CT-Guided Aspiration Biopsy of the Thorax

Fink, Ira J.; Gamsu, G; Harter, Lawrence P.

doi:10.1097/00004728-198210000-00015

Cited by 53 publications

(26 citation statements)

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“…Since Haaga and Alfidi [12] reported the first CT-guided biopsy in 1976, improved techniques have expanded the scope of thoracic lesions that are amenable to transthoracic biopsy [12][13][14][15][16][17][18][19][24][25][26][27][28][29][30][31][32]. Percutaneous needle aspiration biopsy is a relatively safe and accurate means of diagnosing benign and malignant lesions of the chest [12][13][14][15][16][17][18][19][24][25][26][27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

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CT-Guided Transthoracic Needle Aspiration Biopsy of Small (≤ 20 mm) Solitary Pulmonary Nodules

Ohno

Hatabu

Takenaka

et al. 2003

American Journal of Roentgenology

259

185

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Section: Discussionmentioning

confidence: 99%

“…Percutaneous needle aspiration biopsy is a relatively safe and accurate means of diagnosing benign and malignant lesions of the chest [12][13][14][15][16][17][18][19][24][25][26][27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

CT-Guided Transthoracic Needle Aspiration Biopsy of Small (≤ 20 mm) Solitary Pulmonary Nodules

Ohno

Hatabu

Takenaka

et al. 2003

American Journal of Roentgenology

259

185

View full text Add to dashboard Cite

show abstract

“…La conoscenza dei possibili fattori di rischio per l'insorgenza di pneumotorace e soffusione parenchimale dopo biopsie TC-guidate permette di comunicare ai pazienti informazioni più precise al momento della fi rma del consenso informato, e di organizzare al meglio la procedura bioptica. Molte variabili sono state studiate come possibili fattori di rischio per l'insorgenza di pneumotorace e di soffusione parenchimale, con risultati contrastanti [5][6][7].…”

Section: Parole Chiave Biopsie Polmonari Tc-guidate · Fattori DI Riscunclassified

“…Knowledge of the possible risk factors for pneumothorax and parenchymal haemorrhage following CT-guided biopsy allows for more accurate communication with patients when obtaining written informed consent, as well as better organisation of the biopsy procedure. Many variables have been studied as possible risk factors for pneumothorax and parenchymal haemorrhage, with confl icting results [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Risk factors for complications of CT-guided lung biopsies

et al. 2011

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“…Reports in the literature dealing with the pneumothorax rate and hemorrhage in regard to lesion size, length of intrapulmonal biopsy path and number of pleural needle passes are inconsitent and sometimes conflicting [9,16,17,[27][28][29].…”

Section: Introductionmentioning

confidence: 99%

Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy

et al. 2008

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The influence of various variables on the rate of pneumothorax and intrapulmonal hemorrhage associated with computed tomography (CT)-guided transthoracic needle biopsy of the lung were evaluated retrospectively. One hundred and thirty-three patients underwent CT guided biopsy of a pulmonary lesion. Two patients were biopsied twice. Variables analyzed were lesion size, lesion location, number of pleural needle passes, lesion margin, length of intrapulmonal biopsy path and puncture time. Eighteen-gauge (18G) cutting needles (Trucut, Somatex, Teltow, Germany) were used for biopsy. Pneumothorax occurred in 23 of 135 biopsies (17%). Chest tube placement was required in three out of 23 cases of pneumothorax (2% of all biopsies). Pneumothorax rate was significantly higher when the lesions were located in the lung parenchyma compared with locations at the pleura or chest wall (P < 0.05), but all pneumothorax cases which required chest tube treatment occurred in lesions located less than 2 cm from the pleura. Longer puncture time led to an increase in pneumothorax rate (P < 0.05). Thirty-seven (27%) out of 135 biopsies showed perifocal hemorrhage. Intrapulmonal biopsy paths longer than 4 cm showed significantly higher numbers of perifocal hemorrhage and pneumothorax (P < 0.05). Significantly more hemorrhage occurred when the pleura was penetrated twice during the puncture (P < 0.05). Lesion size <4 cm is strongly correlated with higher occurrence of perifocal hemorrhage (P < 0.05). Lesion margination showed no significant effect on complication rate. CT-guided biopsy of smaller lesions correlates with a higher bleeding rate. Puncture time should be minimized to reduce pneumothorax rate. Passing the pleura twice significantly increases the risk of hemorrhage. Intrapulmonal biopsy paths longer than 4 cm showed significantly higher numbers of perifocal hemorrhage as well as pneumothorax.

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CT-Guided Aspiration Biopsy of the Thorax

Cited by 53 publications

References 0 publications

CT-Guided Transthoracic Needle Aspiration Biopsy of Small (≤ 20 mm) Solitary Pulmonary Nodules

CT-Guided Transthoracic Needle Aspiration Biopsy of Small (≤ 20 mm) Solitary Pulmonary Nodules

Risk factors for complications of CT-guided lung biopsies

Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy

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