J Breast Dis.  2018 Jun;6(1):29-33. 10.14449/jbd.2018.6.1.29.

Iatrogenic Arteriovenous Fistula after Ultrasonography-Guided Core Needle Biopsy for Breast Lesion

Affiliations
  • 1Busan Cancer Center, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea. taewoo.d.kang@gmail.com
  • 2Department of Plastic Surgery, Pusan National University College of Medicine, Busan, Korea.
  • 3Department of Radiology, Pusan National University College of Medicine, Busan, Korea.
  • 4Cancer Research Center, Pusan National University, Busan, Korea.

Abstract

Ultrasonography-guided core needle biopsy has been standard of care for diagnosing suspicious breast lesion. The procedure is safe and has a low rate of complications. Most common complication might be bleeding or hematoma, which could be avoided by careful process or changing it to excisional biopsy or managed by proper management. Rarely, Post-procedural arteriovenous fistula is reported in almost all body fields, which is life quality threatening, not life-threatening. Most of them occur with obvious vessel injury, and their primary end-point of management is the obliteration of fistula by thrombosis. However, we experienced a case of iatrogenic arteriovenous fistula after core needle biopsy for breast lesion with small vessel injury which was not but small ones, and its thrill did not disappear even after thrombosis. We would like to share our clinical learnings from surgical management process of this rare complication.

Keyword

Arteriovenous fistula; Biopsy; Breast; Iatrogenic disease; Surgical procedures

MeSH Terms

Arteriovenous Fistula*
Biopsy
Biopsy, Large-Core Needle*
Breast*
Fistula
Hematoma
Hemorrhage
Iatrogenic Disease
Quality of Life
Standard of Care
Thrombosis
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