The Efficacy of Thrombin-Gelatin Matrix in Hemostasis for Large Breast Tumor after Vacuum-Assisted Breast Biopsy

Tzeng, Yen‐Dun Tony; Liu, Shiuh–Inn; Wang, Being-Whey; Chen, Yu‐Chia; Chang, Po-Ming; Chen, I-Shu; Sheu, Jim Jinn‐Chyuan; Hsiao, Jui-Hu

doi:10.3390/jpm12020301

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…A recent study [ 22 ] evaluated the efficacy of the thrombin-gelatin matrix as a hemostatic treatment in preventing this frequent procedure-related risk, especially when treating large lesions (>2 cm); the results showed a decreased risk of acute bleeding and a trend of preventing hematoma. An interesting finding is that these complications, as already described by Zheng et al [ 20 ], are independent of the size and number of lesions.…”

Section: Discussionmentioning

confidence: 99%

Vascular Complications following Vacuum-Assisted Breast Biopsy (VABB): A Case Report and Review of the Literature

Pansa¹,

Guzzardi²,

Santocono

et al. 2023

Tomography

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Introduction: Vacuum-assisted breast biopsy (VABB) has been evaluated as a minimally invasive, safe, and accurate procedure with low complication risks; the most frequent one is the mild/moderate hematoma, which occurs with a low-frequency rate, and the majority of patients who experienced it can be treated successfully with only manual compression and dressing. Although cases of uncontrollable catastrophic bleeding are exceedingly rare, local breast vessel involvement is a concrete risk, even in patients with no bleeding propensity. Case Presentation: In this article, we aimed to describe a 60 years-old woman who, following VABB, experienced a massive hematoma without external bleeding and was successfully treated with embolization. The woman was called back for a cluster of suspicious microcalcifications identified in the left breast’s upper-outer quadrant; however, following histopathological analysis, the few samples collected were negative. She had a silent past medical history, 100% performance status, and no active pharmacotherapy. Approximately 15–30 min after VABB, the patient complained of weakness, pain, and lipothymia. A physical examination revealed a massive hematoma without external bleeding. Clinical data reported PaO 65/40 mmHg and blood chemistry Hb < 10 g/dL. The emergency team was alerted to stabilize the patient, and after that, the breast hemorrhage was controlled by endovascular embolization. Despite this being a rare occurrence, it is important to draw up and follow an appropriate protocol to ensure proper patient management and early treatment. Discussion: This case illustrates the prompt and accurate management of a rare complication following VABB. Due to the very high number of patients undergoing this particular procedure, we aim to point out the concrete risk of vascular injury; other similar cases are described to support our thesis and provide different clinical manifestations of this rare occurrence.

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Section: Discussionmentioning

confidence: 99%

Vascular Complications following Vacuum-Assisted Breast Biopsy (VABB): A Case Report and Review of the Literature

Pansa¹,

Guzzardi²,

Santocono

et al. 2023

Tomography

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An updated overview of radiomics-based artificial intelligence (AI) methods in breast cancer screening and diagnosis

Elahi,

Nazari

2024

Radiol Phys Technol

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Vacuum aspiration biopsy: evolution of the method, prevention of hemorrhagic complications

Levanov,

Marushchak,

Sidorov

et al. 2024

Ambulatornaya khirurgiya

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In Russia, more than 70,000 new cases of breast cancer are registered annually. Vacuum aspiration biopsy (VAB) is a minimally invasive method for diagnosing the genesis of focal breast pathology, which is also used for therapeutic purposes for the complete removal of benign neoplasms. High efficiency and favorable clinical outcomes have allowed VAB to gain wide popularity in clinical practice, due to which the method has been widely developed. However, like any surgical intervention, the VAB procedure may be accompanied by complications, the main share of which are hemorrhagic. Generalization and systematization of information on the development of the VAB technique, prevalence and risk factors of complications, as well as methods of their prevention and timely elimination. Scientific publications cited in this literature review were selected from the Pubmed database of medical and biological publications (National Center for Biotechnology Information (NCBI), USA), the Clinical Key database (Elsevier Corporation, the Netherlands), Web of Science Citation Indexing Database (Clarivate, USA), Google Scholar (CIF), and the scientific electronic library elibrary.ru (Russia). The information presented in the article can become a theoretical basis for future research aimed at increasing safety, further development and improvement of the VAB technique.

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The Efficacy of Thrombin-Gelatin Matrix in Hemostasis for Large Breast Tumor after Vacuum-Assisted Breast Biopsy

Cited by 3 publications

References 18 publications

Vascular Complications following Vacuum-Assisted Breast Biopsy (VABB): A Case Report and Review of the Literature

Vascular Complications following Vacuum-Assisted Breast Biopsy (VABB): A Case Report and Review of the Literature

An updated overview of radiomics-based artificial intelligence (AI) methods in breast cancer screening and diagnosis

Vacuum aspiration biopsy: evolution of the method, prevention of hemorrhagic complications

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