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Published on: December 3, 2017
Safety of sonographically guided aspiration of intramuscular, bursal, articular and subcutaneous hematomas
Kazimierz T Szopinski1, Robert Smigielski
1Department of Diagnostic Imaging, Second Faculty of Medicine, Medical University of Warsaw, ul Kondratowicza 8, 03-242 Warsaw, Poland. kszopinski@wum.edu.pl
Objective:
To evaluate the safety and efficacy of sonographically guided aspiration of intramuscular, bursal and subcutaneous hematomas.
Materials And Methods:
One hundred eleven interventions were performed in 75 patients at a single institution from January 2005 to December 2009. In all cases the target of interest was identified with ultrasonography.
Results:
Ninety-six procedures (87.3%) were successful, 14 procedures (12.7%) were unsuccessful due to excessive density and/or viscosity of the content. No significant complications were encountered during or immediately after any procedure. Clinical follow-up records were available for 73 (75%) procedures in 45 (66%) patients, 30 patients did not return for follow-up after hematoma evacuation. No septic or hemorrhagic complications or cases of neurovascular compromise were recorded.
Conclusions:
Sonographically guided hematoma evacuation is a safe procedure. However, the proportion of unsuccessful evacuations and hematoma recurrence is substantial.
