Evaluation of major complications associated with percutaneous CT-guided biopsy of lung nodules below 3 cm
| Autor: | Ercüment Çiftçi, Isa Cam, Ural Koc, Özgür Çakır |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Image-Guided Biopsy
Male medicine.medical_specialty Percutaneous Lung Neoplasms Blood Loss Surgical interventional 030204 cardiovascular system & hematology Article Lesion 03 medical and health sciences 0302 clinical medicine Postoperative Complications Risk Factors Biopsy medicine Humans biopsy Major complication Lung biopsy radiology interventional Lung Aged Retrospective Studies 0303 health sciences medicine.diagnostic_test 030306 microbiology business.industry Incidence (epidemiology) Pneumothorax General Medicine Middle Aged medicine.disease CT guided biopsy radiology respiratory tract diseases medicine.anatomical_structure Female Radiology medicine.symptom business Tomography X-Ray Computed |
| Zdroj: | Turkish Journal of Medical Sciences Volume: 50, Issue: 2 369-374 |
| ISSN: | 1303-6165 1300-0144 |
| Popis: | Background/aim The aim of this study was to evaluate retrospectively the incidence and risk factors for the serious complications of pneumothorax and/or parenchymal haemorrhage occurring after computed tomography (CT) guided transthoracic biopsy. Materials and methods The relation between the incidence of pneumothorax and parenchymal haemorrhage due to biopsy, age, sex, lesion localization, lesion size, duration of the procedure, depth of lesion, number of pleural insertions of the biopsy needle and pathology results were statistically evaluated. Results Between 2016 and 2017, 309 cases with lesions below 3 cm in diameter of a total of 768 (40.2%) CT-guided chest biopsy patients were selected for retrospective review. The rate of pneumothorax and parenchymal haemorrhage was 18.1% (59/309) and 51% (158/309), respectively post biopsy. The number of needle pleural insertions was correlated with the development of pneumothorax (P = 0.002). At regression analysis, for parenchymal haemorrhage, lesion depth (P < 0.001) and total procedure time (p=0.036) were determined as the most important independent risk factors. Conclusion Pneumothorax and parenchymal haemorrhage are common complications after CT-guided percutaneous biopsy. The minimum number of needle-pleural insertions, the optimal access route to the lesion and as quick as possible biopsy procedure should be selected to reduce the risk of pneumothorax and parenchymal haemorrhage. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|