Publication:
Acute and delayed bleeding requiring embolization after image-guided liver biopsy in patients with cancer

dc.contributor.coauthorBrody, Lynn A.
dc.contributor.coauthorMaybody, Majid
dc.contributor.coauthorErinjeri, Joseph P.
dc.contributor.coauthorWang, Xiaodong
dc.contributor.coauthorWimmer, Thomas
dc.contributor.coauthorSilk, Mikhail
dc.contributor.coauthorPetre, Elena N.
dc.contributor.coauthorSolomon, Stephen B.
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorSağ, Alan Alper
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:44:02Z
dc.date.issued2016
dc.description.abstractPurpose: To report incidence of acute versus delayed presentations of bleeding requiring embolization after focal liver biopsy, in correlation with angiographic findings and treatment success rates. The available literature will be reviewed as well. Materials and methods: Health Insurance Portability and Accountability Act-compliant institutional review board approved retrospective review of 2180 consecutive patients undergoing 2335 targeted liver biopsies at a tertiary-care cancer center. Hepatic arterial embolization episodes within 30 days from biopsy were identified via radiology PACS. Electronic medical record review was performed for indication of embolization and postembolization clinical course. Results: The incidence of postbiopsy bleeding requiring embolization was 05% (12/2335 biopsies). In those with bleeding, 1/12 (8%) had no hepatic arterial findings at angiography. Angiographic hepatic arterial findings resolved after embolization in 11/11 patients (100% technical success). Bleeding ceased after embolization in 10/12 patients (83% clinical success). Complications were seen in 2/12 (17%) patients: cholecystitis and hepatic infarct, respectively. Delayed presentation of bleeding (defined as >24 h postbiopsy) occurred in 5/12 (42%) patients; the longest latency was 12 days. Conclusion: The overall incidence of bleeding requiring embolization in our population was 0.5%. This complication rate compares favorably to the 0-4.2% (median: 0.29%) rate quoted in the available, heterogeneous, literature on this topic. Delayed presentation occurred in almost half of patients. Arterial embolization carries excellent technical and clinical success rates.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue3
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipNCI NIH HHS [P30 CA008748] Funding Source: Medline
dc.description.volume40
dc.identifier.doi10.1016/j.clinimag.2015.11.004
dc.identifier.eissn1873-4499
dc.identifier.issn0899-7071
dc.identifier.quartileQ2
dc.identifier.scopus2-s2.0-84960154118
dc.identifier.urihttps://doi.org/10.1016/j.clinimag.2015.11.004
dc.identifier.urihttps://hdl.handle.net/20.500.14288/13576
dc.identifier.wos376054500036
dc.keywordsImage-guided biopsy
dc.keywordsHemorrhage
dc.keywordsEmbolization
dc.keywordsTherapeutic
dc.keywordsInterventional Radiology
dc.keywordsCenter experience
dc.keywordsComplications
dc.keywordsSonography
dc.keywordsLesions
dc.keywordsTrials
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofClinical Imaging
dc.subjectRadiology
dc.subjectNuclear medicine
dc.subjectImaging systems in medicine
dc.titleAcute and delayed bleeding requiring embolization after image-guided liver biopsy in patients with cancer
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorSağ, Alan Alper
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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