CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2019; 29(02): 182-189
DOI: 10.4103/ijri.IJRI_96_19
Interventional Radiology

Basic interventional procedures: Practice essentials

Amar Mukund
Department of Interventional Radiology, Institute of Liver and Biliary Sciences, D-1, Vasant Kunj
,
Krishna Bhardwaj
Department of Radiology, VMMC and Safdarjung Hospital, Ansari Nagar
,
Chander Mohan
Department of Interventional Radiology, BLK Superspecialty Hospital, Pusa Raod, New Delhi, India
› Author Affiliations

Subject Editor: Financial support and sponsorship Nil.

Abstract

There has been an increasing demand in image-guided minimally invasive procedures and these have become an integral part of present-day clinical practice. Basic interventional radiology (IR) procedures have greatly reduced the need for invasive procedures for sampling as well as treating conditions like abscess and fluid collections. Owing to their minimally invasive nature, most of these procedures may be performed on the outpatient patients as daycare procedures. Some of these procedures in critically ill patients may be lifesaving. Basic interventional radiology (IR) procedures consist of image-guided fine-needle aspiration cytology and biopsy, tru-cut (core) biopsy, needle aspiration/drainage and percutaneous catheter drainage. This review aims to provide practice requisites for basic IR procedures.



Publication History

Article published online:
22 July 2021

© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 American College of Radiology. ACR-SIR-SPR Practice parameter for the performance of image-guided percutaneous needle biopsy (PNB) Revised 2018 (Res. 14). Available from: http://www.acr.org/*/media/ACR/Documents/PGTS/guidelines/PNB.pdf
  • 2 Veltri A, Bargellini I, Giorgi L, Almeida P, Akhan O. CIRSE guidelines on percutaneous needle biopsy (PNB). Cardiovasc Intervent Radiol 2017; 40: 1501-13
  • 3 Gupta S, Wallace MJ, Cardella JF, Kundu S, Miller DL, Rose SC. Society of Interventional Radiology Standards of Practice Committee. Quality improvement guidelines for percutaneous needle biopsy. J Vasc Interv Radiol 2010; 21: 969-75
  • 4 Gervais D, Brown S, Connolly SA, Brec SL, Harisinghani MG, Mueller PR. Percutaneous imaging-guided abdominal and pelvic abscess drainage in children. Radiographics 2004; 24: 737-54
  • 5 Wallace MJ, Chin KW, Fletcher TB, Bakal CW, Cardella JF, Grassi CJ. et al. Quality improvement guidelines for percutaneous drainage/aspiration of abscess and fluid collections. J Vasc Interv Radiol 2010; 21: 431-5
  • 6 American College of Radiology. ACR-SIR-SPR Practice parameter for specifications and performance of image-guided percutaneous drainage/aspiration of abscesses and fluid collections (PDAFC) Revised 2018 (Res. 13). Available from: https://www.acr.org/-/media/ACR/Files/Practice-Parameters/PDFAC.pdf
  • 7 Hogan MJ, Marshalleck FE, Sidhu MK, Connolly BL, Towbin RB, Saad WA. et al. Quality improvement guidelines for pediatric abscess and fluid drainage. J Vasc Interv Radiol 2012; 23: 1397-402
  • 8 Kandarpa K, Machan L. Handbook of Interventional Radiologic Procedures. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2016
  • 9 McGrath A, Sabharwal T. Interventional Radiology Procedures in Biopsy and Drainage. Gervais DA, Sabharwal T. (ed) Springer; New York: 2011.
  • 10 Lal H, Neyaz Z, Nath A, Borah S. CT-guided percutaneous biopsy of intrathoracic lesions. Korean J Radiol 2012; 13: 210-26
