Percutaneous Transcaval Biopsy Technique in the Evaluation of Inferior Vena Cava Occlusion

Robins, Jon M.; Bookstein, Joseph J.

doi:10.1148/105.2.451

Cited by 19 publications

(6 citation statements)

References 4 publications

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“…Subsequently, we planned to perform biopsy for the IVC tumor transvenously to confirm the histological diagnosis. Transvenous biopsy for malignancy is an established technique, which was first reported by Robins and Bookstein in 1972, 9 but underused as an alternative to open or percutaneous biopsy for the diagnosis of malignancy. However, only small case series for the technique have been described the safety and accuracy of transvenous biopsy for malignancy 10,11 .…”

Section: Discussionmentioning

confidence: 99%

Small renal cell carcinoma accompanied by extensive inferior vena cava tumor thrombus diagnosed by percutaneous transvenous biopsy

Tsukada,

Hayakawa,

Aida

et al. 2023

IJU Case Reports

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IntroductionUp to 10% of patients with renal cell carcinoma present with tumor thrombus in the inferior vena cava. We report that a case of small renal cell carcinoma with tumor thrombus extending above the diaphragm for which transvenous biopsy was performed for diagnosis.Case presentationA 79‐year‐old man performed computed tomography to evaluate hepatic dysfunction, which revealed intravenous tumor extending above the diaphragm and a 15‐mm‐sized exophytic tumor in right kidney. Imaging suggested that the renal tumor was renal cell carcinoma. As this tumor was small and exophytic, confirmation of the intravenous tumor being tumor thrombus associated with renal cell carcinoma was difficult. We simultaneously performed transvenous biopsy on the intravenous tumor and percutaneous biopsy on the renal tumor for obtaining histologic diagnoses. The final diagnosis was small renal cell carcinoma accompanied by tumor thrombus above the diaphragm.ConclusionTransvenous biopsy may be useful for the definitive diagnosis of inferior vena cava‐tumor thrombus in cases of small renal cell carcinoma.

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Section: Discussionmentioning

confidence: 99%

Small renal cell carcinoma accompanied by extensive inferior vena cava tumor thrombus diagnosed by percutaneous transvenous biopsy

Tsukada,

Hayakawa,

Aida

et al. 2023

IJU Case Reports

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“…To our knowledge, transcaval biopsy of an inferior vena caval tumor was first reported in 1972 using a gastroscopic biopsy forceps [4]. A complication rate of 6% and a mortality rate of 0.3% has been reported for transvenous right ventricular endomyocardial forceps biopsy in a large series of patients with cardiomyopathy [17].…”

Section: Discussionmentioning

confidence: 99%

“…Although CT-or MR-imaging and echocardiography provide accurate assessment of the size, location and point of attachment of these tumors, tissue characterization is not possible [2,3]. Therefore, a variety of transluminal techniques such as forceps biopsy [4,5], brushing [6], aspiration [7,8] or scoop biopsy [9] have been utilized to obtain tissue for histological or cytological examination of cavo-atrial tumors. However, there are several known causes of erroneous or non-diagnostic samplings associated with some of these techniques including superficial apposition clots, low cellularity of the lesion or crushing artefacts.…”

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confidence: 99%

Transvenous Biopsy of Cavo-Atrial Tumors with the Quick-Core Needle

Schertler

Kurrer

Marinček

et al. 2004

CVIR

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A variant application of the renal Quick-Core needle in 3 patients with cavo-atrial tumors is reported. In all 3 patients either a transjugular or transfemoral venous biopsy approach with this device yielded sufficient tissue for histological diagnosis at the first attempt. Bioptic diagnoses were confirmed either by surgery or radiological and clinical response to a specific chemotherapy. There were no procedure-related complications.

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“…Several techniques have been de scribed, including aspiration biopsy, brush biopsy, and, as in our case, forceps biopsy [22][23][24][25][26], The literature regard ing endovascular biopsy is limited, and no systematic assessment of the various approaches is available. Of the 12 reported cases with endovascular biopsy of IVC masses, 10 were biopsied from a transfemoral approach without complications.…”

Section: Discussionmentioning

confidence: 99%

Intracaval Extension of Germ Cell Carcinoma: Diagnosis via Endovascular Biopsy and a Review of the Literature

Fidias

Fan

et al. 1997

Eur Urol

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Percutaneous Transcaval Biopsy Technique in the Evaluation of Inferior Vena Cava Occlusion

Cited by 19 publications

References 4 publications

Small renal cell carcinoma accompanied by extensive inferior vena cava tumor thrombus diagnosed by percutaneous transvenous biopsy

Small renal cell carcinoma accompanied by extensive inferior vena cava tumor thrombus diagnosed by percutaneous transvenous biopsy

Transvenous Biopsy of Cavo-Atrial Tumors with the Quick-Core Needle

Intracaval Extension of Germ Cell Carcinoma: Diagnosis via Endovascular Biopsy and a Review of the Literature

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