Novel Use of Extrapleural Autologous Blood Injection in CT-Guided Percutaneous Lung Biopsy and its Comparison to Intraparenchymal Autologous Blood Patch Injection: A Single-Center, Prospective, Randomized, and Controlled Clinical Trial

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dc.authorid0000-0003-4119-617X
dc.authorid0000-0001-6728-3664
dc.authorscopusid53867313500
dc.authorscopusid57213267308
dc.authorscopusid55597343100
dc.authorwosidDEVECIOGLU, ISMAIL/H-4523-2018
dc.authorwosidTürk, Yaşar/N-5682-2018
dc.contributor.authorTürk, Yaşar
dc.contributor.authorKüskün, Atakan
dc.contributor.authorDevecioğlu, İsmail
dc.date.accessioned2022-05-11T14:10:29Z
dc.date.available2022-05-11T14:10:29Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.departmentFakülteler, Çorlu Mühendislik Fakültesi, Biyomedikal Mühendisliği Bölümü
dc.description.abstractPurpose To evaluate the rate of iatrogenic pneumothorax and the need for intervention with extrapleural autologous blood injection (EPABI) along with intraparenchymal autologous blood patch injection (IABPI) or IABPI-only in CT-guided percutaneous lung biopsy. Materials and Methods One hundred and thirty-nine participants were referred for CT-guided percutaneous lung biopsy, and 81 were randomized into study (EPABI + IABPI,n = 40) and control (IABPI-only,n = 41) groups. In the study group, similar to 5 ml of autologous blood was injected into the extrapleural space before passing through the parietal and visceral pleura. The primary outcome was the incidence of pneumothorax in two cohorts within 2 weeks after the procedure. Results In the per-protocol population, pneumothorax rates were 5.9% and 25.7% in the study and control groups, respectively. The difference between the two groups was -19.8% (95% CI: -36.3%, 3.32%) (p = 0.025). On the other hand, in the population with no intraprocedural deviations, pneumothorax rates were 3.2% and 17.2% in the study and control groups, respectively. The difference between the two groups was -14.0% (95% CI: -29.1%, 1.07%) (p = 0.083). In the control group, 3.45% of the cases required aspiration, while no intervention was required in the study group. Conclusion The EPABI application along with IABPI is a promising method to decrease the incidence of pneumothorax following CT-guided percutaneous lung biopsy.
dc.identifier.doi10.1007/s00270-020-02585-4
dc.identifier.endpage1322
dc.identifier.issn0174-1551
dc.identifier.issn1432-086X
dc.identifier.issue9en_US
dc.identifier.pmid32676959
dc.identifier.scopus2-s2.0-85087973158
dc.identifier.scopusqualityQ2
dc.identifier.startpage1315
dc.identifier.urihttps://doi.org/10.1007/s00270-020-02585-4
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5415
dc.identifier.volume43
dc.identifier.wosWOS:000549337100005
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.subjectIatrogenic pneumothorax
dc.subjectIntraparenchymal autologous blood patch injection
dc.subjectExtrapleural space
dc.subjectExtrapleural autologous blood injection
dc.subjectCT-guided
dc.subjectPercutaneous lung biopsy
dc.subjectChest Tube Placement
dc.subjectNeedle-Aspiration
dc.subjectPneumothorax
dc.subjectPrevention
dc.subjectManagement
dc.subjectTrack
dc.subjectRates
dc.titleNovel Use of Extrapleural Autologous Blood Injection in CT-Guided Percutaneous Lung Biopsy and its Comparison to Intraparenchymal Autologous Blood Patch Injection: A Single-Center, Prospective, Randomized, and Controlled Clinical Trial
dc.typeArticle

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