Complications and Risk Factors of Patients Undergoing Computed Tomography-Guided Core Needle Lung Biopsy: A Single-Center Experience.

Autor:	Hajjar WM; Surgery, College of Medicine, King Saud University, Riyadh, SAU., Fetyani IM; General Surgery, King Saud University, Riyadh, SAU., Alqarni RM; General Surgery, King Saud University, Riyadh, SAU., Alajlan FA; General Surgery, King Saud University, Riyadh, SAU., Bahgat FF; General Surgery, King Saud University, Riyadh, SAU., Alharbi SR; Interventional Radiology, King Saud University, Riyadh, SAU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2021 Aug 05; Vol. 13 (8), pp. e16907. Date of Electronic Publication: 2021 Aug 05 (Print Publication: 2021).
DOI:	10.7759/cureus.16907
Abstrakt:	Objectives To determine the risk factors and complications of transthoracic computed tomography (CT)-guided core needle lung biopsy. Methods This is a retrospective study of 124 patients who underwent CT-guided core lung biopsy in King Khalid University Hospital (KKUH), Riyadh. This retrospective study was conducted between January 2016 and January 2020. Patient data were collected using a standardized data form that was entered into an Excel sheet in accordance with the variables. The Statistical Package for the Social Sciences software (SPSS, version 24.0 [SPSS Inc., Chicago, IL, USA]) was used to compute for the risk of complications after CT-guided core lung biopsy and perform all statistical comparisons, and the results were reported. Results The overall complication rate due to CT-guided core needle biopsy was 34.7% (43) (P<0.001) of the total sample. Of the total complications, 69.76% (n = 30) had pneumothorax, 20.94% (n = 9) had hemorrhage, 6.98% (n = 3) had both pneumothorax and hemorrhage, and 2.32% (n = 1) had both air embolism and pneumothorax. Of all patients who developed pneumothorax, 20% (n = 6) required chest tube insertion. Patients with secondary chronic obstructive pulmonary disease (COPD) had a complication rate of 80% among the whole sample. Lung lesions less than 3 cm had a complication rate of 48.8% (P<0.034). The needle size showed a higher rate of complications between 20 and 18 gauge with 47.4% (n = 9) and 32.4% (n = 34), respectively. Conclusions We conclude that CT-guided lung biopsy is a well-established low-risk procedure that is less invasive. However, it still carries a risk of complications with some risk factors, such as small lung lesion size and secondary COPD. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Hajjar et al.)
Databáze:	MEDLINE
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