Use of fogarty catheter to limit hemorrhage and hematoma after vacuum-assisted breast biopsy.
A 42-year-old woman underwent vacuum-assisted breast biopsy (VABB, 11G) due to a nonpalpable, BI-RADS 4A lesion without microcalcifications. During the procedure, an extraordinarily large amount of blood was lost. In an attempt to stop the hemorrhage and limit the imminent hematoma, a thin intravascular Fogarty catheter was inserted adjacent to the VABB probe (through the same incision). The catheter was maintained in its position for 2 days. At clinical examination 9 days after VABB, no hematoma was present. The use of a Fogarty catheter seems capable of limiting any severe bleeding after VABB and may also possibly prevent subsequent hematoma formation.
Zografos
G C
GC
Breast Unit, First Department of Propaedeutic Surgery, Hippokratio Hospital, University of Athens, Athens, Greece. gzografo@med.uoa.gr
Zagouri
F
F
Sergentanis
T N
TN
Koulocheri
D
D
Michalopoulos
N V
NV
Tsigris
C
C
Bramis
J
J
Gomatos
I P
IP
D000328:Adult; D001706:Biopsy / Q000009:adverse effects / Q000379:methods*; D001941:Breast Diseases / Q000473:pathology*; D002404:Catheterization / Q000295:instrumentation*; D003937:Diagnosis, Differential; D005260:Female; D006406:Hematoma / Q000209:etiology / Q000517:prevention & control*; D006470:Hemorrhage / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D014618:Vacuum