A survey report was conducted among 12 Italian centres experi-enced in fine-needle biopsy of the *** questions concerned:*** per-formance of inpatient or outpatient fine-needle biopsy;*** policy of routinehemostatic e...
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A survey report was conducted among 12 Italian centres experi-enced in fine-needle biopsy of the *** questions concerned:*** per-formance of inpatient or outpatient fine-needle biopsy;*** policy of routinehemostatic evaluation;*** management of patients taking aspirin;*** of biopsies performed and the diagnoses obtained;*** complicationsthat occurred in relation to coagulation tests *** results were as follows:1.10 out of 12 centres performed biopsiesmainly on outpatients;*** only 2 of the 12 centres was a history investigatingthe patient’s hemostasis collected;all centres routinely performed coagulationtests;the most frequent combination included prothrombin time,partialthromboplastin time and platelet *** the centres a great variabilityconcerning the test values considered safe existed;*** 10 of the 12 centresbiopsy was not deferred if the patient was taking aspirin;*** amount ofbiopsies performed was 9156 on a total of 6261 patients,mainly in diagnosingmalignant focal liver lesions;*** 2 out of 6261 patients(0.03%)bleedingcomplications were fatal and in 8 out of 6261(0.13%)non-fatal but *** hemostatic decompensation,factors involved in the risk of post-biopsybleeding were the type of the lesion(malignant or hemangiomatous)and the co-existence of cirrhosis.
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