Pneumothorax with prolonged chest tube requirement after CT-guided percutaneous lung biopsy: incidence and risk factors

European Radiology
Anna MorelandMajid Maybody

Abstract

To evaluate the incidence and risk factors of pneumothoraces requiring prolonged maintenance of a chest tube following CT-guided percutaneous lung biopsy in a retrospective, single-centre case series. All patients undergoing CT-guided percutaneous lung biopsies between June 2012 and May 2014 who required chest tube insertion for symptomatic or enlarging pneumothoraces were identified. Based on chest tube dwell time, patients were divided into two groups: short term (0-2 days) or prolonged (3 or more days). The following risk factors were stratified between groups: patient demographics, target lesion characteristics, and procedural/periprocedural technique and outcomes. A total of 2337 patients underwent lung biopsy; 543 developed pneumothorax (23.2 %), 187 required chest tube placement (8.0 %), and 55 required a chest tube for 3 days or more (2.9 % of all biopsies, 29.9 % of all chest tubes). The median chest tube dwell time for short-term and prolonged groups was 1.0 days and 4.7 days, respectively. The transfissural needle path predicted prolonged chest tube requirement (OR: 2.5; p = 0.023). Other factors were not significantly different between groups. Of patients undergoing CT-guided lung biopsy, 2.9 % required a chest tube...Continue Reading

References

May 1, 1987·AJR. American Journal of Roentgenology·L M PerlmuttN R Dunnick
Apr 16, 1998·Journal of Vascular and Interventional Radiology : JVIR·J L SwischukR E Bertino
Aug 12, 2000·Japanese Journal of Clinical Oncology·T HiroseM Adachi
May 6, 2004·Journal of Vascular and Interventional Radiology : JVIR·Anne M CoveyKaren T Brown
Jun 1, 2004·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·David H JohnsonFairooz Kabbinavar
May 29, 2008·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Giorgio Vittorio ScagliottiDavid Gandara
Nov 21, 2008·AJR. American Journal of Roentgenology·Anoop P AyyappanFrederick Matzinger
Feb 24, 2009·AJR. American Journal of Roentgenology·Jin HurByoung Wook Choi
Aug 21, 2009·The New England Journal of Medicine·Tony S MokMasahiro Fukuoka
Oct 29, 2010·The New England Journal of Medicine·Eunice L KwakA John Iafrate
Jan 13, 2011·La Radiologia medica·S RizzoM Bellomi
May 25, 2011·AJR. American Journal of Roentgenology·Carol C WuJo-Anne O Shepard
Aug 16, 2011·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Carlie S SigelNatasha Rekhtman
Oct 20, 2011·Journal of Medical Imaging and Radiation Oncology·Megumi NakamuraHajime Kitagaki
Mar 2, 2012·Seminars in Interventional Radiology·Katherine R Birchard
Jun 1, 2011·Chinese Journal of Cancer Research = Chung-kuo Yen Cheng Yen Chiu·Zhi-Jie WangJie Wang
Jun 15, 2013·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Andrea LoiselleDawn E Jaroszewski
May 24, 2014·Journal of Vascular and Interventional Radiology : JVIR·Chor-Shen LimYao-Kuang Wu
Sep 3, 2014·International Journal of Surgery·Alessandro VatrellaVincenzo Di Crescenzo

❮ Previous
Next ❯

Citations

May 20, 2017·Cardiovascular and Interventional Radiology·Andrea VeltriOkan Akhan
Jun 28, 2020·European Radiology·Elisabeth AppelOlga R Brook
Aug 5, 2021·Journal of Computer Assisted Tomography·Lea AzourWilliam H Moore

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.