Risk factors of pneumothorax after CT-guided coaxial cutting needle lung biopsy through aerated versus nonaerated lung
Journal
Journal of Vascular and Interventional Radiology
Journal Volume
25
Journal Issue
8
Pages
1209-1217
Date Issued
2014
Author(s)
Abstract
Purpose To compare the risk factors of developing a pneumothorax after computed tomography-guided lung biopsy in cases in which aerated lung is traversed and in cases in which aerated lung is not traversed. Materials and Methods The records of 381 patients from July 2005-December 2009 were retrospectively reviewed. Multivariable analysis of patient demographic characteristics, lung lesion characteristics, and biopsy procedure details was performed with respect to the development of pneumothorax. Results Among 381 patients, 249 biopsies traversed aerated lung tissue, and 132 biopsies did not traverse aerated lung tissue. Patients in whom aerated lung tissue was traversed had a significantly higher rate of pneumothorax. When aerated lung was not traversed, lesion size (? 2 cm vs > 2 cm; P =.025) and pleural-lesion angle (odds ratio = 1.033/degree; P =.004) were associated with pneumothorax. When aerated lung was traversed, location (middle vs upper; P =.009) and a transfissure approach (yes vs no; P =.001) were associated with pneumothorax. Conclusions When aerated lung was not traversed, lesion size and pleural-lesion angle were associated with pneumothorax, and when aerated lung was traversed, location and a transfissure approach were associated with pneumothorax. ? 2014 SIR.
SDGs
Other Subjects
adult; aged; article; biopsy needle; computed tomography guided coaxial cutting needle lung biopsy; computer assisted tomography; female; human; human tissue; image guided biopsy; lung biopsy; lung lesion; lung parenchyma; lung ventilation; major clinical study; male; pleura disease; pleura lesion; pneumothorax; priority journal; retrospective study; risk factor; smoking; adolescent; adverse effects; chi square distribution; comparative study; computer assisted tomography; image guided biopsy; interventional radiology; lung; middle aged; multivariate analysis; needle biopsy; pathology; pathophysiology; pneumothorax; predictive value; procedures; radiography; risk; statistical model; very elderly; young adult; Adolescent; Adult; Aged; Aged, 80 and over; Biopsy, Needle; Chi-Square Distribution; Female; Humans; Image-Guided Biopsy; Logistic Models; Lung; Male; Middle Aged; Multivariate Analysis; Odds Ratio; Pneumothorax; Predictive Value of Tests; Radiography, Interventional; Retrospective Studies; Risk Factors; Tomography, X-Ray Computed; Young Adult
Publisher
Elsevier Inc.
Type
journal article