Pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography-guided transthoracic pulmonary biopsy complications
Introduction: We aimed to analyze the frequency and risk factors of pneumothorax and pulmonary hemorrhage caused by Computed Tomography (CT) guided needle biopsy. Methods: Demographical features, pneumothorax and pulmonary hemorrhage frequencies/risk factors, characteristics of lesions of patients w...
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Tabriz University of Medical Sciences Press
2023-07-01
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| Series: | Journal of Research in Clinical Medicine |
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| Online Access: | https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-16.pdf |
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| author | Yeliz Dadalı Sercan Özkaçmaz Ümit Çalıkoğlu |
| author_facet | Yeliz Dadalı Sercan Özkaçmaz Ümit Çalıkoğlu |
| author_sort | Yeliz Dadalı |
| collection | DOAJ |
| description | Introduction: We aimed to analyze the frequency and risk factors of pneumothorax and pulmonary hemorrhage caused by Computed Tomography (CT) guided needle biopsy. Methods: Demographical features, pneumothorax and pulmonary hemorrhage frequencies/risk factors, characteristics of lesions of patients who underwent a CT-guided lung biopsy in our institution between January 2013 and August 2013 were reviewed retrospectively. The lesions were classified to the groups as nodular lesions≤3 cm in diameter, nodular lesions>3 cm and consolidated lesions. Pneumothorax and pulmonary hemorrhage frequencies among groups were compared using a chi-square test. A p<0.05 was accepted as statistically significant. Results: A total number of 122 patients with a mean age of 61±13 (19-88) years were included. 28 (23%) patients were female and 94 (77%) were male. 30 (24%) lesions were nodular lesions≤3 cm in diameter, 57 (47%) were nodular lesions>3 cm, and 35 (29%) were consolidated lesions. Pneumothorax developed in 15 (12%) patients while a chest tube insertion was required in 4 (3%) of them. Pulmonary hemorrhage occurred in 14 (11%) patients. Hemoptysis and hemothorax were not observed in this study. Pleura-based lesions was significantly less associated with pneumothorax when compared with ones far from pleura (P<0.001). Usage of 17-gauge needle was significantly more associated with pneumothorax than 19-gauge (p:0.048). Pulmonary hemorrhage was significantly less observed during the biopsy of lesions>3 cm than<3 cm (P<0.001). Conclusion: Nodular lesions≤3 cm, location far from pleura and usage of 17-gauge needle tend to be associated with more frequent lung biopsy complications. |
| format | Article |
| id | doaj-art-71ada05067f0402bbca4e25cc0733e48 |
| institution | OA Journals |
| issn | 2717-0616 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Tabriz University of Medical Sciences Press |
| record_format | Article |
| series | Journal of Research in Clinical Medicine |
| spelling | doaj-art-71ada05067f0402bbca4e25cc0733e482025-08-20T01:57:59ZengTabriz University of Medical Sciences PressJournal of Research in Clinical Medicine2717-06162023-07-01111161610.34172/jrcm.2023.32199jrcm-32199Pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography-guided transthoracic pulmonary biopsy complicationsYeliz Dadalı0Sercan Özkaçmaz1Ümit Çalıkoğlu2Department of Radiology, Faculty of Medicine, Kırşehir Ahi Evran Üniversity, Kırşehir, TürkiyeDepartment of Radiology, Faculty of Medicine, Yüzüncü Yil University, Van, TürkiyeDepartment Of Radiology, Ataturk Chest Diseases and Chest Surgery Education and Research Hospital, Ankara, TürkiyeIntroduction: We aimed to analyze the frequency and risk factors of pneumothorax and pulmonary hemorrhage caused by Computed Tomography (CT) guided needle biopsy. Methods: Demographical features, pneumothorax and pulmonary hemorrhage frequencies/risk factors, characteristics of lesions of patients who underwent a CT-guided lung biopsy in our institution between January 2013 and August 2013 were reviewed retrospectively. The lesions were classified to the groups as nodular lesions≤3 cm in diameter, nodular lesions>3 cm and consolidated lesions. Pneumothorax and pulmonary hemorrhage frequencies among groups were compared using a chi-square test. A p<0.05 was accepted as statistically significant. Results: A total number of 122 patients with a mean age of 61±13 (19-88) years were included. 28 (23%) patients were female and 94 (77%) were male. 30 (24%) lesions were nodular lesions≤3 cm in diameter, 57 (47%) were nodular lesions>3 cm, and 35 (29%) were consolidated lesions. Pneumothorax developed in 15 (12%) patients while a chest tube insertion was required in 4 (3%) of them. Pulmonary hemorrhage occurred in 14 (11%) patients. Hemoptysis and hemothorax were not observed in this study. Pleura-based lesions was significantly less associated with pneumothorax when compared with ones far from pleura (P<0.001). Usage of 17-gauge needle was significantly more associated with pneumothorax than 19-gauge (p:0.048). Pulmonary hemorrhage was significantly less observed during the biopsy of lesions>3 cm than<3 cm (P<0.001). Conclusion: Nodular lesions≤3 cm, location far from pleura and usage of 17-gauge needle tend to be associated with more frequent lung biopsy complications.https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-16.pdfcomplicationcomputed tomographylung biopsypulmonary hemorrhagepneumothorax |
| spellingShingle | Yeliz Dadalı Sercan Özkaçmaz Ümit Çalıkoğlu Pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography-guided transthoracic pulmonary biopsy complications Journal of Research in Clinical Medicine complication computed tomography lung biopsy pulmonary hemorrhage pneumothorax |
| title | Pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography-guided transthoracic pulmonary biopsy complications |
| title_full | Pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography-guided transthoracic pulmonary biopsy complications |
| title_fullStr | Pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography-guided transthoracic pulmonary biopsy complications |
| title_full_unstemmed | Pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography-guided transthoracic pulmonary biopsy complications |
| title_short | Pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography-guided transthoracic pulmonary biopsy complications |
| title_sort | pneumothorax and pulmonary hemorrhage frequency and risk factors of computed tomography guided transthoracic pulmonary biopsy complications |
| topic | complication computed tomography lung biopsy pulmonary hemorrhage pneumothorax |
| url | https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-16.pdf |
| work_keys_str_mv | AT yelizdadalı pneumothoraxandpulmonaryhemorrhagefrequencyandriskfactorsofcomputedtomographyguidedtransthoracicpulmonarybiopsycomplications AT sercanozkacmaz pneumothoraxandpulmonaryhemorrhagefrequencyandriskfactorsofcomputedtomographyguidedtransthoracicpulmonarybiopsycomplications AT umitcalıkoglu pneumothoraxandpulmonaryhemorrhagefrequencyandriskfactorsofcomputedtomographyguidedtransthoracicpulmonarybiopsycomplications |