Combined Biopsy and Imaging-Guided Microwave Ablation by Using a Coaxial Guiding Needle

Yi-Wei Wu1, Gabriel Chan1, Ivan Kuang Hsin Huang1

  • 1Tan Tock Seng Hospital, SG.

Insights

This study shows that a coaxial guiding needle allows safe and effective combined percutaneous biopsy and microwave ablation in a single procedure. This technique achieved a high diagnostic yield and 100% ablation success rate in 14 patients.

Area of Science:

  • Interventional Radiology
  • Oncology
  • Surgical Techniques

Background:

  • Percutaneous biopsy and ablation are crucial for tumor diagnosis and treatment.
  • Minimizing invasive procedures reduces patient morbidity and healthcare costs.

Purpose of the Study:

  • To demonstrate the efficacy and safety of a novel technique combining percutaneous biopsy and microwave ablation using a single coaxial guiding needle.
  • To evaluate the diagnostic yield and technical success rate of this combined approach.

Main Methods:

  • A coaxial guiding needle was utilized to perform combined percutaneous biopsy and microwave ablation in 14 patients.
  • Procedures were performed between May 2019 and July 2020.
  • Tumor locations included kidney, liver, and lung.

Main Results:

  • The diagnostic yield for biopsy was 86% (12 out of 14 patients).
  • The technical success rate for microwave ablation was 100%.
  • The procedure was performed via a single tract, reducing invasiveness.

Conclusions:

  • The use of a coaxial guiding needle for combined percutaneous biopsy and microwave ablation is a safe and effective technique.
  • This approach offers a high diagnostic yield and excellent ablation success rates.
  • This method represents a valuable advancement in minimally invasive tumor treatment.

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