Detection and management of bleeding in the setting of image-guided percutaneous needle biopsy

Image-guided percutaneous needle biopsy (PNB) is an important and increasingly utilized method of minimally invasive tissue sampling for a broad variety of disease processes. While infrequent, major bleeding is a potential complication of PNB and can be life-threatening, especially when unrecognized...

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Bibliographic Details
Published in:Abdominal imaging 2022-08, Vol.47 (8), p.2681-2696
Main Authors: Strnad, Benjamin S., Itani, Malak, Middleton, William D.
Format: Article
Language:English
Subjects:
Abdomen
Biopsy
Biopsy, Needle - adverse effects
Biopsy, Needle - methods
Bleeding
Complications
Gastroenterology
Hematuria
Hemorrhage - diagnostic imaging
Hemorrhage - etiology
Hemorrhage - therapy
Hepatology
Humans
Image-Guided Biopsy - adverse effects
Image-Guided Biopsy - methods
Imaging
Intervention
Kidneys
Liver
Medical imaging
Medicine
Medicine & Public Health
Morbidity
Needles
Patients
Radiology
Retrospective Studies
Risk analysis
Risk factors
Special Section: Cross sectional interventions
Ultrasonography, Interventional
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Summary:Image-guided percutaneous needle biopsy (PNB) is an important and increasingly utilized method of minimally invasive tissue sampling for a broad variety of disease processes. While infrequent, major bleeding is a potential complication of PNB and can be life-threatening, especially when unrecognized. On the other hand, prompt recognition and treatment of major bleeding in this setting can prevent significant morbidity or mortality. It is therefore crucial for anyone performing PNB to be familiar with the diagnosis and management of bleeding complications. This article reviews the risk factors for major bleeding in the setting of PNB, the presentation and imaging findings of a spectrum of bleeding complications encountered during and following PNB, and the management of those findings based on experience at a single, high volume, biopsy center.
ISSN:2366-0058
2366-004X
2366-0058
DOI:10.1007/s00261-021-03357-5