Rapid 3D reconstruction guided embolization for catastrophic bleeding following vacuum assisted breast biopsy; A case report and review of the literature

Martin Halicek, Chenghao Qian, Driss Raissi, Xiaoqin Wang, Yevgen Chornenkyy, William B. Bates, Michael Alan Winkler

Research output: Contribution to journalArticlepeer-review

Abstract

The most clinically significant complication associated with stereotactic core needle biopsy of the breast is hematoma formation, which only occurs in less than 1% of biopsies and may require treatment. Cases of uncontrollable bleeding, refractory to repeated compression, resulting from biopsy are exceedingly rare. We present a case of catastrophic, uncontrollable bleeding and large hematoma formation resulting from stereotactic vacuum-assisted breast biopsy of a breast mass identified in screening mammography. Percutaneous embolization was planned and guided using 3D reconstructions from computed tomographic angiography, and bleeding was successfully controlled with micro-coil embolization.

Original languageEnglish (US)
Pages (from-to)3593-3596
Number of pages4
JournalRadiology Case Reports
Volume16
Issue number11
DOIs
StatePublished - Nov 2021

Keywords

  • 3D reconstruction
  • Bleeding
  • Breast needle biopsy
  • Embolization
  • Hematoma

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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