Bleeding
Conditions
Keywords
liver, track bleeding, radiofrequency ablation
Brief summary
This study aims to evaluate the usefulness of hemostasis using radiofrequency ablation for track bleeding that has occurred after percutaneous biopsy of the liver.
Detailed description
Purpose: To evaluate the usefulness of hemostasis using radiofrequency ablation for track bleeding after percutaneous liver biopsy. Method: * Enroll patients who continue to bleed despite conservative treatment for track bleeding that has occurred after liver biopsy. * Radiofreqeuncy ablation: Under monitoring vital signs and controlling pain with intravenous agents, the electrode is inserted into the bleeding focus. The bleeding focus is ablated. * Hemostasis is evaluated by ultrasound (right after radiofrequency ablation), CT scan (after the radiofrequency ablation), and ultrasound (the day after radiofrequency ablation) * If hemostasis fails using radiofrequency ablation, transarterial hepatic embolization is performed immediately.
Interventions
Under the ultrasound guidance, the electrode is inserted into the bleeding focus of the liver and the bleeding focus is ablated.
Sponsors
Study design
Eligibility
Inclusion criteria
* Ultrasound guided percutaneous liver biopsy at Samsung Medical Center * Track bleeding after biopsy * Persistent track bleeding even after conservative management * Consent to this study
Exclusion criteria
* Not consent to this study * \<20 years old or \>=80 years old * Contraindication to radiofrequency ablation * Radiofrequency ablation for track bleeding is not technically possible. * Unstable vital signs
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| hemostasis rate | immediately after radiofrequency ablation | success rate of hemostasis using radiofrequency ablation on CT taken after radiofrequency ablation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complication rate | immediately after radiofrequency ablation | complication rate associated with radiofrequency ablation on CT taken after radiofrequency ablation |
Countries
South Korea