  • 11 Vijayaraghavan GR, David S, Bermudez-Allende M, Sarwat H. Imaging-guided parenchymal liver biopsy: How we do it. J Clin Imaging Sci 2010; 1: 30
  • 12 Farrell RJ, Smiddy PF, Pilkington RM, Tobin AA, Mooney EE, Temperley IJ. et al. Guided versus blind liver biopsy for chronic hepatitis C: Clinical benefits and costs. J Hepatol 1999; 30: 580-7
  • 13 Tsang WK, Luk WH, Lo A. Ultrasound-guided plugged percutaneous biopsy of solid organs in patients with bleeding tendencies. Hong Kong Med J 2014; 20: 107-12
  • 14 Uppot RN, Harisinghani MG, Gervais DA. Imaging-guided percutaneous renal biopsy: Rationale and approach. AJR Am J Roentgenol 2010; 194: 1443-9
  • 15 Cai YL, Xiong XZ, Lu J, Cheng Y, Yang C, Lin YX. et al. Percutaneous needle aspiration versus catheter drainage in the management of liver abscess: A systematic review and meta-analysis. HPB (Oxford) 2015; 17: 195-201
  • 16 Rajak CL, Gupta S, Jain S, Chawla Y, Gulati M, Suri S. Percutaneous treatment of liver abscesses: Needle aspiration versus catheter drainage. AJR Am J Roentgenol 1998; 170: 1035-9
  • 17 Zerem E, Hadzic A. Sonographically guided percutaneous catheter drainage versus needle aspiration in the management of pyogenic liver abscess. AJR Am J Roentgenol 2007; 189: W138-42
  • 18 Thoeni RF. The revised Atlanta classification of acute pancreatitis: Its importance for the radiologist and its effect on treatment. Radiology 2012; 262: 751-64
  • 19 Maher MM, Lucey BC, Gervais DA, Mueller PR. Acute pancreatitis: The role of imaging and interventional radiology. Cardiovasc Intervent Radiol 2004; 27: 208-25
  • 20 van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH. et al. A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med 2010; 362: 1491-502
  • 21 Freeman ML, Werner J, van Santvoort HC, Baron TH, Besselink MG, Windsor JA. et al. Interventions for necrotizing pancreatitis: Summary of a multidisciplinary consensus conference. Pancreas 2012; 41: 1176-94
  • 22 Mallick B, Dhaka N, Gupta P, Gulati A, Malik S, Sinha SK. et al. An audit of percutaneous drainage for acute necrotic collections and walled off necrosis in patients with acute pancreatitis. Pancreatology 2018; 18: 727-33
  • 23 Shyu JY, Sainani NI, Sahni VA, Chick JF, Chauhan NR, Conwell DL. et al. Necrotizing pancreatitis: Diagnosis, imaging, and intervention. Radiographics 2014; 34: 1218-39
  • 24 Segal D, Mortele KJ, Banks PA, Silverman SG. Acute necrotizing pancreatitis: Role of CT-guided percutaneous catheter drainage. Abdom Imaging 2007; 32: 351-61
  • 25 Singh AK, Shankar S, Gervais DA, Hahn PF, Mueller PR. Image guided percutaneous splenic interventions. Radiographics 2012; 32: 523-34
  • 26 Sammon J, Twomey M, Crush L, Maher MM, O’Connor OJ. Image-guided percutaneous splenic biopsy and drainage. Semin Intervent Radiol 2012; 29: 301-10
  • 27 Harisinghani M, Gervais D, Hahn P, Cho CH, Jhaveri K, Varghese J. et al. CT-guided transgluteal drainage of deep pelvic abscesses: Indications, technique, procedure-related complications, and clinical outcome. Radiographics 2002; 22: 1353-67
  • 28 Maher MM, Gervais DA, Kalra MK, Lucey B, Sahani DV, Arellano R. et al. The inaccessible or undrainable abscess: How to drain it. Radiographics 2004; 24: 717-35
  • 29 McNicholas MM, Mueller PR, Lee MJ, Echeverri J, Gazelle GS, Boland GW. et al. Percutaneous drainage of subphrenic fluid collections that occur after splenectomy: Efficacy and safety of transpleural versus extrapleural approach. AJR Am J Roentgenol 1995; 165: 355-9