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. 1982 Jul;37(7):503–506. doi: 10.1136/thx.37.7.503

Puncture of thoracic lesions under sonographic guidance.

M Afschrift, P Nachtegaele, D Voet, L Noens, W Van Hove, M van der Straeten, G Verdonk
PMCID: PMC459355  PMID: 7135290

Abstract

Thirty-six punctures of thoracic lesions have been performed with a compound B-scanner or a real-time linear-array scanner for guidance. Twenty-three fluid collections were punctured and aspiration biopsies were performed on 13 echogenic lesions. All the punctures were successful at the first attempt. No complications occurred. The results confirm the usefulness of sonography for guiding punctures of thoracic fluid effusions and solid masses. Usually a static B-scanner is sufficient, but when masses are small or surrounded by vital structures puncture may be controlled by a real-time scanner.

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Selected References

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  1. Boutin C., Farisse P., Aimino R., Rosello R., Pietri H. Intérêt de l'échotomographie en pathologie pleuro-pulmonaire. Poumon Coeur. 1976;32(1):9–19. [PubMed] [Google Scholar]
  2. Chandrasekhar A. J., Reynes C. J., Churchill R. J. Ultrasonically guided percutaneous biopsy of peripheral pulmonary masses. Chest. 1976 Nov;70(5):627–630. doi: 10.1378/chest.70.5.627. [DOI] [PubMed] [Google Scholar]
  3. Cunningham J. J. Gray scale echography of the lung and pleural space: current applications of oncologic interest. Cancer. 1978 Apr;41(4):1329–1339. doi: 10.1002/1097-0142(197804)41:4<1329::aid-cncr2820410418>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]
  4. Forsberg L., Tylén U. Ultrasound examination of lesions in the thorax. Acta Radiol Diagn (Stockh) 1980;21(3):375–378. doi: 10.1177/028418518002100306. [DOI] [PubMed] [Google Scholar]
  5. Goldberg B. B., Ostrum B. J., Isard H. J. Ultrasonic determination of pericardial effusion. JAMA. 1967 Dec 4;202(10):927–930. [PubMed] [Google Scholar]
  6. Goldberg B. B., Pollack H. M. Ultrasonic aspiration transducer. Radiology. 1972 Jan;102(1):187–189. doi: 10.1148/102.1.187. [DOI] [PubMed] [Google Scholar]
  7. Goldberg B. B., Pollack H. M. Ultrasonically guided pericardiocentesis. Am J Cardiol. 1973 Apr;31(4):490–493. doi: 10.1016/0002-9149(73)90300-7. [DOI] [PubMed] [Google Scholar]
  8. Gryminski J., Krakówka P., Lypacewicz G. The diagnosis of pleural effusion by ultrasonic and radiologic techniques. Chest. 1976 Jul;70(1):33–37. doi: 10.1378/chest.70.1.33. [DOI] [PubMed] [Google Scholar]
  9. Haller J. O., Schneider M., Kassner E. G., Friedman A. P., Waldroup L. D. Sonographic evaluation of the chest in infants and children. AJR Am J Roentgenol. 1980 May;134(5):1019–1027. doi: 10.2214/ajr.134.5.1019. [DOI] [PubMed] [Google Scholar]
  10. Holm H. H., Kristensen J. K., Rasmussen S. N., Northeved A., Barlebo H. Ultrasound as a guide in percutaneous puncture technique. Ultrasonics. 1972 Mar;10(2):83–86. doi: 10.1016/0041-624x(72)90252-1. [DOI] [PubMed] [Google Scholar]
  11. Joyner C. R., Jr, Herman R. J., Reid J. M. Reflected ultrasound in the detection and localization of pleural effusion. JAMA. 1967 May 1;200(5):399–402. [PubMed] [Google Scholar]
  12. Lindgren P. G. Ultrasonically guided punctures. A modified technique. Radiology. 1980 Oct;137(1 Pt 1):235–237. doi: 10.1148/radiology.137.1.7422852. [DOI] [PubMed] [Google Scholar]
  13. Makuuchi M., Bandai Y., Ito T., Watanabe G., Wada T., Abe H., Muroi T. Ultrasonically guided percutaneous transhepatic bile drainage: a single-step procedure without cholangiography. Radiology. 1980 Jul;136(1):165–169. doi: 10.1148/radiology.136.1.7384494. [DOI] [PubMed] [Google Scholar]
  14. Moss A. J., Bruhn F. The echocardiogram. An ultrasound technic for the detection of pericardial effusion. N Engl J Med. 1966 Feb 17;274(7):380–384. doi: 10.1056/NEJM196602172740704. [DOI] [PubMed] [Google Scholar]
  15. Ravin C. E. Thoracocentesis of loculated pleural effusions using grey scale ultrasonic guidance. Chest. 1977 May;71(5):666–668. doi: 10.1378/chest.71.5.666. [DOI] [PubMed] [Google Scholar]
  16. Saitoh M., Watanabe H., Ohe H., Tanaka S., Itakura Y., Date S. Ultrasonic real-time guidance for percutaneous puncture. J Clin Ultrasound. 1979 Aug;7(4):269–272. doi: 10.1002/jcu.1870070406. [DOI] [PubMed] [Google Scholar]
  17. Sandweiss D. A., Hanson J. C., Gosink B. B., Moser K. M. Ultrasound in diagnosis, localization, and treatment of loculated pleural empyema. Ann Intern Med. 1975 Jan;82(1):50–53. doi: 10.7326/0003-4819-82-1-50. [DOI] [PubMed] [Google Scholar]
  18. Smulewicz J. J., Tafreshi M., Hassani N. Ultrasonic diagnosis and aspiration of loculated pleural effusion. Respiration. 1977;34(1):36–38. doi: 10.1159/000193774. [DOI] [PubMed] [Google Scholar]
  19. Soulen R. L., Lapayowker M. S., Gimenez J. L. Echocardiography in the diagnosis of pericardial effusion. Radiology. 1966 Jun;86(6):1047–1051. doi: 10.1148/86.6.1047. [DOI] [PubMed] [Google Scholar]

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