Evaluation of the safety of performing core needle biopsy of the breast without suspending medication

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Abstract

BACKGROUND:

Patients are increasingly presenting for outpatient breast biopsy while taking medically necessary antithrombotic therapy. Cessation of this medication prior to biopsy increases patients' risk of vascular complications.

OBJECTIVES:

This article evaluates the safety of performing core needle biopsies of the breast in patients without suspending prescription antithrombotic therapy.

METHODS:

In this retrospective chart review study, patients continued prescription antithrombotic therapy prior to and including the day of biopsy. Follow-up telephone assessment, relying on patient self-report, was completed on the same or next business day. The chart review included report of bleeding as a postprocedure complication.

FINDINGS:

None of the 42 women who completed core needle biopsy of the breast while on antithrombotic therapy reported postdischarge bleeding, and 2 reported hematoma, supporting the safety of continuing antithrombotic therapy in patients who undergo core needle biopsy of the breast.

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