PROCEDURE:

  1. CT-guided liver biopsy
  2. Radiofrequency biopsy tract ablation

PHYSICIAN:  John Doe, MD (Attending)/Jane Doe, MD (Fellow)     

MEDICATIONS: Versed 2 mg IV, fentanyl 150 mcg IV

RADIOFREQUENCY PROBE: 15 cm x 2 cm Cool-Tip RF probe

COMPLICATIONS: None

 

PROCEDURE:

Informed consent was obtained and placed in the patient’s chart after the risk of infection, bleeding and liver injury were explained.  Constant physiologic monitoring and moderate sedation were performed by radiology nursing staff.  A timeout was performed.

With the patient in the supine position, the right upper quadrant was scrubbed and draped in the usual aseptic manner. Under CT guidance, a 15g x11 cm introducer needle was advanced to the anterior margin of the hepatic mass. Through the introducer needle three 18-gauge core biopsy samples were obtained and placed in formalin. The radiofrequency ablation probe was advanced through the introducer needle and the tract was then ablated. The patient tolerated this procedure well and was transferred to the recovery room in stable condition.

IMPRESSION: Successful CT-guided biopsy of a liver mass and radiofrequency biopsy tract ablation.