Evaluation of preventive tract embolization with standardized gelatin sponge slurry on chest tube placement rate after CT-guided lung biopsy: a propensity score analysis

Autor: Rémi Grange, Mathieu Di Bisceglie, Paul Habert, Noémie Resseguier, Robin Sarkissian, Marjorie Ferre, Michael Dassa, Sylvain Grange, Jean Izaaryene, Gilles Piana
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Insights into Imaging, Vol 14, Iss 1, Pp 1-9 (2023)
Druh dokumentu: article
ISSN: 1869-4101
DOI: 10.1186/s13244-023-01566-8
Popis: Abstract Background To evaluate the effect of tract embolization (TE) with gelatin sponge slurries during a percutaneous lung biopsy on chest tube placement and to evaluate the predictive factors of chest tube placement. Methods Percutaneous CT-guided lung biopsies performed with (TE) or without (non-TE) tract embolization or between June 2012 and December 2021 at three referral tertiary centers were retrospectively analyzed. The exclusion criteria were mediastinal biopsies, pleural tumors, and tumors adjacent to the pleura without pleural crossing. Variables related to patients, tumors, and procedures were collected. Univariable and multivariable analyses were performed to determine risk factors for chest tube placement. Furthermore, the propensity score matching analysis was adopted to yield a matched cohort. Results A total of 1157 procedures in 1157 patients were analyzed, among which 560 (48.4%) were with TE (mean age 66.5 ± 9.2, 584 men). The rates of pneumothorax (44.9% vs. 26.1%, respectively; p
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