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 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 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

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 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

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.

A Case Analysis on CT Guided Percutaneous Lung Puncture Biopsy of Lymphocyte Mesenchymal Pneumonia

2019 ◽  
Vol 21 (10) ◽  
pp. 806-810 ◽  
Author(s):  
Dan Zhu ◽  
Long Yu ◽  
Hui Chen
Keyword(s):  
High Resolution ◽  
Interstitial Pneumonia ◽  
Clinical Diagnosis ◽  
Lung Biopsy ◽  
Diagnostic Value ◽  
Ct Guided ◽  
High Resolution Ct ◽  
Lymphocytic Interstitial Pneumonia ◽  
Percutaneous Lung Biopsy ◽  
Lung Puncture

Objective: To explore the application and diagnostic value of high-resolution CT in the process of lymphocytic interstitial pneumonia clinical diagnosis, and analyze one case of CT-guided percutaneous lung biopsy lymphocytic interstitial pneumonia. Methods: The medical record of a patient with lymphocyte interstitial pneumonia (LIP) who came to the clinic on 2014-04-22 were analyzed and summarized retrospectively. Results: The patient was a 55 years old female farmer. The CT-guided percutaneous lung biopsy was performed at her first visit; on 2014-07-09, the patient returned to our outpatient clinic with the main complaint of "1 week of coughing and blood in sputum and phlegm". Pathology consultation report from the PLA General Hospital on 2014-07-29 showed: (right lower lung) pneumonic pseudo-tumor; Zhejiang First Hospital’s pathology consultation report on 2014-08-11 showed: lymphocyte interstitial pneumonia. Conclusion: The diagnosis of lymphocyte interstitial pneumonia (LIP) with high-resolution CT may be used to increase its clinical diagnosis rate, reduce misdiagnosis and improve early detection.

CT-guided percutaneous lung biopsy in children: Complications and anesthetic management

2015 ◽  
Vol 1 (3) ◽  
pp. 140
Author(s):  
JithumolThankam Thomas ◽  
Nischala Dixit ◽  
Kshma Kilpadi ◽  
J Arpana
Keyword(s):  
Lung Biopsy ◽  
Anesthetic Management ◽  
Ct Guided ◽  
Percutaneous Lung Biopsy
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