TY - JOUR AU - Fu, Shao-Mei AU - Wang, Xue-Mei AU - Yin, Chu-Yang AU - Song, Hui PY - 2015 TI - Effectiveness of hemostasis with Foley catheter after vacuum-assisted breast biopsy JF - Journal of Thoracic Disease; Vol 7, No 7 (July 30, 2015): Journal of Thoracic Disease Y2 - 2015 KW - N2 - Background: Interventional bleeding and post-interventional hematoma are the most common complications following vacuum-assisted breast biopsy (VABB). The aim of the current study was to evaluate the effectiveness of Foley catheter-induced hemostasis in VABB. Methods: A randomized prospective controlled trial was conducted using a total of 437 consecutive 8-gauge ultrasound-guided VABB procedures that were performed in 282 patients from June 2012 to October 2013. In each procedure, hemostasis was induced with either a Foley catheter or with external compression. Bleeding during intervention, hematoma post-intervention and the time of procedure were recorded. Statistical analysis included a Chi-Square test and an independent-samples t -test, and P value Results: Significantly less bleeding and post-interventional hematoma resulted when hemostasis was induced using a Foley catheter vs. compression (7.6% vs. 17.4%, P=0.002; 8.9% vs. 27.9%, P vs. compression (33.6 vs. 45.5 min, P vs. 14.1%, P=0.346). In cases of multiple lesions, the Foley catheter method produced less bleeding/hematoma than compression (10.4% vs. 47.4%, P=0.018; 16.7% vs. 52.6%, P=0.020). Whether using a Foley catheter or compression to induce hemostasis, no significant difference was found in the rate of bleeding or hematoma when lesions vs. 6.1%, P=0.531; 6.1% vs. 11.4%, P=0.340). When lesions ≥15 mm were excised, the rates of interventional bleeding and post-interventional hematoma were significantly lower in the Foley catheter study group than the compression control group (12.5% vs. 32.2%, P=0.034; 12.5% vs. 49.4%, P vs. 15.7%, P=0.004; 9.8% vs. 40.2%, P Conclusions: Inducing hemostasis with a Foley catheter after VABB is a very effective and safe alternative to hemostasis with compression. UR - https://jtd.amegroups.org/article/view/4711