Short‐duration post <scp>CT</scp>‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients

Frimpong, George Asafu Adjaye; Aboagye, Evans; Amankwah, Pierre; Coleman, Nana E.; Abaidoo, Nakao Kuukua

doi:10.1002/jmrs.330

Cited by 5 publications

(12 citation statements)

References 20 publications

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“…5 Other similar studies found that a short observational period of 30 min to 4-h post-biopsy is feasible. 6,7 The implication of this could mean greater efficiency with patients leaving the hospital earlier and therefore requiring less funds and time from personnel for post-biopsy assistance. Frimpong et al concluded that observational period postbiopsy as little as 30 min was proven to be sufficient in cases where no imminent post-procedural complications was presented after a routine CT scan following a CT-guided thoracic biopsy.…”

Section: Discussionmentioning

confidence: 99%

“…Frimpong et al concluded that observational period post-biopsy as little as 30 min was proven to be sufficient in cases where no imminent post-procedural complications was presented after a routine CT scan following a CT-guided thoracic biopsy. 7 Deciding the length of the observational period should not only be decided on the basis of a low complication rate, but also the consequences of the complication. In this study, 23% ( n = 5) out of the 22 patients with complications needed post-procedural therapy.…”

Section: Discussionmentioning

confidence: 99%

“…6 A study on short-duration post CT-guided thoracic biopsy observation time concluded that a 30-min observation time in patients without immediate complications related to the procedure was sufficient. 7 The outcome of this shortening of observation time regarding renal mass biopsy has not yet been evaluated.…”

Section: Introductionmentioning

confidence: 99%

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One hour observation of patients after image-guided percutaneous renal mass biopsy

Valtersson

Rasmussen

Elgborn

et al. 2022

Acta Radiologica Open

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Background Imaging-guided percutaneous biopsy of renal masses is regarded as safe and is widely used for histopathology diagnosis before treatment. Recommended observation time after tumour biopsy varies in international guidelines and the literature is sparse. Purpose To assess the effect of a 1-h post-biopsy observation time of percutaneous image-guided renal mass biopsy. Material and Methods This was a single-centre retrospective study. During January 2015 to September 2019, a total of 484 patients underwent renal mass biopsies. 4-h-observation-group: 178 patients and 1-h-observation-group 306 patients. All records were retrospectively reviewed, and data such as complications was obtained and compared between the two groups. Results A total complication rate of 4.5% ( n = 22) without any major complications (Cardiovascular and Interventional Radiological Society of Europe-grade (CIRSE) 5–6). Furthermore, a non-significant difference of 1.3% of the 1-h group and 3.4% in the 4-h group experiencing complications was found ( p = .18). A total biopsy-accuracy of 84% was observed. Conclusion This study shows that renal mass biopsy is safe with no major complications. This suggests that an outpatient approach with 1-h-observation time can be safely implemented for renal mass biopsy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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One hour observation of patients after image-guided percutaneous renal mass biopsy

Valtersson

Rasmussen

Elgborn

et al. 2022

Acta Radiologica Open

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“…However, there is no current consensus regarding the appropriate period. 2 Some institutions keep patients for post-procedure monitoring for 4 h, but with some others, the observation period can be as short as 30 min. 2,11,12 The primary aim of this study is to determine the timeframe at which pneumothoraces occur following CT-guided lung biopsy to guide an appropriate post-procedure observation time.…”

Section: Introductionmentioning

confidence: 99%

Post‐CT‐guided lung biopsy optimisation of the observation period by identifying patients at risk of delayed pneumothorax

Tan,

Di Loreto,

Melsom

et al. 2024

J Med Imag Rad Onc

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IntroductionIdentify the risk factors for delayed pneumothorax after lung biopsy.MethodsA retrospective study of 355 CT‐guided lung biopsies was performed at Fiona Stanley Hospital, Western Australia over 42 months. A comprehensive range of patient, lesion and procedural variables were recorded. All post‐procedural complications including time, size of pneumothorax and post‐biopsy radiographs were reviewed. Lasso logistic regression model was utilised to determine factors predicting patient complications.ResultsA total of 167 patients (47%) developed a pneumothorax, in which 34% were significant, requiring longer observation or drain insertion. The majority of pneumothoraces occurred within the first hour (86%), with 90% detected at the time of the procedure. Then, 12% were detected more than 3 h post‐procedure, of which 8 patients (5%) had a significant delayed pneumothorax. Factors increasing the likelihood of significant pneumothorax include the length of lung traversed, smaller nodule size, surrounding emphysema, increased age and lateral patient position with the lesion in the non‐dependent aspect. Increasing patient age, longer length of lung traversed and smaller nodule diameter increase the risk of delayed onset of pneumothorax (more than 3 h).ConclusionThe results of this study align with other studies indicating it is safe to discharge stable patients within an hour post‐lung biopsy. However, specific risk factors, including age, small lesion size and deep lesions, may identify patients who could benefit from a longer observation period.

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“…Depending on location, the frequency of complications differs, being especially low in musculoskeletal interventions (0.2%) (3). Frequencies are higher in thoracic biopsies with a range of 5.7%–10% (4–6). The vast majority of complications occur within 4–6 h after biopsy; thus, current guidelines recommend postprocedural observation for 1–6 h, including clinical observation, pain evaluation using standard numeric rating scales, and monitoring of vital signs (1).…”

Section: Introductionmentioning

confidence: 99%

Retrospective evaluation of routine in-hospital observation in 433 patients after CT-guided biopsies

et al. 2021

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Background After computed tomography (CT)-guided interventions, routine in-hospital observation is recommended by the Cardiovascular and Interventional Radiological Society of Europe. Purpose To evaluate the frequency of delayed major complications or hospitalizations after CT-guided biopsies in patients with initially no or minor complications and to assess whether routine in-hospital observation is justified. Material and Methods This retrospective study included 433 outpatients after CT-guided biopsy of the thoracic (n = 176), abdominal (n = 129), or musculoskeletal (n = 128) region with subsequent in-hospital observation. Complications were graded according to the current Society of Interventional Radiology recommendations and grouped into minor or major. A complication that occurred during in-hospital observation was defined as delayed complication. A delayed major complication was a newly developed major complication or a progression from an initially minor to a major complication. Hospitalization frequencies were evaluated similarly. Occurrence, 95% confidence intervals (CI), and P values for significant differences between the three organ groups were calculated. If delayed major complications were more frequent than 1%, routine in-hospital observation was considered justified. Results Delayed, major complication frequencies were: thoracic, 8.2% (95% CI 4.6–13.4); abdominal, 0.0% (95% CI 0.0–2.9); and musculoskeletal, 0.0% (95% CI 0.0–2.9) ( P < 0.001). Delayed hospitalization frequencies were: thoracic, 8.8% (95% CI 5.0–14.2); abdominal, 1.6% (95% CI 0.2–5.6); and musculoskeletal, 0.0% (95% CI 0.0–2.9) ( P < 0.001). Conclusion After thoracic interventions, routine observation is considered justified for patient safety whereas routine observation may be omitted after musculoskeletal interventions. In the abdominal group, no delayed complications were observed, but delayed hospitalization occurred. Thus, in-hospital observation could be justified in a safe patient environment, but remains an individual decision.

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Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients

Cited by 5 publications

References 20 publications

One hour observation of patients after image-guided percutaneous renal mass biopsy

One hour observation of patients after image-guided percutaneous renal mass biopsy

Post‐CT‐guided lung biopsy optimisation of the observation period by identifying patients at risk of delayed pneumothorax

Retrospective evaluation of routine in-hospital observation in 433 patients after CT-guided biopsies

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