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CT-Guided Percutaneous Fine-Needle Aspiration Biopsy of the Inferior Vena Cava Wall: A Posterior Coaxial Approach

Kos, Sebastian ; Bilecen, Deniz ; Baumhoer, Daniel ; Guillaume, Nicolas ; Jacob, Augustinus

In: CardioVascular and Interventional Radiology, 2010, vol. 33, no. 1, p. 209-212

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    Titre
    • CT-Guided Percutaneous Fine-Needle Aspiration Biopsy of the Inferior Vena Cava Wall: A Posterior Coaxial Approach
    Auteur
    • Kos, Sebastian. Institute of Radiology, University Hospital Basel, Petersgraben 4, 4031, Basel, Switzerland
    • Bilecen, Deniz. Institute of Radiology, University Hospital Basel, Petersgraben 4, 4031, Basel, Switzerland
    • Baumhoer, Daniel. Institute of Pathology, University Hospital Basel, Schönbeinstrasse 40, 4003, Basel, Switzerland
    • Guillaume, Nicolas. Institute of Nuclear Medicine, University Hospital Basel, Petersgraben 4, 4031, Basel, Switzerland
    • Jacob, Augustinus. Institute of Radiology, University Hospital Basel, Petersgraben 4, 4031, Basel, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • CardioVascular and Interventional Radiology, 2010, vol. 33, no. 1, p. 209-212. Springer-Verlag
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:316014
    Summary
    A 72-year-old man was referred to our department with an incidentally diagnosed bronchogenic carcinoma of the right upper lobe. Positron emission tomography (PET) combined with computed tomography (PET-CT) revealed an unexpected hot spot in the ventral wall of the infrarenal segment of the inferior vena cava (IVC). Diagnostic biopsy of this lesion was performed under CT guidance with semiautomated 20G fine-needle aspiration (FNA) through a 19G coaxial needle. Cytology revealed few carcinoma cells, which led to the remarkable diagnosis of a distant metastasis to the IVC wall. Both the immediate postinterventional CT control and the further surveillance period of the patient were unremarkable; in particular, no signs of bleeding complications were detected. We conclude that coaxial FNA of an IVC wall lesion is technically feasible and may even help diagnose distant metastasis