학술논문
Safety of omitting routine bleeding tests prior to image-guided musculoskeletal core needle biopsy
Scientific Article
Scientific Article
Document Type
Academic Journal
Author
Source
Skeletal Radiology. February 2018, Vol. 47 Issue 2, p215, 7 p.
Subject
Language
English
ISSN
0364-2348
Abstract
Author(s): Yuri Shif [sup.1], Justin W. Kung [sup.1], Colm J. McMahon [sup.1], Jennifer Ni Mhuircheartaigh [sup.1], Yu Ching Lin [sup.1] [sup.2], Megan E. Anderson [sup.3], Jim S. Wu [sup.1] Author [...]
Purpose To evaluate the safety of withholding preprocedure international normalized ratio (INR) and platelet testing in patients undergoing musculoskeletal (MSK) core needle biopsy (CNB). Material and methods Initially, a retrospective review of 1,162 consecutive patients undergoing MSK CNB with preprocedural INR and platelet testing was performed. Clinical (age, gender, bleeding disorder, liver disease, anticoagulation use, INR > 2, platelet count Results In the first phase, there was a complication rate of 2.6%, 30/1162. Of the 11 clinical and biopsy factors, soft tissue lesions (p = 0.029) and lesions biopsied under ultrasound (p = 0.048) had a higher rate of bleeding than bone lesions or lesions biopsied under CT, respectively. Only three patients had an INR >2, 0.3% (3/1162) and only four patients had platelet count Conclusion Bleeding complications from MSK biopsy are low, even when preprocedure coagulation testing is omitted.
Purpose To evaluate the safety of withholding preprocedure international normalized ratio (INR) and platelet testing in patients undergoing musculoskeletal (MSK) core needle biopsy (CNB). Material and methods Initially, a retrospective review of 1,162 consecutive patients undergoing MSK CNB with preprocedural INR and platelet testing was performed. Clinical (age, gender, bleeding disorder, liver disease, anticoagulation use, INR > 2, platelet count Results In the first phase, there was a complication rate of 2.6%, 30/1162. Of the 11 clinical and biopsy factors, soft tissue lesions (p = 0.029) and lesions biopsied under ultrasound (p = 0.048) had a higher rate of bleeding than bone lesions or lesions biopsied under CT, respectively. Only three patients had an INR >2, 0.3% (3/1162) and only four patients had platelet count Conclusion Bleeding complications from MSK biopsy are low, even when preprocedure coagulation testing is omitted.