Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.4/1109
Título: US-guided interventional joint procedures in patients with rheumatic diseases--when and how we do it?
Autor: Gonçalves, B
Ambrósio, C
Serra, S
Alves, F
Gil-Agostinho, A
Caseiro-Alves, F
Palavras-chave: Doenças Reumáticas
Ultrassonografia
Data: 2011
Editora: Elsevier
Citação: Eur J Radiol. 2011 Sep;79(3):407-14.
Resumo: OBJECTIVE: To describe the main indications and the technical steps to perform ultrasound guided procedures in patients with rheumatic diseases. To access procedures accuracy, safety and effectiveness. MATERIALS AND METHODS: 27 patients with pain related to articular complications of rheumatic diseases and according to previous radiographic or US exam were submitted to several US-guided procedures. 42% of patients (n=11) had rheumatoid arthritis, 11% (n=3) spondyloarthropathies, 18% (n=5) psoriatic arthritis, 15% (n=4) undifferentiated arthritis, 3% (n=1) Sjögren syndrome and 11% (n=3) had gout. Described procedures are synovial biopsies, intra-articular injections of corticosteroids, radiation synovectomy and synovial cysts drainage procedures. When a therapeutical procedure was made, patients were evaluated by 2 rheumatologists. Corticosteroids used were Prednisolone and Triamcinolone. Yttrium-90 was used for synovectomy. RESULTS: In all cases success was achieved with correct needle placement inside the joint. After injection/aspiration symptoms successfully solved with all patients improving their health status. No complications were recorded during follow-up period. CONCLUSIONS: US-guidance is very reliable to afford a safety procedure always checking the injection, biopsy or aspiration. Guided-biopsy has high success rates obtaining several samples. Thus is also possible to use more powerful/long acting therapeutic drugs aggressive to extra-articular structures avoiding complications.
Peer review: yes
URI: http://hdl.handle.net/10400.4/1109
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