Ultrasound-Guided Liver Biopsy Using Verza™ Guidance System
Ultrasound-Guided Liver Biopsy Using Verza™ Guidance System
BACKGROUND
Clinician Names: Skylar Kemp, MHPTT RDMS RVT RT(R); Dr. Gustavo Andrade, MD, PhD; Ryan Staudte, MD
Clinical Department: Radiology Ultrasound
Medical Facility: University of Iowa Hospitals and Clinics
Facility Location: Iowa City, IA
Procedure: Ultrasound-Guided Needle Biopsy, Liver
Date of Study: January 8th, 2024
CONSIDERATION FOR USE
A 61-year-old heavy-smoking male sought medical attention at a local clinic with complaints of pain in the right upper quadrant (RUQ), accompanied by symptoms of a persistent dry cough, night sweats, and chills. Despite an initial diagnosis and treatment for a presumed right lower lung (RLL) abscess with antibiotics, there was no immediate improvement in his condition. Subsequent investigations diagnosed the patient with RLL Squamous Cell Carcinoma, with metastases to the mediastinum, liver, invasion of the right hemi-diaphragm, and the presence of cervical and axillary nodes. It was eventually determined that tissue diagnosis of a liver lesion was needed to assess for malignancy. Later pathology results ultimately found necroinflammatory debris with no viable tumor present.
EQUIPMENT UTILIZED
A meticulous pre-procedural verification, including patient identity, consent, and procedural details, was conducted in adherence to safety protocols.
Positioned in left lateral decubitus, the designated area was aseptically prepped and local anesthesia with Lidocaine 1% administered. Employing a lateral ultrasound-guided approach, the procedure – aided by the CIVCO Verza Transducer Guide with Bracket – utilized an 18-gauge co-axial core needle for precise access to the right posterior liver lesion.
Five core biopsy samples were successfully obtained, with diagnostic samples sent to pathology and samples sent to the research team. The procedure demonstrated minimal blood loss, no immediate complications, and the patient was closely monitored for three hours post-procedure in the radiology department, receiving comprehensive post-procedure instructions.
ADVANTAGES OF USING VERZA IN THIS PROCEDURE
1. Provided real-time needle visualization throughout the procedure, ensuring precision.
2. Offered reassurance by confirming needle positioning within the targeted lesion.
3. Significantly enhanced accuracy during tissue sampling in a challenging lesion location.
4. Enabled the selection of an appropriate needle length, optimizing depth to the lesion.
5. Facilitated confident angle selection, contributing to the overall efficacy of the procedure.
COPYRIGHT © 2024. CIVCO IS A REGISTERED TRADEMARK OF CIVCO MEDICAL SOLUTIONS. VERZA IS A TRADEMARK OF CIVCO. ALL OTHER TRADEMARKS ARE THE PROPERTY OF THEIR RESPECTIVE OWNERS. ALL PRODUCTS MAY NOT BE LICENSED IN ACCORDANCE WITH CANADIAN LAW. PRINTED IN THE U.S.A. 2024R-3383 REV 1
BACKGROUND
Clinician Names: Skylar Kemp, MHPTT RDMS RVT RT(R); Dr. Gustavo Andrade, MD, PhD; Ryan Staudte, MD
Clinical Department: Radiology Ultrasound
Medical Facility: University of Iowa Hospitals and Clinics
Facility Location: Iowa City, IA
Procedure: Ultrasound-Guided Needle Biopsy, Liver
Date of Study: January 8th, 2024
CONSIDERATION FOR USE
A 61-year-old heavy-smoking male sought medical attention at a local clinic with complaints of pain in the right upper quadrant (RUQ), accompanied by symptoms of a persistent dry cough, night sweats, and chills. Despite an initial diagnosis and treatment for a presumed right lower lung (RLL) abscess with antibiotics, there was no immediate improvement in his condition. Subsequent investigations diagnosed the patient with RLL Squamous Cell Carcinoma, with metastases to the mediastinum, liver, invasion of the right hemi-diaphragm, and the presence of cervical and axillary nodes. It was eventually determined that tissue diagnosis of a liver lesion was needed to assess for malignancy. Later pathology results ultimately found necroinflammatory debris with no viable tumor present.
EQUIPMENT UTILIZED
- Siemens Acuson Sequoia
- Siemens Acuson 5C1 Curved Linear Transducer
- CIVCO Verza™ Transducer Guide with Bracket
A meticulous pre-procedural verification, including patient identity, consent, and procedural details, was conducted in adherence to safety protocols.
Positioned in left lateral decubitus, the designated area was aseptically prepped and local anesthesia with Lidocaine 1% administered. Employing a lateral ultrasound-guided approach, the procedure – aided by the CIVCO Verza Transducer Guide with Bracket – utilized an 18-gauge co-axial core needle for precise access to the right posterior liver lesion.
Five core biopsy samples were successfully obtained, with diagnostic samples sent to pathology and samples sent to the research team. The procedure demonstrated minimal blood loss, no immediate complications, and the patient was closely monitored for three hours post-procedure in the radiology department, receiving comprehensive post-procedure instructions.
ADVANTAGES OF USING VERZA IN THIS PROCEDURE
1. Provided real-time needle visualization throughout the procedure, ensuring precision.
2. Offered reassurance by confirming needle positioning within the targeted lesion.
3. Significantly enhanced accuracy during tissue sampling in a challenging lesion location.
4. Enabled the selection of an appropriate needle length, optimizing depth to the lesion.
5. Facilitated confident angle selection, contributing to the overall efficacy of the procedure.
COPYRIGHT © 2024. CIVCO IS A REGISTERED TRADEMARK OF CIVCO MEDICAL SOLUTIONS. VERZA IS A TRADEMARK OF CIVCO. ALL OTHER TRADEMARKS ARE THE PROPERTY OF THEIR RESPECTIVE OWNERS. ALL PRODUCTS MAY NOT BE LICENSED IN ACCORDANCE WITH CANADIAN LAW. PRINTED IN THE U.S.A. 2024R-3383 REV 1
