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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dc.authorscopusid53867313500
dc.authorscopusid55597343100
dc.contributor.authorTürk, Yaşar
dc.contributor.authorDevecioğlu, İsmail
dc.date.accessioned2022-05-11T14:02:49Z
dc.date.available2022-05-11T14:02:49Z
dc.date.issued2021
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun ve Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractPurpose: 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).
dc.description.sponsorshipThe authors would like to thank Arindam Andy Bhattacharjee for proofreading the article. The study had no financial or industrial support.
dc.identifier.doi10.1007/s00270-021-02866-6
dc.identifier.endpage1230
dc.identifier.issn0174-1551
dc.identifier.issue8en_US
dc.identifier.pmid34021378
dc.identifier.scopus2-s2.0-85106412487
dc.identifier.scopusqualityQ2
dc.identifier.startpage1223
dc.identifier.urihttps://doi.org/10.1007/s00270-021-02866-6
dc.identifier.urihttps://hdl.handle.net/20.500.11776/4499
dc.identifier.volume44
dc.identifier.wosWOS:000652950500003
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTürk, Yaşar
dc.institutionauthorDevecioğlu, İsmail
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofCardioVascular and Interventional Radiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectCT-guided
dc.subjectExtrapleural autologous blood injection
dc.subjectExtrapleural space
dc.subjectIatrogenic pneumothorax
dc.subjectIntraparenchymal autologous blood patch injection
dc.subjectPercutaneous lung biopsy
dc.subjectadult
dc.subjectaged
dc.subjectArticle
dc.subjectbleeding
dc.subjectblood autotransfusion
dc.subjectblood patch
dc.subjectclinical effectiveness
dc.subjectclinical outcome
dc.subjectcoaxial needle withdrawal
dc.subjectcohort analysis
dc.subjectcontrolled study
dc.subjectCT guided biopsy
dc.subjectemphysema
dc.subjectextrapleural autologous blood patch injection
dc.subjectfemale
dc.subjectfine needle aspiration biopsy
dc.subjecthuman
dc.subjectincidence
dc.subjectlung biopsy
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmiddle aged
dc.subjectparenchymal hemorrhage
dc.subjectpneumothorax
dc.subjectpredictor variable
dc.subjectprocedure duration
dc.subjectprocedures
dc.subjectrespiratory tract parameters
dc.subjectretrospective study
dc.subjectrisk factor
dc.subjecttarget to pleura distance
dc.subjecttherapy effect
dc.subjecttime
dc.subjectadverse event
dc.subjectblood patch
dc.subjectdiagnostic imaging
dc.subjectimage guided biopsy
dc.subjectinterventional radiology
dc.subjectlung
dc.subjectneedle biopsy
dc.subjectpathology
dc.subjectpneumothorax
dc.subjectprocedures
dc.subjecttreatment outcome
dc.subjectx-ray computed tomography
dc.subjectAged
dc.subjectBiopsy, Needle
dc.subjectBlood Patch, Epidural
dc.subjectHumans
dc.subjectImage-Guided Biopsy
dc.subjectLung
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPneumothorax
dc.subjectRadiography, Interventional
dc.subjectRetrospective Studies
dc.subjectTomography, X-Ray Computed
dc.subjectTreatment Outcome
dc.titleA Retrospective Analysis of the Effectiveness of Extrapleural Autologous Blood Patch Injection on Pneumothorax and Intervention Need in CT-guided Lung Biopsy
dc.typeArticle

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