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CardioVascular and Interventional Radiology

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24.06.2019 | Clinical Investigation

Assessing the Need for Preprocedural Laboratory Tests and Stopping Non-steroidal Anti-inflammatory Drugs/Aspirin in Patients Undergoing Percutaneous Bone and Soft Tissue Biopsies

verfasst von: Samir D. Mehta, Kristy Weber, Lee Fleisher, Lawrence N. Shulman, Peter Gabriel, Scott O. Trerotola, Mohammed Nawas, Andrew S. Chi, Ronnie Sebro

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 11/2019

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Abstract

Purpose

Although image-guided biopsies of bone and soft tissue lesions have a low complication rate, there is limited data evaluating use of preprocedural laboratory tests. To address this issue, patients were not required to stop non-steroidal antiinflammatory drugs (NSAIDs) and aspirin or to obtain preprocedural laboratory tests [complete blood count (CBC) and international normalized ratio (INR)], except in special circumstances. The bleeding complication rate, rate of same day biopsies, and the time from when the biopsy was ordered to when it was performed were obtained.

Materials and Methods

A total of 332 patients who underwent bone or soft tissue biopsies performed at our institution between 9/1/2017 and 1/9/2019 were prospectively analyzed. These data were compared to a retrospective biopsy cohort of 323 patients between 7/1/2015 and 7/1/2017. Data collected included method of image guidance and bleeding complication rate. The number of days from ordering to performing a biopsy and number of same day biopsies were recorded.

Results

There were no bleeding complications in either cohort (OR 1.00, P = 1). The mean time from ordering to performing a bone biopsy was significantly decreased in the prospective group (6.6 days) compared to the retrospective group (8.1 days) (P = 0.012). There were more same day biopsies in the prospective cohort (11.4% vs. 3.4%) (P < 0.001).

Conclusions

Preprocedural CBC and INR for bone and soft tissue biopsies can be safely eliminated in most patients. Biopsies performed while patients are taking NSAIDs/aspirin can safely be performed. Adopting revised preprocedural laboratory criteria can result in decreased time to completion of biopsies.

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Titel: Assessing the Need for Preprocedural Laboratory Tests and Stopping Non-steroidal Anti-inflammatory Drugs/Aspirin in Patients Undergoing Percutaneous Bone and Soft Tissue Biopsies
verfasst von: Samir D. Mehta
Kristy Weber
Lee Fleisher
Lawrence N. Shulman
Peter Gabriel
Scott O. Trerotola
Mohammed Nawas
Andrew S. Chi
Ronnie Sebro
Publikationsdatum: 24.06.2019
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 11/2019
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-019-02274-x

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Assessing the Need for Preprocedural Laboratory Tests and Stopping Non-steroidal Anti-inflammatory Drugs/Aspirin in Patients Undergoing Percutaneous Bone and Soft Tissue Biopsies

Abstract

Purpose

Materials and Methods

Results

Conclusions

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Springer Medizin

Abstract

Purpose

Materials and Methods

Results

Conclusions

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