Image-guided percutaneous splenic interventions

Ajay K. Singh, Sridhar Shankar, Debra A. Gervais, Peter F. Hahn, Peter R. Mueller

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

In the spleen, image-guided interventional procedures such as biopsy and catheter drainage have not been widely performed because of the perceived increased risk of complications. The ability of image-guided biopsy to allow tissue diagnosis of a focal splenic mass without the need for splenectomy is the driving force behind use of this procedure in oncology patients. The literature on image-guided splenic biopsy suggests that the highest biopsy yield is achieved with core biopsy and the lowest complication rate is achieved with fine-needle aspiration. Image-guided catheter drainage is an effective alternative to splenectomy for management of infected splenic collections. In clinical practice, image-guided splenic biopsy, fluid aspiration, and catheter drainage have high success rates. Image-guided alcohol ablation is effective in treatment of splenic cysts. The literature on splenic radiofrequency ablation (RFA) is sparse; therefore, further studies are needed to determine the role of RFA in management of splenic neoplasms and hypersplenism. Image-guided percutaneous thrombin injection can be used to treat splenic artery pseudoaneurysms. Awareness of the correct interventional techniques and their limitations is important for safe performance of image-guided percutaneous splenic interventions.

Original languageEnglish (US)
Pages (from-to)523-534
Number of pages12
JournalRadiographics
Volume32
Issue number2
DOIs
StatePublished - Mar 1 2012

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Image-Guided Biopsy
Drainage
Catheters
Splenectomy
Biopsy
Splenic Neoplasms
Hypersplenism
Splenic Artery
False Aneurysm
Fine Needle Biopsy
Thrombin
Cysts
Spleen
Alcohols
Injections
Therapeutics

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Singh, A. K., Shankar, S., Gervais, D. A., Hahn, P. F., & Mueller, P. R. (2012). Image-guided percutaneous splenic interventions. Radiographics, 32(2), 523-534. https://doi.org/10.1148/rg.322115135

Image-guided percutaneous splenic interventions. / Singh, Ajay K.; Shankar, Sridhar; Gervais, Debra A.; Hahn, Peter F.; Mueller, Peter R.

In: Radiographics, Vol. 32, No. 2, 01.03.2012, p. 523-534.

Research output: Contribution to journalArticle

Singh, AK, Shankar, S, Gervais, DA, Hahn, PF & Mueller, PR 2012, 'Image-guided percutaneous splenic interventions', Radiographics, vol. 32, no. 2, pp. 523-534. https://doi.org/10.1148/rg.322115135
Singh AK, Shankar S, Gervais DA, Hahn PF, Mueller PR. Image-guided percutaneous splenic interventions. Radiographics. 2012 Mar 1;32(2):523-534. https://doi.org/10.1148/rg.322115135
Singh, Ajay K. ; Shankar, Sridhar ; Gervais, Debra A. ; Hahn, Peter F. ; Mueller, Peter R. / Image-guided percutaneous splenic interventions. In: Radiographics. 2012 ; Vol. 32, No. 2. pp. 523-534.
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