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 the careful explanation of the potential risks and benefits of the procedure, oral and written informed consent was obtained.

Conscious sedation using Versed 1mg and Fentanyl 50 mcg IV was provided by certified nursing staff after normal head/neck and cardiopulmonary exam. Patient was monitored using standard conscious sedation monitoring protocol.

Procedure was done under sterile technique and local anesthesia using 1 % lidocaine.
The target lesion was localized using CT.
17/18 gauge coaxial system was used. Two (2) 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 core biopsy of the liver lesion.