HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Joseph B. Zwischenberger Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Goodacre, B. W. Articles by vanSonnenberg, E. Search for Related Content PubMed PubMed Citation Articles by Goodacre, B. W. Articles by vanSonnenberg, E. Related Collections Mediastinum

Ann Thorac Surg 2002;74:276-277
© 2002 The Society of Thoracic Surgeons

---

How to do it

Salinoma window technique for mediastinal lymph node biopsy

^a Medical Imaging, Victoria General Hospital, Victoria, British Columbia, Canada
^b Department of Surgery, The University of Texas Southwestern Medical Center, Dallas, Texas, USA
^c Department of Surgery, The University of Texas Medical Branch, Galveston, Texas, USA
^d Department of Radiology, The University of Texas Medical Branch, Galveston, Texas, USA
^e Department of Radiology, Brigham and Women’s Hospital and Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts, USA

Accepted for publication February 4, 2002.

* Address reprint requests to Dr Zwischenberger, Division of Cardiothoracic Surgery, Department of Surgery, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0528 USA
e-mail: jzwische{at}utmb.edu

Computed tomographic-guided transthoracic needle biopsy can access virtually all mediastinal lymph node stations, but is limited by the potential for pneumothorax and bleeding. To avoid these possible complications, the extrapleural "salinoma" technique was used for computed tomographic-guided mediastinal biopsies in 15 patients. Sampling methods were coaxial (8), tandem (5), and single pass (2). Diagnostic yield was 93% with no significant bleeding or pneumothorax. The salinoma technique permits biopsy of deep mediastinal lesions to stage pulmonary malignancies, while providing a technique that limits complications.

This article has been cited by other articles:

				E. vanSonnenberg, S. Shankar, P. R. Morrison, R. T. Nair, S. G. Silverman, M. T. Jaklitsch, F. Liu, L. Cheung, K. Tuncali, A. T. Skarin, et al. Radiofrequency Ablation of Thoracic Lesions: Part 2, Initial Clinical Experience--Technical and Multidisciplinary Considerations in 30 Patients Am. J. Roentgenol., February 1, 2005; 184(2): 381 - 390. [Abstract] [Full Text] [PDF]

				E. vanSonnenberg, B. W. Goodacre, G. R. Wittich, R. Logrono, P. T. Kennedy, and J. B. Zwischenberger Image-guided 25-gauge Needle Biopsy for Thoracic Lesions: Diagnostic Feasibility and Safety Radiology, May 1, 2003; 227(2): 414 - 418. [Abstract] [Full Text] [PDF]