Interventional Radiology Network

Precision in Action: Ultrasound-Guided Percutaneous Prostate Biopsy 💉

☄️ Draining an Aortic Abscess Post-EVAR - yes or no? Proud to share a challenging and highly unusual case! Our patient, previously treated with EVAR for an aortic aneurysm a year ago, returned with severe back pain. A CT scan revealed a collection (yellow arrows) with air-fluid level (orange arrow) encasing the aortic prosthesis—an abscess ⚠️ ⚠️ Working alongside my colleagues in cardiovascular surgery, we determined the best course was a CT-guided percutaneous drainage. Here’s a look at the process: the first image shows the diagnostic CT scan and the final result with successful evacuation of the collection (had purulent aspect in the tube); additional images illustrate each step of the tube placement procedure. The outcome? No complications, complete symptom resolution, and a grateful patient. We’re incredibly proud of this collaborative success! 🤝 courtesy case of Cezar Betianu

🔎 Recent findings suggest that percutaneous biopsy offers superior accuracy and safety compared to the endoscopic approach for pancreatic cancer diagnosis, particularly in cases with challenging anatomy or when multiple samples are needed. For more insights, check out the full article here: https://lnkd.in/esjvED2A

Retroperitoneal Adenopathie – Another Challenge Successfully Navigated Patient with history of breast cancer is found at follow up with a retroperitoneal adenopathy. We decided on a combined approach for biopsy- US and CT (for control during the procedure) Lesion was in close contact with the inferior vena cava. We used a transhepatic trajectory. (image 1&2) Thanks to careful planning and teamwork, the procedure was a success, and the patient was discharged just a few hours later with no complications 👏. 📌 Key takeaway? In sensitive cases like this, combining imaging techniques can ensure greater accuracy and confidence in reaching your target. #biopsy #interventionalradiology #ir #irnetwork #adenopathy #interventionaloncology

Update on this Interesting Case ⬇ We recently received the results from this case, and it turns out to be Erdheim-Chester disease – a rare and fascinating finding. We're proud to share this unique diagnosis with the community!

3-Month Cryoablation Follow-Up: Successful Scarring 🙌 The first image shows promising results at the 3-month follow-up after a lung cryoablation procedure performed on this patient, utilizing two probes (as seen in images 2 and 3). It’s crucial to remind patients to inform their radiologists about any prior ablation procedures to avoid misinterpreting post-ablation scarring on future scans. 💡 #Cryoablation #InterventionalRadiology #LungHealth #PatientCare #InterventionalOncology

🔍 Rare and Challenging Percutaneous Biopsy Case 🔍 We recently encountered a rare case involving a young patient with a tissue infiltration that encompassed the kidneys and major vessels, including the aorta and IVC. The differential diagnosis included Erdheim-Chester disease, lymphoma, and retroperitoneal fibrosis. We decided to perform a percutaneous core needle biopsy with a 18Ga needle targeting the tissue surrounding the kidneys. In the video you can see both the anesthesia and the biopsy. While we eagerly await the histopathology results, we’re excited to share this rare case with our network. Special thanks go to our colleagues in the cardiology department for referring the patient to us. This case highlights the importance of teamwork and multidisciplinary collaboration in achieving the best outcomes. 👏 #ir #interventionalradiology #network #percutaneousbiopsy #rarecase #teamwork #patientcare

🔹IR in pain management -celiac plexus block for pancreatic cancer🔹 Sharing a case where a patient with a cephalic pancreatic tumor (first image) was experiencing significant pain. To help with the symptoms, we performed a celiac plexus block. We approached this with the patient in ventral decubitus, using both US and CT guidance to position a 22 Ga needle (second image). As neurolytic agents we used alcohol and ropivacaine. We mixed this with contrast agent to have a good visualization on control CT (third image). The outcome was highly positive—by the end of the procedure, the patient already reported a noticeable reduction in pain intensity. #ir #interventionaloncology #interventionalradiology #radiology #percutaneous #nerveblock #cancer

This is the case of a patient who presented with a unique liver metastasis. TACE was chosen as a treatment option. On the first try we chose a brachial access but were not able to pass the subclavian artery as it had an important kinking. The next day we chose a femoral access and managed to selectively catheterize the artery for segment 4 with a 2.4 microcatheter. For embolization we used doxorubicin and lipiodol. (image 1,2) On the follow-up control, a few months later, CT showed successful embolization. (image 3) #tace #ir #interventionalradiology #liver #interventionaloncology

Cervical adenopathies in patient with history of breast cancer These were the only suspicious lesions at follow up and a percutaneous biopsy was suggested. As the lesions were superficial, it was easy to approach them with US guidance in safe conditions. Semi-automatic needle was used without trocar this time. #adenopathy #biopsy #percutaneous #interventionalradiology #interventionaloncology