Injecting hemostatic matrix in the path of biopsies: efficacy, potential complications, and the management of such complications

• Main Authors: Antonio Rahal Junior, Priscila Mina Falsarella, Vinicius Tadeu Rodrigues Ferreira, Guilherme Cayres Mariotti, Marcos Roberto Gomes de Queiroz, Rodrigo Gobbo Garcia
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Radiologia e Diagnóstico por Imagem 2018-03-01
• Series: Radiologia Brasileira
• Subjects: Hemostatic techniques; Hemostatics/administration & dosage; Biopsy, needle/methods; Hemorrhage/prevention & control
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842018005007103&lng=en&tlng=en
• ISSN: 1678-7099

Abstract Objective: To describe the technique of injecting hemostatic matrix, as well as the experience of our interventional radiology department in its application. Materials and Methods: We conducted a single-center study with retrospective analysis of the experience of our group in the use of hemostatic gelatin matrix in percutaneous biopsies. Results: In a total of 73 biopsies in different organs, such as the liver, kidney, and spleen, hemostatic gelatin matrix was introduced into the coaxial needle. The only complication observed was migration of the hemostatic matrix to the left kidney collecting system, and that was resolved with clinical treatment. There were no cases of bleeding after the injection of hemostatic matrix. Conclusion: The use of hemostatic matrices in the path of percutaneous biopsies is another tool available for consideration in minimally invasive procedures.