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A Murine Model of Subarachnoid Hemorrhage
Published on: November 21, 2013
Pulsatile bleeding during closed vertebral biopsy
Anastasios Christodoulou1, Efthimios Samoladas, Panagiotis Givissis
11st Orthopaedic Department, Aristotle University, Thessaloniki, Greece.
Acta Orthopaedica Belgica
|February 12, 2008
Summary
Large bore needle biopsy of the spine improves diagnostic accuracy. Pulsatile bleeding, occurring in 3.8% of cases, was effectively managed using Surgicel, sometimes with added adrenaline.
Area of Science:
- Spinal diagnostics
- Interventional radiology
- Surgical hemostasis
Background:
- Large bore instruments enhance diagnostic accuracy in spinal needle biopsies.
- The Harlow Wood vertebral biopsy needle utilizes a 3 mm internal diameter.
- Pulsatile bleeding is a potential complication, particularly during tumoral lesion biopsies.
Purpose of the Study:
- To report the incidence of pulsatile bleeding during spinal needle biopsies.
- To evaluate the efficacy of Surgicel in managing pulsatile bleeding.
- To present a treatment protocol for managing this complication.
Main Methods:
- Review of 238 spinal needle biopsies.
- Documentation of bleeding events, specifically pulsatile bleeding.
- Application of Surgicel, with and without adrenaline, for hemostasis.
Main Results:
- Nine instances (3.8%) of pulsatile bleeding were recorded in 238 biopsies.
- A single piece of Surgicel was effective in managing most bleeding episodes.
- A second piece of Surgicel, soaked in adrenaline, was occasionally required.
Conclusions:
- Pulsatile bleeding is an infrequent but manageable complication of spinal needle biopsy.
- Surgicel is an efficient hemostatic agent for controlling pulsatile bleeding.
- Adrenaline-soaked Surgicel provides an effective adjunct for refractory bleeding.
