scholarly journals Pneumothorax with prolonged chest tube requirement after CT-guided percutaneous lung biopsy: incidence and risk factors

2016 ◽  
Vol 26 (10) ◽  
pp. 3483-3491 ◽  
Author(s):  
Anna Moreland ◽  
Eitan Novogrodsky ◽  
Lynn Brody ◽  
Jeremy Durack ◽  
Joseph Erinjeri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chest Tube ◽  
Lung Biopsy ◽  
Ct Guided ◽  
Percutaneous Lung Biopsy

scholarly journals Incidence and risk factors of developing prolonged chest tube requirement after percutaneous lung biopsy

2015 ◽  
Vol 26 (2) ◽  
pp. S148
Author(s):  
E. Novogrodsky ◽  
A. Moreland ◽  
L.A. Brody ◽  
J.C. Durack ◽  
J.P. Erinjeri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chest Tube ◽  
Lung Biopsy ◽  
Percutaneous Lung Biopsy

Pneumothoraces and chest tube placement after CT-guided transthoracic lung biopsy using a coaxial technique: incidence and risk factors.

1999 ◽  
Vol 172 (4) ◽  
pp. 1049-1053 ◽  
Author(s):  
F Laurent ◽  
P Michel ◽  
V Latrabe ◽  
M Tunon de Lara ◽  
R Marthan
Keyword(s):  
Risk Factors ◽  
Chest Tube ◽  
Lung Biopsy ◽  
Tube Placement ◽  
Ct Guided ◽  
Chest Tube Placement

A Retrospective Multi-Site Academic Center Analysis of Pneumothorax and Associated Risk Factors after CT-Guided Percutaneous Lung Biopsy

Lung ◽  
2021 ◽  
Author(s):  
Esther Rong ◽  
David A. Hirschl ◽  
Benjamin Zalta ◽  
Anna Shmukler ◽  
Steven Krausz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Biopsy ◽  
Ct Guided ◽  
Academic Center ◽  
Percutaneous Lung Biopsy ◽  
Associated Risk Factors

scholarly journals Coronary artery air embolism complicating a CT-guided percutaneous lung biopsy

2019 ◽  
Vol 29 (1) ◽  
pp. 81 ◽  
Author(s):  
Ashwin Deshmukh ◽  
Nirav Kadavani ◽  
Ritu Kakkar ◽  
Shrinivas Desai ◽  
GanapathiM Bhat
Keyword(s):  
Coronary Artery ◽  
Lung Biopsy ◽  
Air Embolism ◽  
Ct Guided ◽  
Percutaneous Lung Biopsy

Effect of Intraparenchymal Blood Patch on Rates of Pneumothorax and Pneumothorax Requiring Chest Tube Placement After Percutaneous Lung Biopsy

2013 ◽  
Vol 200 (6) ◽  
pp. 1238-1243 ◽  
Author(s):  
LaDonna J. Malone ◽  
Robert M. Stanfill ◽  
Huaping Wang ◽  
Kevin M. Fahey ◽  
Raymond E. Bertino
Keyword(s):  
Chest Tube ◽  
Lung Biopsy ◽  
Tube Placement ◽  
Chest Tube Placement ◽  
Blood Patch ◽  
Percutaneous Lung Biopsy

A prospective study of selective pleural blood patching for pneumothorax due to computed tomography-guided percutaneous lung biopsy

2020 ◽  
Author(s):  
Hironori Uruga ◽  
Hisashi Takaya ◽  
Shuhei Moriguchi ◽  
Yui Takahashi ◽  
Kazumasa Ogawa ◽  
...  
Keyword(s):  
Chest Tube ◽  
Lung Biopsy ◽  
Tube Placement ◽  
Control Group ◽  
Study Group ◽  
Tube Insertion ◽  
Chest Tube Placement ◽  
Percutaneous Lung Biopsy ◽  
A Prospective Study ◽  
And Control

