A Retrospective Analysis of the Effectiveness of Extrapleural Autologous Blood Patch Injection on Pneumothorax and Intervention Need in CT-guided Lung Biopsy
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Dosyalar
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Springer
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Purpose: To assess the effect of extrapleural autologous blood injection (EPABI) technique on pneumothorax development before and after coaxial needle withdrawal (CNW) and intervention rate for pneumothorax. To analyze the risk factors of pneumothorax and parenchymal hemorrhage. Materials and Methods: The records of 288 patients who had lung biopsies were analyzed. Of these patients, 188 received EPABI (group-A) before penetrating the parietal pleura, and the remaining did not (group-B). Intraparenchymal autologous blood patch injection was applied at the end of the procedure. The pneumothorax rates before/after CNW and intervention requirement for pneumothorax were compared between groups. The risk factors of pneumothorax before/after CNW and parenchymal hemorrhage were assessed with stepwise logistic regression. Results: The pneumothorax rate before CNW was significantly lower in group-A (5.92%) than in group-B (19.10%) (p = 0.029). Pneumothorax risk before CNW was reduced if EPABI was applied and skin-to-pleura distance increased. The pneumothorax rate after CNW was similar between two groups (group-A: 6.94%, group-B: 8%), while emphysema grade along the needle path and procedure duration was the significant risk factor. The intervention requirement for pneumothorax was significantly lower in group-A (6.38%) than in group-B (16%) (p = 0.012). Needle aspiration requirement was significantly reduced in group-A. The rate of external drainage catheter and chest tube placement was similar in both groups. The risk factors of parenchymal hemorrhage were overall emphysema grade of the lung, target-to-pleura distance, and target size. Conclusion: Use of EPABI along with IAPBI significantly decreased the pneumothorax rate during biopsy procedure and the intervention rate compared to IAPBI-alone. © 2021, Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
Açıklama
Anahtar Kelimeler
CT-guided, Extrapleural autologous blood injection, Extrapleural space, Iatrogenic pneumothorax, Intraparenchymal autologous blood patch injection, Percutaneous lung biopsy, adult, aged, Article, bleeding, blood autotransfusion, blood patch, clinical effectiveness, clinical outcome, coaxial needle withdrawal, cohort analysis, controlled study, CT guided biopsy, emphysema, extrapleural autologous blood patch injection, female, fine needle aspiration biopsy, human, incidence, lung biopsy, major clinical study, male, middle aged, parenchymal hemorrhage, pneumothorax, predictor variable, procedure duration, procedures, respiratory tract parameters, retrospective study, risk factor, target to pleura distance, therapy effect, time, adverse event, blood patch, diagnostic imaging, image guided biopsy, interventional radiology, lung, needle biopsy, pathology, pneumothorax, procedures, treatment outcome, x-ray computed tomography, Aged, Biopsy, Needle, Blood Patch, Epidural, Humans, Image-Guided Biopsy, Lung, Male, Middle Aged, Pneumothorax, Radiography, Interventional, Retrospective Studies, Tomography, X-Ray Computed, Treatment Outcome
Kaynak
CardioVascular and Interventional Radiology
WoS Q Değeri
Q3
Scopus Q Değeri
Q2
Cilt
44
Sayı
8
