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European Radiology
Published in: European Radiology 11/2020

01-11-2020 | Foreign Body Aspiration | Musculoskeletal

Efficacy and safety of bone marrow aspiration and biopsy using fluoroscopic guidance and a drill-powered needle: clinical experience from 775 cases

Authors: Jeremiah R. Long, J. Derek Stensby, Elizabeth L. Wiesner, Wesley N. Bryson, Travis J. Hillen, Jack W. Jennings

Published in: European Radiology | Issue 11/2020

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Abstract

Objectives

To evaluate the efficacy and safety of performing a fluoroscopically guided bone marrow aspiration and biopsy (BMAB) using a drill-powered needle in a large patient population.

Methods

This retrospective study received institutional review board approval with a waiver of patient informed consent. We identified all BMAB procedures from August 2012 through December 2016 performed at our institution using fluoroscopic guidance and a drill-powered needle. Clinical diagnosis, patient age, patient gender, biopsy site, biopsy needle gauge, bone marrow aspirate volume, bone marrow core biopsy length, patient platelet count, conscious sedation details, complications, and diagnostic adequacy were investigated for each case and summarized.

Results

A total of 775 BMAB procedures were performed and analyzed. These were performed in 436 female patients and 339 male patients ranging in age between 16 and 91 years (average age of 53 years). Samples obtained from the procedures in our series were diagnostic in 95.0% of cases. The complication rate for our series was 0.3%.

Conclusions

The use of fluoroscopic guidance and a drill-powered needle for bone marrow aspiration and biopsy is a safe and efficacious procedure.

Key Points

• Fluoroscopy can be utilized for imaging guidance during bone marrow aspiration and biopsy.
• The use of fluoroscopic guidance and a drill-powered needle for bone marrow aspiration and biopsy has a high diagnostic yield.
• The procedure has an excellent patient safety profile.
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Metadata
Title
Efficacy and safety of bone marrow aspiration and biopsy using fluoroscopic guidance and a drill-powered needle: clinical experience from 775 cases
Authors
Jeremiah R. Long
J. Derek Stensby
Elizabeth L. Wiesner
Wesley N. Bryson
Travis J. Hillen
Jack W. Jennings
Publication date
01-11-2020
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 11/2020
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-020-06987-3

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