


Pre-Procedure Prep
Indications
• Hematologic disorders such as leukemia, lymphoma, multiple myeloma, anemia, etc.
Contraindications
• Few if any
• Procedure can be performed in setting of thrombocytopenia
• Cellulitis at skin entry site or underlying soft tissue infection should prompt evaluation for different site
Pre-Procedural Evaluation
• H&P
• Prior imaging cross sectional imaging of the pelvis
Procedure Steps
Site
Most common site for bone marrow biopsy is iliac wing.
CT Guidance Commonly Used
• Prone patient with posterior approach
• Advance needle along length of the iliac wing.
• For right iliac wing biopsy, operator stands on patient's left and skin entry site is midline with lateral trajectory
• Seat needle just beyond cortex. Occasionally, helpful to have mallet to assist with seating the needle beyond the cortex
• Remove inner stylet. Aspirate with large volume syringe (20 - 30 mL)
• Following aspiration, advance biopsy device without inner stylet into iliac wing 2-3 cm,
• Can be helpful to gently rock biopsy device to help capture specimen. Many devices have additional tools to assist with specimen capture
Following Successful Aspirate and Bone Biopsy
• Hemostasis with compression
• Apply sterile dressing
• Option to take final pictures confirming no immediate post operative complication
Post-Procedure
Complications
• Rare
• Bleeding is most common
• Injury to surround structures
• Patient's can be sore 2-3 days following procedure
• Inadequate sample
Recovery
• 15 minutes bedrest if local only
• Often times, moderate sedation will necessitate more recovery time than actual biopsy
Bone Marrow Biopsy Podcasts
Podcasts are not yet available for this procedure.
Please check back soon.
Bone Marrow Biopsy Articles
Blog articles are not yet available for this procedure.
Please check back soon.
Bone Marrow Biopsy Demos
Demos are not yet available for this procedure.
Please check back soon.
Bone Marrow Biopsy Tools
Tools are not yet available for this procedure.
Please check back soon.
Bone Marrow Biopsy Literature
Literature is not yet available for this procedure.
Please check back soon.
Join The Discussion
References
[1] Cohen MG, McMahon CJ, Kung JW, Wu JS. Comparison of Battery-Powered and Manual Bone Biopsy Systems for Core Needle Biopsy of Sclerotic Bone Lesions. AJR Am J Roentgenol. 2016;206(5):W83‐W86. doi:10.2214/AJR.15.15067
[2] Lee RK, Ng AW, Griffith JF. CT-guided bone biopsy with a battery-powered drill system: preliminary results. AJR Am J Roentgenol. 2013;201(5):1093‐1095. doi:10.2214/AJR.12.10521
[3] BackTable, LLC (Producer). (2017, April 14). Ep 1 - BM BX Devices: Jamshidi vs OnControl [Audio podcast]. Retrieved from
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.