Lumbar puncture under fluoroscopy guidance: a technical review for radiologists

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

There are many differences in fluoroscopy-guided lumbar puncture (FG-LP) technique among radiologists. Even within the same institution, there are a variety of preferences among proceduralists with individual perspectives based on the literature, training, and/or experience. Our aim is to provide familiarity with various techniques involved in FG-LP and provide insight on how to improve patient outcomes. The pertinent anatomy and physiology, indications, contraindications, patient management, complications of the procedure, and procedural techniques for performing an FG-LP are reviewed in detail. Potentially controversial topics regarding FG-LP are also addressed. There are many differences in fluoroscopy-guided lumbar puncture (FG-LP) technique among radiologists (1). Even within the same institution, there are a variety of individual preferences among physicians with different perspectives based on a combination of literature familiarity, training, and personal experience. Our aim is to provide familiarity with various techniques involved in FG-LP, improve efficiency, and improve patient outcomes. We will also address possible controversial issues regarding FG-LPs using an evidence-based approach.

Original languageEnglish (US)
Pages (from-to)144-156
Number of pages13
JournalDiagnostic and Interventional Radiology
Volume25
Issue number2
DOIs
StatePublished - Mar 1 2019

Bibliographical note

Publisher Copyright:
© Turkish Society of Radiology 2019.

Keywords

  • Anatomy
  • Cerebrospinal Fluid/physiology
  • Female
  • Fluoroscopy/methods
  • Humans
  • Intracranial Pressure/physiology
  • Male
  • Needles
  • Post-Dural Puncture Headache/epidemiology
  • Radiologists/statistics & numerical data
  • Radiology, Interventional
  • Spinal Puncture/adverse effects
  • Young Adult

PubMed: MeSH publication types

  • Review
  • Journal Article

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