaval mediastinal biopsy using a transjugular hepatic biopsy needle may offer a safer alternative to percutaneous biopsy for critically ill patients with mediastinal masses.
Hypothesis-generating for transcaval access in high-risk mediastinal sampling; larger studies needed before clinical consideration.
Imaging-guided percutaneous chest biopsy is a commonly performed procedure and considered the minimally invasive gold standard for histopathological investigation of thoracic masses. Recognized complications include pneumothorax, air embolism, and seeding of the biopsy tract. We describe a novel approach to diagnostic sampling of a mediastinal mass in a critically unwell patient using a transjugular hepatic biopsy needle. Transcaval mediastinal biopsy may represent a safer alternative to percutaneous biopsy of mediastinal masses in critically unwell patients.
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Logaraj et al. (2016) conducted a case report in Mediastinal mass compressing the superior vena cava (n=1). Transcaval mediastinal biopsy using a transjugular hepatic biopsy needle was evaluated. Transcaval mediastinal biopsy using a transjugular hepatic biopsy needle was successfully performed, representing a potentially safer alternative to percutaneous biopsy in critically unwell patients.
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