Incluye referencias bibliográficas e índice

Contributors; 1: Pre- and Periprocedural Planning and Patient Management for Spine or Rib Biopsies; 1.1 Introduction; 1.2 Before the Procedure; 1.2.1 Prescreening and Scheduling; 1.2.2 Informed Consent; 1.3 At the Time of the Procedure; 1.3.1 Patient Sedation; 1.3.2 Imaging Guidance and Contrast Agents; 1.3.3 The Biopsy Procedure; 1.4 After the Procedure; 1.4.1 Patient Recovery; 1.4.2 Patient Follow-Up; References; 2: Anticoagulation Management; 2.1 Introduction; 2.2 How to Prevent a Bleeding Complication; 2.3 Antiplatelet Agents.

2.3.1 Aspirin (Acetylsalicylic Acid, ASA)2.3.2 Dipyridamole; 2.3.3 Cilostazol; 2.3.4 P2Y12 Inhibitors; 2.3.5 Nonsteroidal Anti-inflammatory Drugs (NSAIDs) ; 2.3.6 Glycoprotein IIb/IIIa Inhibitors; 2.4 Anticoagulants; 2.4.1 Warfarin (Coumadin); 2.4.2 Heparin; 2.4.3 Newer Oral Anticoagulants; 2.4.4 Injectable Anticoagulants; 2.5 Thrombolytics; 2.6 Other Coagulation Issues; 2.6.1 Reversal Medications; 2.6.1.1 Protamine; 2.6.1.2 Vitamin K; 2.6.1.3 Four-Factor Prothrombin Complex Concentrate; 2.6.1.4 Fresh Frozen Plasma; 2.6.1.5 Desmopressin (DDAVP); 2.6.1.6 Idarucizumab.

2.7 During the Procedure2.8 After the Procedure; 2.8.1 Clinical Management of the Patient with Acute Hemorrhage After a Spine or Rib Biopsy; 2.8.2 Clinical Management of the Patient with an Acute Thromboembolic Event After a Spine or Rib Biopsy; References; 3: Image-Guided Percutaneous Spine and Rib Biopsy: Tools and Techniques; 3.1 Introduction; 3.2 The Tools; 3.2.1 Fine Needle Aspiration; 3.2.2 Soft Tissue Core Biopsy; 3.2.3 Intervertebral Disk Biopsy; 3.3 Bone Biopsy; 3.3.1 Vertebra or Rib; 3.3.2 Vertebra and Disk; 3.4 Imaging Guidance.

3.5 Optimizing the CT-Guided Spine or Rib Biopsy ProcedureReferences; 4: Cervical Spine Biopsy; 4.1 Introduction; 4.2 Anatomic Considerations; 4.3 Indications; 4.4 Contraindications; 4.5 Risks and Complications Associated with Cervical Spine Biopsy and How to Minimize Them; 4.6 Imaging Guidance; 4.7 Approaches; 4.8 The Cervical Spine Biopsy Procedure; 4.8.1 General Considerations; 4.8.1.1 Patient Factors; 4.8.1.2 Staff Factors; 4.8.1.3 Anesthesia; 4.8.1.4 Patient Preparation; 4.8.2 Technique; 4.8.2.1 CT Guidance; 4.8.2.2 Fluoroscopic Guidance; 4.9 Post-procedure Care.

This textbook covers key areas and reviews important principles and steps in the preparation for and the performance of spine biopsy. Image-guided percutaneous biopsy techniques and their application throughout the spinal axis are presented and discussed in detail. The advantages and disadvantages of various spine biopsy instruments are reviewed. Commonly encountered biopsy scenarios are considered in order to help readers effectively manage these situations when they occur in their practices. Clear guidance is offered on patient selection and preparation, which are critical to safe and effective outcomes, and much emphasis is placed on procedural safety, with a focus on complication avoidance and the appropriate reporting of complications. Image-Guided Percutaneous Spine Biopsy will be a welcome one-stop shop providing up-to-date information for all physicians with an interest in the subject, including radiologists, surgeons, and pathologists.