유방병변에 대한 초음파 유도하 중심침생검 후 발생한 의인성 동정맥루
Iatrogenic Arteriovenous Fistula after Ultrasonography-Guided Core Needle Biopsy for Breast Lesion
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Ultrasonography-guided core needle biopsy has been standard of care for diagnosing suspicious breast lesion. The procedure is safe and has a low rate of complications. Most common complication might be bleeding or hematoma, which could be avoided by careful process or changing it to excisional biopsy or managed by proper management. Rarely, Post-procedural arteriovenous fistula is reported in almost all body fields, which is life quality threatening, not life-threatening. Most of them occur with obvious vessel injury, and their primary end-point of management is the obliteration of fistula by thrombosis. However, we experienced a case of iatrogenic arteriovenous fistula after core needle biopsy for breast lesion with small vessel injury which was not but small ones, and its thrill did not disappear even after thrombosis. We would like to share our clinical learnings from surgical management process of this rare complication.
Abstract
Ultrasonography-guided core needle biopsy has been standard of care for diagnosing suspicious breast lesion. The procedure is safe and has a low rate of complications. Most common complication might be bleeding or hematoma, which could be avoided by careful process or changing it to excisional biopsy or managed by proper management. Rarely, Post-procedural arteriovenous fistula is reported in almost all body fields, which is life quality threatening, not life-threatening. Most of them occur with obvious vessel injury, and their primary end-point of management is the obliteration of fistula by thrombosis. However, we experienced a case of iatrogenic arteriovenous fistula after core needle biopsy for breast lesion with small vessel injury which was not but small ones, and its thrill did not disappear even after thrombosis. We would like to share our clinical learnings from surgical management process of this rare complication.
참고문헌 (10)
- Dixon AM, "Pseudoaneurysm of the breast: case study and review of literature", Br J Radiol, 77, pp.694~697 (2004)[DOI]
- Gonzalez SB, "Imaging arteriovenous fistulas", AJR Am J Roentgenol, 193, pp.1425~1433 (2009)[DOI]
- Rich NM, "Traumatic arteriovenous fistulas and false aneurysms: a review of 558 lesions", Surgery, 78, pp.817~828 (1975)
- Rhodes-Wilson M, "Arteriovenous fistula of the breast", J Diagn Med Sonogr, 20, pp.57~61 (2004)[DOI]
- Haider MH, "Iatrogenic arteriovenous fistula of the breast as a complication of core needle biopsy", Ann R Coll Surg Engl, 96, pp.e20~e22 (2014)
- Smith SM, "Breast pseudoaneurysm after core biopsy", AJR Am J Ro entgenol, 167, pp.817~ (1996)
- Chorny K, "Pseudoaneurysm formation in the breast after core needle biopsy", J Ultrasound Med, 16, pp.849~851 (1997)[DOI]
- Beres RA, "Percutaneous repair of breast pseudoaneurysm: sonographically guided embolization", AJR Am J Roentgenol, 169, pp.425~427 (1997)[DOI]
- McNamara MP Jr, "Pseudoaneurysm of the breast related to 18-gauge core biopsy: successful repair using sonographically guided thrombin injection", AJR Am J Roentgenol, 179, pp.924~926 (2002)[DOI]
- Wilkes AN, "Pseudoaneurysm of the breast", AJR Am J Roentgenol, 167, pp.625~626 (1996)[DOI]