Download PROCEDURE: CT guided bone marrow biopsy via the right iliac crest

PGMARROW
PROCEDURE: CT guided bone marrow biopsy via the right iliac crest.
CLINICAL INDICATION:
PHYSICIAN: Dr. Paul Gryzenia.
MEDICATIONS: Subcutaneous 2% lidocaine, 0.25 mg Versed, 25 mcg fentanyl.
COMPLICATIONS: None immediate.
RADIOLOGIST INTRASERVICE TIME/CONSCIOUS SEDATION TIME: _ minutes. The patient
was monitored throughout the procedure by the IR nurse. I was personally present in the above
mentioned conscious sedation time.
PROCEDURE/FINDINGS: The risks and benefits of the procedure were explained to the patient
and consent was obtained.
The patient was then placed in a prone position. A grid was placed over the right iliac crest and a
CT scan was performed to localize an adequate site for biopsy. The skin was marked with a
magic marker and prepped utilizing maximum sterile barrier technique. The subcutaneous skin
was anesthetized with 2% lidocaine, and an 11 gauge Jamshidi needle was placed into the right
posterior iliac crest. A bone marrow specimen was aspirated and smear slides were made. A
core specimen was also obtained and samples were submitted for chromosomal analysis and
flow cytometry.
The patient tolerated the procedure well without immediate complication.
IMPRESSION:
 Technically successful CT guided bone marrow biopsy via the right iliac crest as
described above. Samples sent to pathology for analysis.