乳房内核-针活检后的出血并发症 - 治疗抗血栓治疗患者的管理方法
Sally Goudreau1, Lars J Grimm2, Ashmitha Srinivasan3
1University of Texas Southwestern Medical Center, Department of Radiology, Dallas, TX, USA.
Journal of breast imaging
|February 28, 2024
概括
用于乳腺癌诊断的图像引导核心针活检 (CNB) 携带出血风险,特别是在接受抗血栓治疗的患者中. 持续治疗可能是安全的,风险分层指导管理.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 血液学 血液学 血液学
背景情况:
- 核心针活检 (CNB) 是乳腺癌诊断的标准.
- 流血和血液瘤是常见的CNB并发症,特别是在抗血栓治疗的患者中.
- 美国没有标准化的协议存在,用于在CNB期间管理抗血栓治疗.
研究的目的:
- 审查当前关于 CNB 期间抗血栓治疗管理的数据.
- 为了突出影响出血风险的因素.
- 为患者管理提出风险分层方法.
主要方法:
- 审查关于CNB和抗血栓治疗的现有文献.
- 分析导致手术后出血的因素.
- 开发一个风险分层框架.
主要成果:
- 在CNB期间继续抗血栓治疗可能是安全的.
- 程序性和目标病变因素影响出血风险.
- 当前的管理建议中存在异质性.
结论:
- 建议进行风险分层,以指导接受抗血栓治疗的患者的手术前和手术后决策.
- 放射科医生必须了解抗血栓药理动力学和减少出血的策略.
- 在接受抗血栓治疗的患者中,针对性管理对于安全的CNB至关重要.
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