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Fast hemostasis: a win-win strategy for ultrasound and microwave ablation

Authors Guo J, Tian G, Zhao Q, Jiang T

Received 8 September 2017

Accepted for publication 6 February 2018

Published 13 March 2018 Volume 2018:11 Pages 1395—1402

DOI https://doi.org/10.2147/OTT.S151219

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 2

Editor who approved publication: Dr Ingrid Espinoza


Jiabao Guo,1,* Guo Tian,1,2,* Qiyu Zhao,1 Tian’an Jiang1,2

1Department of Ultrasound Medicine, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; 2Key Laboratory of Precision Diagnosis and Treatment for Hepatobiliary and Pancreatic Tumor of Zhejiang Province, Hangzhou, China

*These authors contributed equally to this work

Introduction:
Hemorrhage is a serious complication following percutaneous biopsy requiring detecting and immediate treatment of active bleeding. This study aimed to explore the potential benefits of ultrasound (US)-guided microwave ablation (MWA) to treat acute hemorrhage in risky locations.
Materials and methods: We present seven patients (four males and three females) aged 19–69 years with solid-organ arterial hemorrhage treated by US-guided MWA and followed up with contrast-enhanced US (CEUS).
Results: All seven cases successfully underwent MWA for hemostasis, and their vital signs subsequently stabilized. During the follow-up from 13 to 36 days, the ablation area decreased slowly in five patients and was still stable in two cases. There were no complications observed in this study after MWA treatment. We also reviewed a total of 12 publications in the past 10 years.
Conclusion:
This study suggested that US-guided MWA may be an effective and safe strategy for acute hemorrhage in the emergency setting. To confirm this method and benefit more patients, more prospective studies with larger samples and longer follow-ups are recommended.

Keywords:
hemorrhage, hemostasis, microwave, ablation, sonography, contrast-enhanced US, biopsy

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