Publication
US-guided interventional joint procedures in patients with rheumatic diseases--when and how we do it?
| dc.contributor.author | Gonçalves, B | |
| dc.contributor.author | Ambrósio, C | |
| dc.contributor.author | Serra, S | |
| dc.contributor.author | Alves, F | |
| dc.contributor.author | Gil-Agostinho, A | |
| dc.contributor.author | Caseiro-Alves, F | |
| dc.date.accessioned | 2011-11-07T14:38:33Z | |
| dc.date.available | 2011-11-07T14:38:33Z | |
| dc.date.issued | 2011 | |
| dc.description.abstract | 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. | por |
| dc.identifier.citation | Eur J Radiol. 2011 Sep;79(3):407-14. | por |
| dc.identifier.uri | http://hdl.handle.net/10400.4/1109 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | Elsevier | por |
| dc.subject | Doenças Reumáticas | por |
| dc.subject | Ultrassonografia | por |
| dc.title | US-guided interventional joint procedures in patients with rheumatic diseases--when and how we do it? | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |