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Multiple fine-needle biopsies using a coaxial technique: efficacy and a comparison of three methods.

Abstract：

PURPOSE:Compare the success of three coaxial fine-needle biopsy techniques in obtaining multiple cytologic specimens of high quality. METHODS:For each of three different biopsy needle and technique combinations (aspiration: 22-gauge Chiba; capillary: 22-gauge Chiba; 22-gauge Autovac aspiration biopsy gun), 30 sites (15 liver, 15 kidney) were selected for coaxial fine-needle biopsy in cadaveric liver and kidneys. For each coaxial technique, three sequential biopsies were performed through an 18-gauge coaxial needle at each of multiple sites. The quality of the resultant 270 specimens was graded by a blinded cytopathologist using a previously published grading scheme. RESULTS:Using the coaxial technique, there was no significant dropoff in the cytologic specimen quality among the first, second, and third biopsies at a specific site, regardless of the order of the techniques/needles used. This was true for organs, the overall data, and for the individual five grading criteria. There was, however, a significant difference among the biopsy techniques themselves. Though there was no difference in the quality of cytopathologic specimen obtained with the Autovac aspiration gun and the aspiration technique with a 22-gauge Chiba needle, both were statistically better than the nonaspiration, capillary technique utilizing a 22-gauge needle (p = 0.0001). CONCLUSION:The use of a coaxial technique with a fine-needle, 22-gauge biopsy offers unique advantages in obtaining a nearly unlimited amount of high-quality material for cytopathologic analysis. In this study, no dropoff was found in specimen quality with subsequent biopsies.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Hopper KD,Abendroth CS,TenHave TR,Hartzel J,Savage CA

doi

10.1007/BF00203681

subject

Has Abstract

pub_date

1995-09-01 00:00:00

pages

307-11

issue

5

eissn

0174-1551

issn

1432-086X

journal_volume

18

pub_type

杂志文章

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