Percutaneous biopsy of malignant hepatic tumor in patients with bleeding tendency: Usefulness of gelfoamplugging up the biopsy track.
10.3348/jkrs.1998.39.2.353
- Author:
Hye Ran YOON
1
;
Byung Kook KWAK
;
Chi Hoon CHOI
;
Yong Ok PARK
;
Keun Myeong YANG
;
Ja Young SEO
;
Shin Hyung LEE
;
Chang Joon LEE
;
Hyung Jin SHIM
Author Information
1. Department of Diagnostic Radiology, National Medical Center.
- Publication Type:Original Article
- Keywords:
Liver, biopsy;
Liver neoplasms, Biopsies;
technology
- MeSH:
Biopsy*;
Carcinoma, Hepatocellular;
Catheters;
Fires;
Gelatin Sponge, Absorbable;
Hemorrhage*;
Humans;
Liver;
Seoul
- From:Journal of the Korean Radiological Society
1998;39(2):353-356
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To plug the biopsy site in eight patients with coagulopathy who had undergone percutaneous liverbiopsy. To this end, gelfoam cartridge was used as a sealant. MATERIALS AND METHODS: Using an 18G Tru-Cut-typedisposible automated biopsy gun(Soo Ho Medi-tech, Seoul, Korea) and under US guidance, eight patients underwentpercutaneous liver biopsy. After the gun had fired, the biopsy specimen in the inner stylet was retrieved whilethe outer cannula was held in place ; the cannula was then used to plug the biopsy tracks with gelfoam, using twoor three cartridges. If bleeding occurred, this was controlled by the use of more gelfoam cartridges. RESULTS: Diagnostic target tissue was obtained in seven of the eight patients(87.5%). Hepatocellular carcinoma wasdiagnosed in five cases and metastatic cancer in two. Profuse bleeding was observed in one patient(12.5%) andresolved by gelfoam plugging. CONCLUSION: We believe that in patients with coagulopathy who are required toundergo liver biopsy plugging the liver biopsy track with gelfoam cartridge is a simple, safe and useful method.
