HISTORY:

CT DOSE:

SEDATION: Monitored by the IR registered nurse or surrogate, an independent trained observer providing Moderate Sedation with fentanyl.

CONSENT: Following discussion procedure its risks benefits (including bleeding and vessel damage) and alternatives, review of readily available relevant imaging prior to the procedure informed consent was obtained witnessed and documented upon the chart. Standard presurgical timeout confirming patient procedure and when relevant side and site was performed. Any discrepancies were resolved via consultation with appropriate readily available data sources. The patient was prepared and draped in standard sterile fashion.

PROCEDURE: Informed consent was obtained from the patient after explanation of the risks and benefits including risk of bleeding, nerve damage, infection, and iatrogenic fracture injuries of the bones. Patient had no further questions and agreed to the procedure.

Patient was placed prone on the CT interventional table and the [ ] back region was widely prepped and draped in the usual sterile fashion and local anesthesia was achieved using 1% lidocaine. Timeout procedure was performed.

Under sterile CT guidance, a 13-gauge bone marrow biopsy needle and stylette were carefully advanced into the ilium and into the body of the iliac bone. At this the outer needle was further advanced into the lesion and through the lesion without the stylet using a drill. This resulted in obtaining a large core biopsy of the trabecula and bone. This 2cm bone plug specimen was sent in a separate container. Patient suffered no immediate complications. No sedation or procedural complications occurred.

 

IMPRESSION:
Successful CT-guided core biopsy of the left iliac bone lesion.