title: Use of a hemostasis introducer sheath to guide clip delivery during stereotactic directional vacuum-assisted breast biopsy when the biopsy system malfunctions.
abstract: Stereotactic directional vacuum-assisted breast biopsy (ST DVAB) is an accurate biopsy method. Marking the biopsy site with a clip is mandatory after ST DVAB, in case excision is required. With the ST DVAB system we use, clip was delivered through the biopsy probe. We report a case with malfunctioning of the ST DVAB system during the procedure, and thus the clip could not be placed through the biopsy probe. To salvage the procedure, we placed the clip to the biopsy site via a hemostasis introducer sheath.
authors.affiliation: Department of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan. hstjen@yahoo.com.tw
authors.forename: Jane
authors.initials: J
authors.lastname: Wang
authors.forename: Chun-Ju
authors.initials: CJ
authors.lastname: Chang
mesh_terms: D001706:Biopsy / Q000295:instrumentation / Q000379:methods; D001707:Biopsy, Needle / Q000295:instrumentation* / Q000379:methods; D001940:Breast / Q000473:pathology; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D004868:Equipment Failure; D005260:Female; D016558:Hemostasis, Endoscopic / Q000295:instrumentation*; D006801:Humans; D008327:Mammography / Q000379:methods*; D008875:Middle Aged; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D013525:Surgical Instruments; D014618:Vacuum