Tract Embolization With Gelatin Sponge Slurry for Prevention of Pneumothorax After Percutaneous Computed Tomography-Guided Lung Biopsy

Tran, Andrew; Brown, Shaughnessy; Rosenberg, Jarrett; Hovsepian, David M.

doi:10.1007/s00270-013-0823-8

Cited by 35 publications

(30 citation statements)

References 26 publications

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“…Though pancreatic cysts and ovarian cysts lie in different anatomical compartments, it is encouraging that aspiration of pancreatic cysts is not associated with an increased risk of disease recurrence or mortality in patients with pancreatic cancer ( Beane et al, 2011 ; Ngamruengphong et al, 2013 ; Kudo et al, 2014 ; Ngamruengphong et al, 2015 ). Recent advancements in methods of plugging biopsy tracts to prevent tumor cell dissemination, as well as the increased use of intraperitoneal chemotherapy, further lessen the concern of tumor cell dissemination following ovarian cyst aspiration ( Armstrong et al, 2006 ; Tran et al, 2014 ; Tsang et al, 2014 ; Tewari et al, 2015 ). On the basis of these observations and recent developments, we believe that ultrasound-guided aspiration of ovarian cyst fluids would likely be a safe and well-tolerated procedure.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic potential of tumor DNA from ovarian cyst fluid

Wang

Sundfeldt

Mateoiu

et al. 2016

eLife

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We determined whether the mutations found in ovarian cancers could be identified in the patients' ovarian cyst fluids. Tumor-specific mutations were detectable in the cyst fluids of 19 of 23 (83%) borderline tumors, 10 of 13 (77%) type I cancers, and 18 of 18 (100%) type II cancers. In contrast, no mutations were found in the cyst fluids of 18 patients with benign tumors or non-neoplastic cysts. Though large, prospective studies are needed to demonstrate the safety and clinical utility of this approach, our results suggest that the genetic evaluation of cyst fluids might be able to inform the management of the large number of women with these lesions.DOI: http://dx.doi.org/10.7554/eLife.15175.001

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Section: Discussionmentioning

confidence: 99%

Diagnostic potential of tumor DNA from ovarian cyst fluid

Wang

Sundfeldt

Mateoiu

et al. 2016

eLife

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“…Prevention : Patients should remain quiet and avoid talking or coughing an appropriate needle track should be chosen, and the number of punctures should be reduced. It is not currently known whether the use of exogenously injected biogel, injectable gelatin sponge, or sterile saline to seal the needle track can effectively reduce the development of pneumothorax …”

Section: Biopsy Proceduresmentioning

confidence: 99%

Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy

Guo

Shi

et al. 2018

Thoracic Cancer

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Biopsy has been used to diagnose thoracic diseases for more than a century. Percutaneous needle biopsy plays a crucial role in the diagnosis, staging, and treatment planning for tumors in the lungs, thoracic wall, hilum, and mediastinum. With the continuous improvement in imaging techniques, the range of clinical applications for percutaneous needle biopsy is also expanding. It has become important to improve Chinese professionals’ and technicians’ understanding of percutaneous transthoracic needle biopsy (PTNB) in order to standardize operating procedures and to strengthen perioperative management. However, there is currently no Chinese expert consensus that provides systematic standardization and guidance for PTNB in clinical practice. The Committee of Chinese Society of Interventional Oncology (CSIO) of the Chinese Anti‐Cancer Association (CACA) initiated a Chinese multidisciplinary expert consensus on PTNB. The consensus includes image‐guided methods, indications, contraindications, multidisciplinary team recommendations, biopsy procedures, daytime/outpatient biopsy, complications, pathological examination, and management of negative results.

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“…Puncture site plugging may be performed when using the coaxial technique in procedures with higher risk of bleeding or to reduce the rate of pneumothorax in lung biopsies. 30,37 In this technique, the embolic material (typically Gelfoam slurry or autologous blood clot) is injected through the hollow guide needle as it is retracted to embolize the biopsy site and needle tract. A proprietary device with a hydrogel plug exists for lung biopsies and has been shown to decrease pneumothorax and chest tube insertion rates.…”

Section: Percutaneous Needle Biopsy Preprocedural Planning and Patienmentioning

confidence: 99%

Lung and Abdominal Biopsies in the Age of Precision Medicine

Dalag

Fergus

Zangan

2019

Semin intervent Radiol

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Image-guided percutaneous needle biopsies (PNBs) are one of the most common procedures performed in radiology departments today. Rapid developments in precision medicine, which identifies molecular and genomic biomarkers in cancers, have ushered a new paradigm of oncologic workup and treatment. PNB has conventionally been used to establish a benign or malignant nature of a lesion during initial diagnosis or in suspected metastatic or recurrent disease. However, increasing amounts of tissue are being required to meet the demands of molecular pathologic analysis, which are now being sought at multiple time points during the course of the disease to guide targeted therapy. As primary providers of biopsy, radiologists must be proactive in these developments to improve diagnostic yield and tissue acquisition in PNB. Herein, we discuss the important and expanding role of PNB in the age of precision medicine and review the technical considerations of percutaneous lung and intra-abdominal biopsy. Finally, we examine promising state-of-the-art techniques in PNB that may safely increase tissue acquisition for optimal molecular pathologic analysis.

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Tract Embolization With Gelatin Sponge Slurry for Prevention of Pneumothorax After Percutaneous Computed Tomography-Guided Lung Biopsy

Abstract: Embolization of the needle tract during percutaneous lung biopsy with gelfoam slurry significantly decreased the odds of requiring a chest tube for PTX and should be considered for all patients, particularly those with emphysema and deep lesions.

Cited by 35 publications

References 26 publications

Diagnostic potential of tumor DNA from ovarian cyst fluid

Diagnostic potential of tumor DNA from ovarian cyst fluid

Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy

Lung and Abdominal Biopsies in the Age of Precision Medicine

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