Efficacy and safety of medical adhesive occlusion of needle passage for preventing bleeding after CT-guided liver puncture biopsy

Qingbo HUANG; Lin CHEN; Fan FENG; Haojie ZHANG; Yadan LI; Meng WANG; Zhigang ZHOU

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Efficacy and safety of medical adhesive occlusion of needle passage for preventing bleeding after CT-guided liver puncture biopsy

VernacularTitle:医用胶封堵针道预防CT引导下肝穿刺活检后出血的有效性及安全性
Author: Qingbo HUANG ¹ ; Lin CHEN ¹ ; Fan FENG ¹ ; Haojie ZHANG ¹ ; Yadan LI ¹ ; Meng WANG ¹ ; Zhigang ZHOU ¹
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1. 郑州大学第一附属医院放射科,河南郑州 450052
Publication Type:Journal Article
Keywords: liver neoplasms; punctures; biopsy; hemorrhage; tomography,X-ray computed; medical adhesive
From: Chinese Journal of Interventional Imaging and Therapy 2024;21(12):729-732
CountryChina
Language:Chinese
Abstract: Objective To observe the efficacy and safety of medical adhesive occlusion of needle passage for preventing bleeding after CT-guided liver puncture biopsy.Methods Fifty-three patients with liver lesions who underwent CT-guided liver puncture biopsy were retrospectively enrolled.Medical adhesive was used to block the needle passage after puncture sampling.The technical success rate of biopsy and occlusion,as well as the biopsy pathological diagnostic accuracy and incidence of complications were observed and recorded.Results CT-guided liver puncture biopsy were successfully performed in all 53 patients and satisfactory samples were obtained.The technical success rate of biopsy was 100％(53/53),and pathological diagnostic accuracy was 96.23％(51/53).After blocking puncture needle passage with medical adhesive,no obvious bleeding was found in 49 cases(49/53,92.45％),while a small amount of bleeding was noticed in 4 cases(4/53,7.55％)but without subsequent increase during 20-minute observation,and the success rate of occlusion was 100％(53/53).After CT-guided liver puncture biopsy,mild local pain occurred in 5 cases(5/53,9.43％),while slight displacement of the medical adhesive was observed in 12 cases(12/53,22.64％).No serious complications associated with puncture or medical adhesive occurred.Conclusion Medical adhesive occlusion of needle passage was effective and safe for preventing bleeding after CT-guided liver puncture biopsy.