Fibrin glue for sealing the needle track in fine-needle percutaneous lung biopsy using a coaxial system: Part II--Clinical study

Cardiovascular and Interventional Radiology
T PetsasI Dimopoulos

Abstract

Following percutaneous lung biopsy (PLB), we used fibrin glue as a sealant in 26 patients for the purpose of decreasing the incidence of pneumothorax. All 26 patients (group A) had chronic obstructive pulmonary disease (COPD). The results for group A were compared with a control group of 32 patients (group B), also with COPD and in whom fibrin glue was not used. All biopsies were conducted under computed tomography (CT) using a coaxial needle system consisting of 19-gauge and 22-gauge needles. Pneumothorax developed in five patients (19.2%) in group A and in one instance, drainage was required (3.8%). In group B, pneumothorax developed in 13 patients (40.6%) and in six instances (18.8%) drainage was required. Comparing the use of chest-tube drainage in the two groups, a statistical significance was observed, p < 0.0025). No adverse reactions related to the fibrin glue were observed. Our results indicate that fibrin glue is a safe sealing material for lung PLB and serves to decrease the incidence and, in particular, the severity of pneumothorax, especially in high-risk patients.

References

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Citations

Jul 11, 2006·Cardiovascular and Interventional Radiology·Stuart M LyonMichael J Lee
Jun 8, 2011·Cardiovascular and Interventional Radiology·Jean PalussièreAntoine Avril
Sep 22, 2001·American Journal of Surgery·T Morikawa
Sep 22, 2001·American Journal of Surgery·M R Jackson
Mar 29, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·B A FeitoJ Azorin
Jan 10, 2012·Journal of the American College of Radiology : JACR·Charles E RayTan-Lucien H Mohammed
Jul 27, 2010·Journal of Vascular and Interventional Radiology : JVIR·Julie M ZaettaUNKNOWN Bio-Seal Study Group
Jul 11, 2003·The Journal of Urology·Arnold i ChinH Albin Gritsch
Mar 17, 2017·AJR. American Journal of Roentgenology·Bernhard GlodnyRafael Rehwald
Jun 2, 2017·The Journal of Craniofacial Surgery·Robin WuDerek M Steinbacher
Feb 11, 2020·Journal of Medical Imaging and Radiation Oncology·Suresh B BabuRahul Lohan
Apr 12, 2019·Journal of the Belgian Society of Radiology·Esra SoyluUgur Topal
Nov 3, 2021·Radiology·Arash NajafiLambros Tselikas

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