Injection of Saline into the Biopsy Tract and Rapid Patient Rollover Decreases Pneumothorax Size following Computed Tomography–Guided Transthoracic Needle Biopsy
| Autor: | Eugenia Khorochkov, Roman Kozak, Gregory J. Garvin, Stefan Potoczny |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Image-Guided Biopsy Male Lung Neoplasms Time Factors Radiography medicine.medical_treatment Lung biopsy Sodium Chloride Radiography Interventional Patient Positioning 030218 nuclear medicine & medical imaging Cohort Studies 03 medical and health sciences 0302 clinical medicine Biopsy Site Biopsy Humans Medicine Radiology Nuclear Medicine and imaging Lung Saline Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Biopsy Needle Pneumothorax Retrospective cohort study General Medicine Middle Aged Rollover medicine.disease Treatment Outcome 030220 oncology & carcinogenesis Female Tomography X-Ray Computed business Nuclear medicine |
| Zdroj: | Canadian Association of Radiologists Journal. 69:489-492 |
| ISSN: | 1488-2361 0846-5371 |
| DOI: | 10.1016/j.carj.2018.08.002 |
| Popis: | Purpose To determine if saline tract injection and rapid patient rollover following computed tomography (CT)–guided transthoracic needle biopsy (TTNB) affects pneumothorax incidence and size. Methods A retrospective cohort design was used to compare 278 patients who underwent post-biopsy saline injection and rapid rollover so that the biopsy site was dependent (N = 180) to a control group with routine post-biopsy care (N = 98). Post-procedure radiographs and CT were assessed for presence and size of pneumothorax, as well as requirement for chest tube placement. Results Pneumothorax size as estimated on post-procedure CT was 3.33% in the treatment group and 6.63% in the control group ( P < .05). There was also a reduction in chest tube placements in the treatment group (3.9% vs 10%, P < .05). On post-procedure radiographs, pneumothorax rates were 20% in the treatment group, and 25% in the control group ( P > .05). Conclusion Saline injection with rapid patient rollover following TTNB significantly decreased pneumothorax size and chest tube placement but not incidence. |
| Databáze: | OpenAIRE |
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