Rapid 3D Reconstruction Guided Embolization for Catastrophic Bleeding Following Vacuum Assisted Breast Biopsy; A Case Report and Review of the Literature

Authors

Martin Halicek, Augusta University
Chenghao Qian, University of California, Davis
Driss Raissi, University of KentuckyFollow
Xiaoqin Wang, University of KentuckyFollow
Yevgen Chornenkyy, Northwestern University
William B. Bates, Augusta University
Michael Winkler, Augusta University

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.

Document Type

Article

Publication Date

9-20-2021

Notes/Citation Information

Published in Radiology Case Reports, v. 16, issue 11.

© 2021 The Authors

This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Digital Object Identifier (DOI)

https://doi.org/10.1016/j.radcr.2021.08.053

Repository Citation

Halicek, Martin; Qian, Chenghao; Raissi, Driss; Wang, Xiaoqin; Chornenkyy, Yevgen; Bates, William B.; and Winkler, Michael, "Rapid 3D Reconstruction Guided Embolization for Catastrophic Bleeding Following Vacuum Assisted Breast Biopsy; A Case Report and Review of the Literature" (2021). Radiology Faculty Publications. 36.
https://uknowledge.uky.edu/radiology_facpub/36