Abstract Background: We conducted a prospective study to investigate the efficacy of pleural blood patching to reduce the need for chest tube placement in pneumothorax of CT-guided percutaneous lung biopsy. Methods: We enrolled each 77 patients in study and control groups. If the patient of study group developed pneumothorax ≥1 cm on post-biopsy CT, we drew 15 mL blood, then performed simple aspiration followed by pleural blood patching. In control group, we performed only simple aspiration or no interventions. Results: Of the 77 patients of study group, 41 developed pneumothorax, 9 of which were ≥ 1 cm, and 8 patients underwent pleural blood patching. None of these 8 patients (0%) required chest tube placement. In comparison between study group and control group, pleural blood patching reduced the chest tube insertion rate from 23.1% to 11.1% in patients pneumothorax ≥ 1 cm, but not statistically significant (p=0.26) Conclusion: Selective pleural blood patching reduced chest tube insertion rate in patients pneumothorax ≥ 1 cm, large-scale studies are warranted to confirm the result. Trial registration: This study was registered in the UMIN Clinical Trials Registry (trial number: 000007586).

scholarly journals Systemic air embolism depicted on systematic whole thoracic CT acquisition after percutaneous lung biopsy: Incidence and risk factors

2019 ◽  
Vol 117 ◽  
pp. 26-32 ◽  
Author(s):  
Valérie Monnin-Bares ◽  
Guillaume Chassagnon ◽  
Hélène Vernhet-Kovacsik ◽  
Hamid Zarqane ◽  
Juliette Vanoverschelde ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lung Biopsy ◽  
Air Embolism ◽  
Thoracic Ct ◽  
Systemic Air Embolism ◽  
Percutaneous Lung Biopsy

scholarly journals Pneumothorax rates in CT-Guided lung biopsies: a comprehensive systematic review and meta-analysis of risk factors

2020 ◽  
Vol 93 (1108) ◽  
pp. 20190866 ◽  
Author(s):  
Ya Ruth Huo ◽  
Michael Vinchill Chan ◽  
Al-Rahim Habib ◽  
Isaac Lui ◽  
Lloyd Ridley
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Lung Biopsy ◽  
Tissue Sample ◽  
Meta Analysis ◽  
Lateral Decubitus Position ◽  
Chest Drain ◽  
Puncture Site ◽  
Ct Guided ◽  
Lateral Decubitus

Objective: This systematic review and meta-analysis investigated risk factors for pneumothorax following CT-guided percutaneous transthoracic lung biopsy. Methods: A systematic search of nine literature databases between inception to September 2019 for eligible studies was performed. Results: 36 articles were included with 23,104 patients. The overall pooled incidence for pneumothorax was 25.9% and chest drain insertion was 6.9%. Pneumothorax risk was significantly reduced in the lateral decubitus position where the biopsied lung was dependent compared to a prone or supine position [odds ratio (OR):3.15]. In contrast, pneumothorax rates were significantly increased in the lateral decubitus position where the biopsied lung was non-dependent compared to supine (OR:2.28) or prone position (OR:3.20). Other risk factors for pneumothorax included puncture site up compared to down through a purpose-built biopsy window in the CT table (OR:4.79), larger calibre guide/needles (≤18G vs >18G: OR 1.55), fissure crossed (OR:3.75), bulla crossed (OR:6.13), multiple pleural punctures (>1 vs 1: OR:2.43), multiple non-coaxial tissue sample (>1 vs 1: OR 1.99), emphysematous lungs (OR:3.33), smaller lesions (<4 cm vs 4 cm: OR:2.09), lesions without pleural contact (OR:1.73) and deeper lesions (≥3 cm vs <3cm: OR:2.38). Conclusion: This meta-analysis quantifies factors that alter pneumothorax rates, particularly with patient positioning, when planning and performing a CT-guided lung biopsy to reduce pneumothorax rates. Advances in knowledge: Positioning patients in lateral decubitus with the biopsied lung dependent, puncture site down with a biopsy window in the CT table, using smaller calibre needles and using coaxial technique if multiple samples are needed are associated with a reduced incidence of pneumothorax.

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