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Desmitificación de conceptos erróneos comunes sobre las intervenciones abdominales percutáneas
Ahmad Parvinian1, Rebecca Hibbert2, A Nicholas Kurup2
1Department of Radiology, Mayo Clinic, Rochester, USA. parvinian.ahmad@mayo.edu.
Abdominal radiology (New York)
|August 22, 2025
Resumen
Esta revisión desmiente los mitos comunes que rodean las intervenciones percutáneas guiadas por imágenes, promoviendo su uso seguro y basado en evidencia para enfermedades abdominales. Aclara las preocupaciones sobre la seguridad de la biopsia y los riesgos de sangrado, alentando procedimientos mínimamente invasivos apropiados.
Área de la Ciencia:
- Radiología intervencionista
- Imágenes abdominales
- Procedimientos mínimamente invasivos
Sus antecedentes:
- Las intervenciones percutáneas guiadas por imágenes ofrecen alternativas mínimamente invasivas a la cirugía para afecciones abdominales.
- Los conceptos erróneos sobre estos procedimientos pueden llevar a un retraso en el tratamiento y al uso de opciones más invasivas.
Objetivo del estudio:
- Abordar y aclarar los mitos comunes en relación con las intervenciones percutáneas guiadas por imágenes.
- Promover la utilización basada en la evidencia de estos procedimientos diagnósticos y terapéuticos mínimamente invasivos.
Principales métodos:
- Revisión de la literatura y síntesis de las pruebas.
- Análisis de conceptos erróneos comunes relacionados con la biopsia del bazo, el uso de antiplaquetas, la punción de la masa hepática, la siembra de tumores en la biopsia renal, los pases de biopsia hepática múltiple y la biopsia hepática en ascitis.
Principales resultados:
- La biopsia del bazo es generalmente segura.
- Los medicamentos antiplaquetarios tienen unas contraindicaciones absolutas limitadas.
- La punción directa de la masa hepática tiene riesgos de sangrado aceptables.
- La siembra de tumores en la biopsia renal es rara.
- Las biopsias hepáticas múltiples a menudo son seguras.
- La biopsia hepática en ascitis se puede realizar con seguridad con precauciones.
Conclusiones:
- Aclarar estos mitos puede reducir los retrasos innecesarios en el tratamiento.
- Promover el uso basado en la evidencia de procedimientos percutáneos puede optimizar la atención al paciente.
- Las intervenciones mínimamente invasivas son herramientas valiosas en el manejo de enfermedades abdominales.
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