Back to Search
Start Over
Real-Time Ultrasound-Guided Paracentesis by Radiologists: Near Zero Risk of Hemorrhage without Correction of Coagulopathy
- Source :
- Journal of Vascular and Interventional Radiology. 30:259-264
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Purpose To evaluate the rate and risk factors for hemorrhage in patients undergoing real-time, ultrasound-guided paracentesis by radiologists without correction of coagulopathy. Materials and Methods This was a retrospective study of all patients who underwent real-time, ultrasound-guided paracentesis at a single institution over a 2-year period. In total, 3116 paracentesis procedures were performed: 757 (24%) inpatients and 2,359 (76%) outpatients. Ninety-five percent of patients had a diagnosis of cirrhosis. Mean patient age was 56.6 years. Mean international normalized ratio (INR) was 1.6; INR was > 2 in 437 (14%) of cases. Mean platelet count was 122 x 103/μL; platelet count was Results Significant post-paracentesis hemorrhage occurred in 6 (0.19%) patients, and only 1 patient required an angiogram with embolization. No predictors of post-procedure bleeding were found, including INR and platelet count. Transfusion of 1125 units of fresh frozen plasma and 366 units of platelets were avoided, for a transfusion-associated cost savings of $816,000. Conclusions Without correction of coagulation abnormalities with prophylactic blood product transfusion, post-procedural hemorrhage is very rare when paracentesis is performed with real-time ultrasound guidance by radiologists.
- Subjects :
- Adult
medicine.medical_specialty
Time Factors
Cirrhosis
Blood transfusion
Cost-Benefit Analysis
medicine.medical_treatment
Hemorrhage
Risk Assessment
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Cost Savings
Risk Factors
Blood product
Radiologists
Ambulatory Care
medicine
Coagulopathy
Paracentesis
Humans
Blood Transfusion
Radiology, Nuclear Medicine and imaging
International Normalized Ratio
Embolization
Hospital Costs
Blood Coagulation
Ultrasonography, Interventional
Aged
Retrospective Studies
medicine.diagnostic_test
Platelet Count
business.industry
Retrospective cohort study
Blood Coagulation Disorders
Middle Aged
medicine.disease
Surgery
Treatment Outcome
030220 oncology & carcinogenesis
Fresh frozen plasma
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 10510443
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- Journal of Vascular and Interventional Radiology
- Accession number :
- edsair.doi.dedup.....0d3d2363784eb48ef061b538d2f395c8
- Full Text :
- https://doi.org/10.1016/j.jvir.2018.11.001