The Radiopaedia Reading Room Podcast 10. Biopsy and drainage tips with Heather Moriarty and Chris Nicholas
Mar 27, 2023
Heather Moriarty, an interventional radiologist at Cork University Hospital, and Chris Nicholas from Great Lakes Medical Imaging, delve into the world of image-guided procedures. They share tips for performing safe biopsies while managing anticoagulation, emphasizing patient comfort and procedural precision. The duo also discusses the balancing act of interventional tasks and diagnostic responsibilities. Light-hearted cocktail banter adds a fun twist, making complex topics more engaging. Prepare for valuable insights sprinkled with humor!
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Prefer Shallow Breathing Over Holds
- Avoid breath-hold commands; encourage normal shallow breathing and time movements to respiration.
- Cover needles and move predictably to reduce patient anxiety and sudden big breaths.
Prevent Tract Seeding For High-Risk Lesions
- When biopsying lesions with seeding risk (e.g., possible HCC), use coaxial technique and traverse normal parenchyma.
- Take precautions to reduce tract seeding in high-stakes patients like transplant candidates.
Favor Coaxial Needles For Multiple Cores
- Use coaxial systems when you need multiple cores or want to limit capsule punctures.
- Use the coaxial tract to deliver gel foam or embolic material if bleeding occurs.