Fatal mediastinal biopsy

How interventional radiology saves the day

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

This was a case of a 35-year-old man with mediastinal mass requiring computed tomography (CT)-guided biopsy for tissue diagnosis. A posterior approach with an 18-gauge biopsy needle was used to obtain tissue sample. Post biopsy, patient condition deteriorated and multiphase CT study detected active bleeding in arterial phase at the biopsy site with massive hemothorax. Subsequent angiography showed arterial bleeder arising from the apical branch of the right pulmonary artery. Selective endovascular embolization with NBCA (n-Butyl cyanoacrylate) was successful. Patient survived the complication. The case highlighted a rare complication in a common radiology procedure and the value of the interventional radiology unit in avoiding a fatal outcome.

Original languageEnglish
Pages (from-to)107-109
Number of pages3
JournalAnnals of Thoracic Medicine
Volume7
Issue number2
DOIs
Publication statusPublished - Apr 2012

Fingerprint

Interventional Radiology
Biopsy
Tomography
Cyanoacrylates
Hemothorax
Fatal Outcome
Needle Biopsy
Radiology
Pulmonary Artery
Angiography
Hemorrhage

Keywords

  • Biopsy
  • complications
  • computed tomography
  • guidance
  • mediastinum
  • therapeutic embolization

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Fatal mediastinal biopsy : How interventional radiology saves the day. / Yaacob, Nur Yazmin; Muda, S.; Zakaria, Rozman.

In: Annals of Thoracic Medicine, Vol. 7, No. 2, 04.2012, p. 107-109.

Research output: Contribution to journalArticle

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