Salinoma window technique for mediastinal lymph node biopsy

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Presentation transcript:

Salinoma window technique for mediastinal lymph node biopsy Brian W Goodacre, MD, Clare Savage, MD, Joseph B Zwischenberger, MD, Gerhard R Wittich, MD, Eric vanSonnenberg, MD The Annals of Thoracic Surgery Volume 74, Issue 1, Pages 276-277 (July 2002) DOI: 10.1016/S0003-4975(02)03560-9

Fig 1 Salinoma window technique for mediastinal lymph node biopsy. (A) Twenty-two-gauge needle at the anterior aspect of the pleural reflection in position to begin injecting saline, to allow extrapulmonary approach; (B) 22-gauge needle within the widened mediastinal space, after injection of 10 mL of saline, creating a safe window; (C) insertion of 22-gauge needle into the mass for localization; (D) 22-gauge needle fully advanced into mass with 19-gauge coaxial needle being advanced; and (E) 22-gauge needle withdrawn, allowing coaxial passes with a variety of intraluminal needles within the 19-gauge needle. (Bx = biopsy; FNA = fine needle aspiration.) The Annals of Thoracic Surgery 2002 74, 276-277DOI: (10.1016/S0003-4975(02)03560-9)