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Updated: Jun 26, 2026

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Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
[Evaluation of a novel seldinger-needle for computed tomography guided interventions: initial experiences]
1Klinik für Radiologische Diagnostik, Universitätsklinikum der RWTH Aachen. plumhans@rad.rwth-aachen.de
Summary
This study shows a new Seldinger needle is a safe and effective tool for computed tomography-guided interventions, even in difficult cases. It allows for successful procedures with good patient tolerance and minimal pain.
Area of Science:
- Radiology
- Interventional Radiology
- Medical Devices
Background:
- Computed tomography (CT)-guided interventions are crucial for diagnosis and treatment.
- Difficult anatomical access and patient factors can complicate these procedures.
- Novel devices are needed to improve safety and efficacy in challenging interventional scenarios.
Purpose of the Study:
- To evaluate a novel 20G-Seldinger needle for CT-guided interventions.
- To assess its applicability and performance under difficult conditions.
- To identify the advantages and drawbacks of this new device.
Main Methods:
- A prospective study involving 16 patients undergoing CT-guided interventions (drainage, biopsy, ablation).
- Utilized a new Seldinger needle with an integrated guide wire and continuous anesthesia delivery.
- Procedures were performed under challenging conditions, with outcomes including success rate, complications, and patient pain scores.
Main Results:
- All 16 interventions were successful with no severe complications.
- The Seldinger needle facilitated access to difficult regions in 15 out of 16 cases.
- Patient tolerance was excellent, with a mean pain score of 2 ± 1.
Conclusions:
- The novel Seldinger needle is a reliable and safe technique for CT-guided interventions.
- It enables successful procedures even under difficult conditions.
- The device offers advantages in terms of ease of use and patient comfort.
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