Major bleeding after percutaneous ultrasound guided liver interventions. Role of US and CEUS in the emergency diagnosis

Background and aim: Bleeding after percutaneous echoguided interventions in the liver is a rare event, occuring in 1 – 2 percent of cases. The aim of this study was to assess the diagnostic accuracy of US and CEUS in major bleeding after percutaneous interventions. Material and methods: Between 2008 and 2013 we have performed 1800 liver biopsies, 185 RFA, 400 PEI sessions and 80 liver abscess treatments and 140 percutaneous biliary drainages. For all procedures a PLT over 80.000/mmc and an INR below 1.3 was required. After the intervention the patients were followed-up for 24 hours (clinically, lab test and ultr…