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BackTable / MSK / Podcast / Episode #39
Bone Marrow Biopsy Tools & Techniques
with Dr. Christopher Beck
In this episode of the Back Table MSK podcast, co-hosts and interventional radiologists Dr. Aaron Fritts and Dr. Chris Beck have an in-depth discussion about bone marrow biopsies, including their preferred techniques and devices, potential complications, and management of patient expectations.
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BackTable, LLC (Producer). (2024, January 17). Ep. 39 – Bone Marrow Biopsy Tools & Techniques [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Christopher Beck
Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.
Dr. Aaron Fritts
Dr. Aaron Fritts is a Co-Founder of BackTable and a practicing interventional radiologist in Dallas, Texas.
Synopsis
To start, they cover the typical referral pathway for biopsies, the majority of which involve hematology/oncology indications. Preoperatively, managing patient expectations is important to communicate, especially regarding sedation and pain control. The IRs also walk through the biopsy steps, anatomy of the ilium, and confirmatory imaging with CT and fluoroscopy.
They also share their experiences with different biopsy needles such as the OnControl, Jamshid, and Trek systems. There are advantages to using a system that comes with a powered drill, but these can also increase patient anxiety. Additionally, it is important to consider the bone density of the patient when selecting the tool. A manual system may offer sufficient force for demineralized or osteoporotic bone. The hosts also discuss potential unintended outcomes of the procedure, including dry taps and entry into joints or sacral foramina. Finally, they review post-procedural care and patient emergence from sedation.
Timestamps
00:00 Introduction
03:36 Indications for Biopsy
05:40 Patient Consent and Sedation
13:58 Procedural Steps and Confirmatory Imaging
27:04 Comparison of Different Biopsy Tools
36:11 Dealing with Complications
41:00 Post-Procedural Care
Resources
BackTable VI Episode 381- Anesthesia vs. Moderate Sedation: A Spectrum of Care with Dr. Vishal Kumar:
https://www.backtable.com/shows/vi/podcasts/381/anesthesia-vs-moderate-sedation-a-spectrum-of-care
OnControl Powered Bone Biopsy System:
https://oncontrolsystem.com/
Jamshidi Evolve Bone Marrow Needle:
https://www.bd.com/en-us/products-and-solutions/products/product-families/jamshidi-evolve-bone-marrow-needle
Trek Powered Bone Biopsy System:
https://www.bd.com/en-us/products-and-solutions/products/product-families/bd-trek-powered-bone-biopsy-system
Transcript Preview
[Dr. Chris Beck]
I've been a convert, like I was using the Jamshidi system, and now I use the OnControl and the drill. I think both of them still very much get the job done. One of the main reasons I switched over, was I getting a better sample? Maybe a little bit better. That's hard to deny, I think the samples were better for me with the OnControl. At the same time the Jamshidi samples were totally adequate. It's like, okay, you're getting a better sample, but does that really move the needle? You're getting good samples out of both, at least in my experience.
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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