Effectiveness of autologous blood injection in reducing the rate of pneumothorax after percutaneous lung core needle biopsy

Turgut, Bekir; Duran, Ferdane Melike; Bakdik, Suleyman; Arslan, Serdar; Tekin, Ali Fuat; Eşme, Hıdır

doi:10.5152/dir.2020.19202

Cited by 8 publications

(11 citation statements)

References 26 publications

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“…After that, scholars have continued to explore various plugging materials and plugging procedures. For example, Turgut et al 10 proposed that the incidence of pneumothorax of 91 patients was 14.1% after the puncture channel was blocked by autologous blood, while the incidence of pneumothorax of 171 patients without puncture channel plugging was 26.3%. Baadh et al 30 used hemostatic gelatin powder to block the puncture channel, and the probability of thoracic tube placement was reduced from 8.1 to 4%, but the disadvantage was that it was expensive.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of the puncture channel plugging for reduction of complications after CT-guided percutaneous transthoracic needle biopsy

Wang

Ding

et al. 2023

Sci Rep

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The effect of plugging the puncture channel with a mixture of hemocoagulase injection on the complications of CT-guided percutaneous transthoracic need biopsy (PTNB) was discussed. The medical records of PTNB were retrospectively studied from June 2017 to May 2022. In the study, the puncture channel of 626 patients were blocked, while remain 681 patients’ were not. The Mantel Haenszel method performed layered analysis and evaluated the correlation of adjusted confounding factors. The Odds Ratio and its 95% confidence interval were calculated using the Woof method. The incidence of high-level pulmonary hemorrhage was significantly reduced in patients with lesions ≤ 2 cm and different needle lengths. Patients with different pleural-needle tip angle and perineedle emphysema were blocked, and the incidence of pneumothorax and thoracic implants was significantly reduced. Through puncture channel plugging, the incidence of pulmonary hemorrhage, pneumothorax and thoracic catheterization of PTNB under CT guidance was reduced.

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Section: Discussionmentioning

confidence: 99%

The effectiveness of the puncture channel plugging for reduction of complications after CT-guided percutaneous transthoracic needle biopsy

Wang

Ding

et al. 2023

Sci Rep

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“…The results of the two studies performed by Iguchi and Zhong (12,13) using a hook wire did not provide a protective factor for pneumothorax. Among 262 patients who underwent biopsy of lung space-occupying lesions, Turgut et al (14) injected blood clots through the puncture needle sheath along the needle path in 91 patients and found that only 13 developed pneumothorax, whereas only 45 of the 171 patients in whom blood clots were not injected developed pneumothorax. Filippo et al (15) divided pulmonary puncture-induced bleeding into two types: type I was defined as bleeding along the needle puncture path; and type II was defined as bleeding around the lesion.…”

Section: Discussionmentioning

confidence: 99%

Safety and effectiveness of simultaneous localization of multiple lung nodules using coils and risk factors for pneumothorax: a retrospective study

2022

Acta Radiol

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Background Localization of lung nodule before video-assisted thoracoscopic surgery (VATS) can help the surgeon to quickly and accurately find the lesion during surgery. Purpose To evaluate the safety and effectiveness of using coils to simultaneously locate multiple lung nodules under computed tomography guidance and to clarify the risk factors for pneumothorax. Material and Methods From January 2020 to December 2020, 61 patients underwent simultaneous localization of multiple lung nodules (Group A) and 120 patients underwent localization of a single lung nodule (Group B). The demographics, information related to localization procedure, and incidence of pulmonary hemorrhage and pneumothorax were compared between the patients in Groups A and B. Group A was further divided into a pneumothorax group and non-pneumothorax group. Univariate and multivariate regression analyses were used to determine the risk factors for pneumothorax in patients who underwent simultaneous localization of multiple lung nodules using coils. Results The success rates in Groups A and B were 96.9% and 96.7%, respectively (P = 1.000). The number of pleural punctures ( P<0.001), the positioning operation time ( P<0.001), the rates of pneumothorax ( P<0.001), and hemorrhage ( P = 0.034) were higher in Group A than in Group B. The pneumothorax and bleeding in Group A did not require special treatment. Transfissural puncture (odds ratio [OR]=16.798; P = 0.033) and the numbers of pleural punctures (OR=2.437; P = 0.013) were independent risk factors for pneumothorax caused by simultaneous localization of multiple lung nodules, and hemorrhage was a protective factor against pneumothorax (OR=0.069; P = 0.002). Conclusion Simultaneous localization of multiple lung nodules using coils under computed tomography guidance is safe and effective. Transfissural puncture and higher numbers of pleural punctures will increase the risk of pneumothorax, whereas hemorrhage will reduce the risk of pneumothorax.

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“…Using intermittent CT fluoroscopic guidance, an introducer needle was advanced into the target lesion and cores obtained (Bard Monopty or Bard Max-Core; Becton, Dickinson and Company, Franklin Lakes, New Jersey). During the removal of the introducer needle, approximately 3-10 mL of autologous blood was injected into the pulmonary parenchyma along the needle track to reduce the incidence of pneumothorax using the previously described methods (18,19,21,22). The use of blood patching progressively increased over the duration of this study.…”

Section: Research Highlightsmentioning

confidence: 99%

Percutaneous Lung Biopsy with Pleural and Parenchymal Blood Patching: Results and Complications from 1,112 Core Biopsies

Zlevor¹,

Mauch²,

Knott³

et al. 2021

Journal of Vascular and Interventional Radiology

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Effectiveness of autologous blood injection in reducing the rate of pneumothorax after percutaneous lung core needle biopsy

Cited by 8 publications

References 26 publications

The effectiveness of the puncture channel plugging for reduction of complications after CT-guided percutaneous transthoracic needle biopsy

The effectiveness of the puncture channel plugging for reduction of complications after CT-guided percutaneous transthoracic needle biopsy

Safety and effectiveness of simultaneous localization of multiple lung nodules using coils and risk factors for pneumothorax: a retrospective study

Percutaneous Lung Biopsy with Pleural and Parenchymal Blood Patching: Results and Complications from 1,112 Core Biopsies

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