Breast pseudoaneurysm arising from core needle biopsy should be left well alone

Russell, Thomas; Creagh-Barry, Michael

doi:10.1136/bcr-2017-221546

Cited by 11 publications

(18 citation statements)

References 7 publications

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“…Pseudoaneurysms of the breast are rare complications of percutaneous breast interventions [1] , [2] , [3] , [4] , 8] . Some authors have explored local complications of invasive and percutaneous breast procedures during pregnancy [6] .…”

Section: Discussionmentioning

confidence: 99%

“…The process may be repeated until thrombosis is observed; sometimes the required compression time extends up to 60 minutes [12] . Further treatment options include observation [4] , [13] , thrombin injection, open surgical repair, and percutaneous embolization [14] , [15] , [16] . In this case, the patient evolved favorably with conservative management.…”

Section: Discussionmentioning

confidence: 99%

“…Breast pseudoaneurysms are extremely rare complications of interventional breast procedures [1] , [2] , [3] , [4] . An arterial pseudoaneurysm is caused by damage to the arterial wall.…”

Section: Introductionmentioning

confidence: 99%

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Breast pseudoaneurysm after core needle biopsy in a pregnant patient

Pesce

Chico

Binder

2021

Radiology Case Reports

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Breast pseudoaneurysm is an extremely rare complication of interventional breast procedures. Pregnancy and lactation are associated with increased breast vascularization, which may act as a risk factor. We present the case of a 36-year-old woman in the third trimester of a spontaneous twin pregnancy, who presented with a newly-detected BI-RADS 4 mass in her right breast. The patient requested not to defer a biopsy until after the pregnancy, and an ultrasound-guided breast core biopsy was performed. The patient presented bleeding during the procedure, but no hematomas or other vascular lesions were immediately detected. During follow-up, a breast ultrasound revealed an anechoic circumscribed mass and high‐velocity blood flow. The color Doppler showed a spiral blood flow with the Yin-Yang sign, together with a communication channel between the sac and feeding artery. A diagnosis of breast pseudoaneurysm was made. The patient was managed conservatively, and breastfeeding continued normally. This case report highlights the importance of color Doppler in the detection of pseudoaneurysms, and the need to consider deferring invasive breast procedures in pregnant women when possible.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Breast pseudoaneurysm after core needle biopsy in a pregnant patient

Pesce

Chico

Binder

2021

Radiology Case Reports

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“…Treatment can range from manual pressure to surgical ligation. Factors involved in determining the need for definitive intervention include the size of the PA, rate of growth, and need for anticoagulation 1‐7 . Our case describes the first reported successful treatment of a breast PA in an anticoagulated patient.…”

Section: Introductionmentioning

confidence: 91%

“…In three separate cases, thrombin was utilized to treat the PA. To the best of our knowledge, our case is the first to show successful treatment while the patient continued on both antiplatelet and anticoagulation therapy. While some authors advocate conservative treatment, research from femoral PA suggests that anticoagulation is prohibitive to conservative management and thrombin injection is amenable to PA treatment regardless of anticoagulation use 5. Our experience supports the existing femoral PA literature that in an appropriately selected patient, thrombin injection is also a safe and efficacious treatment for breast PA.DisclaimerThe views expressed are those of the author(s) and do not reflect the official policy of the Department of the Army, the Department of Defense, or the U.S. Government.…”

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confidence: 99%

A novel treatment for breast pseudoaneurysm in the anticoagulated patient

et al. 2020

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A 74-year-old woman requiring lifetime anticoagulation for antiphospholipid syndrome was noted to develop a pseudoaneurysm (PA) of the breast following core needle biopsy. She was successfully treated via thrombin injection and suffered no complications. In patients requiring anticoagulation, definitive management of PA may be desired. In appropriately selected patients, ultrasound (US)-guided thrombin injection offers superior outcomes to alternative conservative management and obviates the need for surgical intervention.

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Imaging Features and Treatment Options for Breast Pseudoaneurysms After Biopsy: A Case‐Based Pictorial Review

Adler

Samreen²,

Glazebrook

et al. 2019

J of Ultrasound Medicine

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Pseudoaneurysm (PSA) formation is a potential complication of breast biopsies. Ultrasound is the most common imaging modality used for evaluation and treatment of a PSA. Color Doppler images show a cystic structure with swirling flow inside in a "to-and-fro" pattern. Treatment options for PSA include observation, ultrasound-guided focused compression, thrombin injection, open surgical repair, and percutaneous embolization. The risks and benefits of these treatment options will be discussed in the following cases.

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Breast pseudoaneurysm arising from core needle biopsy should be left well alone

Cited by 11 publications

References 7 publications

Breast pseudoaneurysm after core needle biopsy in a pregnant patient

Breast pseudoaneurysm after core needle biopsy in a pregnant patient

A novel treatment for breast pseudoaneurysm in the anticoagulated patient

Imaging Features and Treatment Options for Breast Pseudoaneurysms After Biopsy: A Case‐Based Pictorial Review

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