A Retrospective Multi-Site Academic Center Analysis of Pneumothorax and Associated Risk Factors after CT-Guided Percutaneous Lung Biopsy

Rong, Esther; Hirschl, David; Zalta, Benjamin; Shmukler, Anna; Krausz, S.; Levsky, Jeffrey M.; Lin, Juan; Haramati, Linda B.; Gohari, Arash

doi:10.1007/s00408-021-00445-7

Cited by 5 publications

(3 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pneumothorax and hemoptysis are common complications of PTNB ( 16 ). The incidence of pneumothorax ranges from 5.3 to 37% ( 17 , 18 ). It has been reported that between 1.4 and 16.7% of these patients require chest tube placement ( 19 , 20 ).…”

Section: Discussionmentioning

confidence: 99%

Application of rapid on‑site evaluation in computed tomography‑guided percutaneous transthoracic needle biopsy of pulmonary nodules of ≤2.0 cm in diameter

et al. 2022

View full text Add to dashboard Cite

Histopathological findings are the gold standard for diagnosing lung nodules, and Invasive diagnostic procedures such as percutaneous transthoracic needle biopsy (PTNB) are often inevitable for a confirmative diagnosis. However, the traditional biopsy method is inefficient for the diagnosis of small pulmonary nodules (diameter ≤2.0 cm). The present study aimed to investigate the application of rapid on-site evaluation (ROSE) in CT-guided PTNB of pulmonary nodules (≤2.0 cm in diameter). Data from patients undergoing PTNB in the Second Affiliated Hospital of Qiqihar Medical College between June 2018 and June 2021 were retrospectively analyzed. A total of 250 patients were included and divided into the ROSE (n=177) and the non-ROSE groups (n=73). The comparison of these two groups indicated significantly higher specimen adequacy [93.22% (165/177) vs. 71.23% (52/73)] and diagnostic accuracy [90.40% (160/177) vs. 68.49% (50/73)], as well as a significantly lower rate of secondary biopsies [5.08% (9/177) vs. 28.77% (21/73)], in the ROSE group. The coincidence rate between the diagnosis with ROSE and the final pathological results was 96.73%, indicating high consistency (κ=0.925). The results indicated that the application of ROSE in PTNB of pulmonary nodules with a diameter of ≤2.0 cm can ensure sufficient material sampling, improve the diagnostic accuracy and reduce the secondary biopsy rate, without increasing complications. ROSE can ensure high consistency with the results obtained from the pathological evaluation.

show abstract

Section: Discussionmentioning

confidence: 99%

Application of rapid on‑site evaluation in computed tomography‑guided percutaneous transthoracic needle biopsy of pulmonary nodules of ≤2.0 cm in diameter

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The sensitivity and specificity of CT-LNB for malignancy have reached 97% and 100%, respectively ( 3 ). Pneumothorax is the most frequent complication in patients with CT-LNB, and pneumothorax generally appears immediately or within an hour after CT-LNB ( 4 ). A recent meta-analysis found that the average rate of pneumothorax after CT-LNB was 25.9% (range, 4.3% to 52.4%) ( 5 ).…”

Section: Introductionmentioning

confidence: 99%

The risk of immediate pneumothorax after CT-guided lung needle biopsy: pleural tail sign as a novel factor

Peng¹,

Deng²,

Wang³

et al. 2023

Quant Imaging Med Surg

View full text Add to dashboard Cite

Background: Pneumothorax is the most frequent complication in computed tomography (CT)-guided lung needle biopsy (CT-LNB) and generally appears immediately or within an hour after CT-LNB.Preventing pneumothorax after CT-LNB requires a preoperative evaluation of risk factors. This study investigated risk factors for the occurrence of immediate pneumothorax after CT-LNB.Methods: A total of 311 CT-LNB procedures were conducted for 290 patients (217 males and 73 females) with persistent solid or part-solid pulmonary lesions in this case-control study. We retrospectively evaluated immediate postbiopsy pneumothorax complications and associated risk factors. The possible risk factors for immediate pneumothorax were analyzed, including 12 parameters in demographics, radiological features, and procedural factors. Univariate and multivariate logistic regression analyses were used to investigate independent risk factors for the occurrence of immediate pneumothorax after CT-LNB.Results: All CT-LNB procedures (100%) were technically successful. Immediate pneumothorax after CT-LNB occurred in 115 out of the 311 procedures (36.9%). Chest tube placement was required for 12.2% (14/115) of the pneumothoraces (14/311, 4.5% of the total number of CT-LNB procedures). The other pneumothoraces were treated conservatively. Independent risk factors of immediate pneumothorax included a lesion with pleural tail sign [PTS; odds ratio (OR) 3.021, 95% confidence interval (CI): 1.

show abstract

“…Many contributions in the ever-expanding area of interventional pulmonology were received in 2021. The best of those studies investigated transthoracic needle aspiration [ 49 ], percutaneous lung biopsy [ 50 ], robotic-assisted [ 51 ] and 4D electromagnetic navigation bronchoscopy [ 52 ], transbronchial cryobiopsy [ 53 , 54 ], and therapeutic intervention with endobronchial coils [ 55 ].…”

mentioning

confidence: 99%

LUNG Year in Review: 2021

Dicpinigaitis

2022

Lung

View full text Add to dashboard Cite

A Retrospective Multi-Site Academic Center Analysis of Pneumothorax and Associated Risk Factors after CT-Guided Percutaneous Lung Biopsy

Cited by 5 publications

References 25 publications

Application of rapid on‑site evaluation in computed tomography‑guided percutaneous transthoracic needle biopsy of pulmonary nodules of ≤2.0 cm in diameter

Application of rapid on‑site evaluation in computed tomography‑guided percutaneous transthoracic needle biopsy of pulmonary nodules of ≤2.0 cm in diameter

The risk of immediate pneumothorax after CT-guided lung needle biopsy: pleural tail sign as a novel factor

LUNG Year in Review: 2021

Contact Info

Product

Resources

About