Ultrasound-Guided Thrombin Injection for the Treatment of Bleeding Following Kidney and Liver Biopsies.

Mark J Hoegger, William D Middleton

Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2022 Jan

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The purpose of this study was to describe the technique and outcomes of percutaneous thrombin injection into the superficial aspect of actively bleeding liver and kidney biopsy tracks identified with color Doppler ultrasound with the aim of hemorrhage termination. After percutaneous thrombin injection, 15/16 (94%) patients did not require further intervention. Ultrasound-guided thrombin injection into the superficial site of active bleeding is an effective technique for terminating bleeding in the immediate post-procedure period following kidney and liver biopsies and should be considered if active bleeding persists on color Doppler after ≥30 minutes of compression and observation. © 2021 American Institute of Ultrasound in Medicine.

Citation

Mark J Hoegger, William D Middleton. Ultrasound-Guided Thrombin Injection for the Treatment of Bleeding Following Kidney and Liver Biopsies. Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 2022 Jan;41(1):247-253