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The positive color Doppler sign post biopsy: effectiveness of US-directed compression in achieving hemostasis

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Abstract

Background

Percutaneous biopsies of soft-tissue organs are frequently performed using US guidance. US permits visualization of blood flow on color Doppler imaging.

Objective

To report the presence of color Doppler signal (positive color Doppler sign) along the biopsy tract after percutaneous needle biopsy of the liver and kidney as an indication of bleeding and to describe US-guided hemostasis.

Materials and methods

A case-control study of US-guided liver and kidney biopsies performed between January 2005 and September 2009 was undertaken. All pediatric patients with a positive color Doppler sign along the biopsy tract were included. Controls consisted of patients in whom no color Doppler sign was identified.

Results

Fifty-three cases with positive color Doppler sign were identified. One hundred and six matched controls were selected. The average compression time was 9.2 min in kidney and 8.4 min in liver cases. US-guided compression achieved cessation of the positive color Doppler sign in all cases. There was no significant difference between the mean pre- and post-procedure hemoglobin and platelet levels between kidney cases and controls (P = 0.68 and P = 0.63, respectively) and between liver cases and controls (P = 0.45 and P = 0.80).

Conclusion

Color Doppler US can detect bleeding post percutaneous liver and kidney biopsies. US-guided compression is effective in obliterating the color Doppler signal and achieving appropriate hemostasis.

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Acknowledgment

The authors would like to thank Dr. Abdallah Alghamdi for his great help in statistical analysis.

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Authors and Affiliations

  1. Image Guided Therapy, Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, 555 University Ave., Toronto, Canada, M5G 1X8

    Mohammed Alotaibi, Joao Amaral, Dimitri Parra, Michael Temple, Philip John & Bairbre Connolly

  2. Georgetown University School of Medicine, Washington, DC, USA

    Jason Shrouder-Henry

Authors
  1. Mohammed Alotaibi
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  2. Jason Shrouder-Henry
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  3. Joao Amaral
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  4. Dimitri Parra
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  5. Michael Temple
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  6. Philip John
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  7. Bairbre Connolly
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Corresponding author

Correspondence to Bairbre Connolly.

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Alotaibi, M., Shrouder-Henry, J., Amaral, J. et al. The positive color Doppler sign post biopsy: effectiveness of US-directed compression in achieving hemostasis. Pediatr Radiol 41, 362–368 (2011). https://doi.org/10.1007/s00247-010-1848-7

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  • DOI: https://doi.org/10.1007/s00247-010-1848-7

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