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Effective Methods to Prevent and Manage Significant Bleeding During Percutaneous Breast Procedures
Angelica S Robinson1, Miguel Salinas2, James Troy Roberts1
1Department of Radiology, University of Texas Medical Branch, Galveston, TX, USA.
Insights
Managing bleeding after image-guided breast procedures is crucial. This review covers prevention and management techniques for the breast imaging team to ensure patient safety in various clinical settings.
Area of Science:
- Radiology
- Interventional Radiology
- Breast Imaging
Background:
- Image-guided procedures are integral to breast care.
- Increased procedures lead to higher risks of postprocedural bleeding.
- Effective bleeding management is vital for patient safety.
Purpose of the Study:
- To review preprocedural, intraprocedural, and postprocedural strategies for managing bleeding complications.
- To provide guidance on conservative and invasive methods for hemorrhage control.
- To emphasize the importance of team familiarity with bleeding management techniques.
Main Methods:
- Review of preprocedural considerations and preventive measures.
- Detailed description of compression techniques.
- Explanation of methods to control superficial and deep bleeding, including suture and Foley catheter techniques.
Main Results:
- Conservative measures like compression are often effective.
- Intravascular and surgical interventions may be necessary for severe hemorrhage.
- Illustrated techniques (suture, Foley catheter) offer practical solutions.
Conclusions:
- Comprehensive breast imaging clinics must be prepared for postprocedural bleeding.
- The entire breast imaging team needs expertise in bleeding prevention and management.
- Familiarity with diverse techniques ensures optimal patient outcomes.
Abstract:
Image-guided procedures are an essential part of the breast imaging continuum of care. As more procedures are performed in comprehensive breast imaging clinics, there are potentially more patients who may experience significant postprocedural bleeding. Most postprocedural bleeding can be managed with conservative measures such as compression. Occasionally, more invasive intravascular and surgical measures are required to stop hemorrhage. This article reviews preprocedural considerations, proper compression techniques, and methods to control superficial and deep bleeding. There is also a review of intraprocedural preventive measures that can be used to reduce the risk of significant postprocedural bleeding complications. Additionally, diagrams/step-by-step illustrations describing suture techniques and the Foley catheter method to decrease bleeding are presented. Because many breast procedures are performed in outpatient or satellite clinics without immediate access to surgeons, it is imperative that the entire breast imaging care team is familiar with effective methods to prevent and manage significant bleeding during percutaneous breast procedures.
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