CT Guided Random Liver Biopsy

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.

TECHNIQUE:
Following explanation of the potential risks and benefits of the procedure, including bleeding and infection and prior to obtaining procedural consent, informed consent was obtained.
Timeout was performed per protocol.

Conscious sedation was provided by certified nursing staff after normal head/neck and cardiopulmonary exam. ASA 2

Procedure was done under sterile technique and local anesthesia using 1 % lidocaine.
The right lobe of the liver was chosen using CT guidance.
17/18 gauge coaxial system was used. 18 gauge core was obtained.

Gel foam was applied for embolization along the biopsy tract using the coax, as the needle was pulled, to decrease the risk of bleeding.

The patient tolerated the procedure well. There were no immediate complications.

IMPRESSION:
Successful CT guided random biopsy of the right liver.