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Pain and complications of directional vacuum-assisted stereotactic biopsy: comparison of the Mammotome and Vacora techniques.
Eur J Radiol. 2009 Nov; 72(2):295-9.EJ

Abstract

OBJECTIVE

The aim of our study is to compare the Mammotome and Vacora methods of stereotactic directional vacuum-assisted biopsy in terms of pain and complications.

MATERIALS AND METHODS

From June 2001 to May 2005, 1114 consecutive patients underwent directional stereotactic vacuum-assisted breast biopsy (DVAB) for nonpalpable mammographically detected breast lesions (BI-RADS 3, 4 or 5). Respectively 967 and 147 patients underwent the Mammotome and Vacora procedures. Pain was evaluated with a visual analog scale. Immediate and late complications were recorded.

RESULTS

The mean+/-S.D. (range) pain scores in the Mammotome and Vacora groups were 1.7+/-1.8 (0-9) and 2.9+/-2.3 (0-10), respectively (p<0.001). Patient age and operator experience were the main determinants of pain. Immediate complications were significantly more frequent in the Mammotome group (p=0.003), and so were late hematomas (p=0.04). Moderate and severe complications occurred exclusively in the Mammotome group.

CONCLUSION

The Mammotome technique is associated with a higher risk of immediate and late complications, while the Vacora technique is associated with more frequent severe pain. Patient age was the major factor influencing pain. Further prospective studies are needed to clarify factors incriminated in pain or complications after DVAB procedures.

Authors+Show Affiliations

Department of Radiology, Hôpital Tenon, Université Pierre et Marie Curie Paris VI, CancerEst, AP-HP, 4 rue de la Chine, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

18755562

Citation

Salem, C, et al. "Pain and Complications of Directional Vacuum-assisted Stereotactic Biopsy: Comparison of the Mammotome and Vacora Techniques." European Journal of Radiology, vol. 72, no. 2, 2009, pp. 295-9.
Salem C, Sakr R, Chopier J, et al. Pain and complications of directional vacuum-assisted stereotactic biopsy: comparison of the Mammotome and Vacora techniques. Eur J Radiol. 2009;72(2):295-9.
Salem, C., Sakr, R., Chopier, J., Antoine, M., Uzan, S., & Daraï, E. (2009). Pain and complications of directional vacuum-assisted stereotactic biopsy: comparison of the Mammotome and Vacora techniques. European Journal of Radiology, 72(2), 295-9. https://doi.org/10.1016/j.ejrad.2008.07.015
Salem C, et al. Pain and Complications of Directional Vacuum-assisted Stereotactic Biopsy: Comparison of the Mammotome and Vacora Techniques. Eur J Radiol. 2009;72(2):295-9. PubMed PMID: 18755562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain and complications of directional vacuum-assisted stereotactic biopsy: comparison of the Mammotome and Vacora techniques. AU - Salem,C, AU - Sakr,R, AU - Chopier,J, AU - Antoine,M, AU - Uzan,S, AU - Daraï,E, Y1 - 2008/08/27/ PY - 2008/05/28/received PY - 2008/07/07/revised PY - 2008/07/18/accepted PY - 2008/8/30/pubmed PY - 2010/2/3/medline PY - 2008/8/30/entrez SP - 295 EP - 9 JF - European journal of radiology JO - Eur J Radiol VL - 72 IS - 2 N2 - OBJECTIVE: The aim of our study is to compare the Mammotome and Vacora methods of stereotactic directional vacuum-assisted biopsy in terms of pain and complications. MATERIALS AND METHODS: From June 2001 to May 2005, 1114 consecutive patients underwent directional stereotactic vacuum-assisted breast biopsy (DVAB) for nonpalpable mammographically detected breast lesions (BI-RADS 3, 4 or 5). Respectively 967 and 147 patients underwent the Mammotome and Vacora procedures. Pain was evaluated with a visual analog scale. Immediate and late complications were recorded. RESULTS: The mean+/-S.D. (range) pain scores in the Mammotome and Vacora groups were 1.7+/-1.8 (0-9) and 2.9+/-2.3 (0-10), respectively (p<0.001). Patient age and operator experience were the main determinants of pain. Immediate complications were significantly more frequent in the Mammotome group (p=0.003), and so were late hematomas (p=0.04). Moderate and severe complications occurred exclusively in the Mammotome group. CONCLUSION: The Mammotome technique is associated with a higher risk of immediate and late complications, while the Vacora technique is associated with more frequent severe pain. Patient age was the major factor influencing pain. Further prospective studies are needed to clarify factors incriminated in pain or complications after DVAB procedures. SN - 1872-7727 UR - https://www.unboundmedicine.com/medline/citation/18755562/Pain_and_complications_of_directional_vacuum_assisted_stereotactic_biopsy:_comparison_of_the_Mammotome_and_Vacora_techniques_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0720-048X(08)00395-1 DB - PRIME DP - Unbound Medicine ER -