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Recent previous imaging that has identified an abnormality requiring vacuum-assisted core biopsy must be available prior to the procedure, for planning purposes.
If the patient is of childbearing age, pregnancy status should be indicated. A negative pregnancy test result should be available.
There are no absolute contraindications to vacuum-assisted core biopsy unless it is to be performed under MRI guidance. In that circumstance, the usual contraindications to MRI apply (e.g. pacemakers and metallic bodies). Patients with severe kidney impairment may not be able to have contrast with their MRI.
Anticoagulation is a relative contraindication. However, if anticoagulants cannot be safely discontinued prior to the procedure, it is possible to perform the procedure after advising the woman she is at increased risk of bruising / haematoma.
If the procedure is to be performed using a prone table or MRI:
16. What are the adverse effects of a vacuum-assisted core biopsy?
The risks of vacuum-assisted core biopsy are:
Vacuum-assisted core biopsy is usually performed if an imaging abnormality is:
The advantages of vacuum-assisted core biopsy are:
The disadvantages of vacuum-assisted core biopsy are:
The alternative biopsy procedure is an open surgical biopsy. This is usually indicated if:
Page last modified on 26/7/2017.
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RANZCR® intends by this statement to exclude liability for any such opinions, advices or information. The content of this publication is not intended as a substitute for medical advice. It is designed to support, not replace, the relationship that exists between a patient and his/her doctor. Some of the tests and procedures included in this publication may not be available at all radiology providers.
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