Vacuum assisted breast biopsy: What can we do during an active bleeding and vasovagal syncope in order to complete the procedure?

Abstract:

Vacuum Assisted Breast Biopsy (VABB) is a minimally invasive procedure in which a suspicious breast sample (BS) is removed with a vacuum pump through a small skin incision under local anesthesia. Can be performed under mammography (M), US or MRI guidance. Our topic is the VABB M guided; can be done in prone or in upright position (UP) with the breast held in a fenestrated compression. Once the needle has been positioned (9G or 12G), the notch is open, and a rotating cutting device removes BS. Procedure takes 20 minutes and patients return to normal activities. The most common complications include hematoma, active bleeding (AB) and vasovagal syncope (VS). Knowing what to do during these complications, allow us to successfully complete the procedure avoiding an insufficient BS and its suspension.

Audience Take Away Notes:

• To know the management of an AB during a VABB with blood clots in BS which difficult the visualization of amorphous microcalcifications
• To know how to revert a VS during a VABB in the UP
• With the tips developed in this presentation you could be able to complete the VABB

Biography:

Ivelís Sarachi studied Medicine in the “Universidad Nacional de La Plata” and graduated as MD in 2009. In 2010 she started the medical residency in radiology at the hospital “H.I.G.A Gral. San Martín” in La Plata City and received the PhD degree in 2014. In the same year, she started to work in “Centro Diagnóstico Mon” in the Breast Imaging Department. She has published more than 15 research articles and received a CUM LAUDE distinction in 2017 for her work “Implicancia en la categorización BI-RADS de la compresión focalizada con tomosíntesis” published in the “Congreso Argentino de Diagnóstico por Imágenes”.