TITLE

Role of Manual Aspiration in Treating Pneumothorax after Computed Tomography-Guided Lung Biopsy

AUTHOR(S)
Yamagami, T.; Terayama, K.; Yoshimatsu, R.; Matsumoto, T.; Miura, H.; Nishimura, T.
PUB. DATE
December 2009
SOURCE
Acta Radiologica;Dec2009, Vol. 50 Issue 10, p1126
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Pneumothorax is the most common complication after computed tomography (CT)-guided lung biopsy. The presence of a pneumothorax per se does not complicate patient management, but an increasing pneumothorax, making chest tube placement necessary, is highly problematic. Purpose: To evaluate the efficacy and limitations of simple aspiration of air from the pleural space to prevent increased pneumothorax and avoid chest tube placement in cases of pneumothorax following CT-guided lung biopsy. Material and Methods: The subjects of our study were 642 consecutive lung lesions in 594 patients for which percutaneous needle lung biopsies were performed using CT guidance. While patients were on the CT scanner table, percutaneous manual aspiration was performed in all patients with a non-small pneumothorax demonstrated on post-biopsy chest CT images. The frequency of pneumothorax, management of each such case, and factors influencing the incidence of worsening pneumothorax that finally required chest tube placement were evaluated. Results: Post-biopsy pneumothorax occurred in 243 of 642 (38%) procedures. Of the 243 cases, 112 were treated with manual aspiration immediately after biopsy. In 210 (86.4%), the pneumothorax had resolved completely on follow-up chest radiographs without chest tube placement. Only 33 patients required chest tube placement. Requirement of chest tube insertion significantly increased in parallel with the degree of pneumothorax as shown on post-biopsy CT images. The rate of chest tube insertion was statistically higher in subjects with values for aspirated air above 543 ml. Conclusion: Percutaneous manual aspiration of biopsy-induced pneumothorax performed immediately after biopsy may prevent worsening of pneumothorax and avoid chest tube placement. The amount of aspirated air can be predictive of the requirement for chest tube placement.
ACCESSION #
45311628

 

Related Articles

  • Pneumothorax: a complication of fine needles aspiration of the breast. Gately, C.A.; Maddox, P.R.; Mansel, R.E. // BMJ: British Medical Journal (International Edition);9/14/91, Vol. 303 Issue 6803, p627 

    Examines the occurrence of iatrogenic pneumothorax after fine needle aspiration of breast lumps in Great Britain. Details on cases of pneumothorax in British hospitals; Risk of pleural breach in fine needle aspiration technique; Treatment for pneumothorax.

  • Acute hydrocarbon pneumonia after white spirit aspiration: sequential HRCT findings. Facon, David; Coumbaras, Jean; Bigot, Emmanuelle; Bahlouli, Fouad; Boissonnas, Alain; Bellin, Marie-France // European Radiology;Jan2005, Vol. 15 Issue 1, p31 

    Hydrocarbon pneumonia is a very uncommon condition resulting from aspiration of mineral oil into the lung. We report the first description of early and sequential high-resolution computed tomographic (HRCT) findings of hydrocarbon pneumonia following attempted suicide by white spirit aspiration....

  • Early diagnosis of iliopsoas pyomyositis by computed tomography and muscle biopsy in an epileptic child. Baysoy, Gokhan; Gurel, Kamil; Uyan, Ayten P. // European Journal of Pediatrics;May2007, Vol. 166 Issue 5, p495 

    The article presents a study on the early diagnosis of iliopsoas pyomositis by computed tomography (CT) and muscle biopsy in 13-year-old epileptic boy. It states that the diagnosis of the disease at the early suppurative phase by CT and fine needle aspiration/biopsy (FNAB) proved to be effective...

  • Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis Aguinagalde, Borja; Zabaleta, Jon; Fuentes, Marta; Bazterargui, Nerea; Hernández, Carlos; Izquierdo, José Miguel; Pijuan, José Ignacio; Emparanza, José Ignacio // European Journal of Cardio-Thoracic Surgery;May2010, Vol. 37 Issue 5, p1129 

    Summary: Spontaneous pneumothorax is an extremely frequent pathology. Despite this, there is still no clear consensus on managing these patients. Therefore, we perform a systematic review and meta-analysis of the effectiveness of percutaneous aspiration compared with tube drainage for treating...

  • Ä°yatrojenik Pnömotorakslar: 27 Olgunun Analizi. DÜBÜŞ, Türkan; UZMAN, Özlem; DEMİRYONTAR, Dilay; KİRAZ, Rukkiye; VATANSEVER, Şule // Istanbul Medical Journal;2012, Vol. 13 Issue 3, p133 

    Objectives: We investigated the etiologies of iatrogenic pneumothoraces that may occur after various invasive procedures performed at our hospital. Methods: The charts of 27 patients were retrospectively reviewed from September 2006-December 2011. Results: 11 patients were female and 16 were...

  • Simple aspiration suffices for majority of patients with moderate pneumothorax. Dale, David C.; Federman, Daniel D. // Cortlandt Forum;06/25/97, Vol. 10 Issue 6, p24 

    Reports that simple aspiration suffices for majority of patients with moderate pneumothorax. Effect of allowing the collapsed lung to expand fully again and of preventing recurrences.

  • Tissue Harvester with Functional Valve (THFV): Shidham's device for reproducibly higher specimen yield by fine needle aspiration biopsy with easy to perform steps. Shidham, Vinod B.; Pandit, Ashwini W.; Nagarjun Rao, R.; Basir, Zainab; Shidham, Anjani // BMC Clinical Pathology;2007, Vol. 7, p2 

    Background: Fine needle aspiration biopsy (FNAB) cytology has been a highly effective methodology for tissue diagnosis and for various ancillary studies including molecular tests. In addition to other benefits, FNAB predominantly retrieves the diagnostic loosely cohesive cells in the lesion as...

  • Accuracy of splenic aspirate cytologic diagnoses.  // Veterinary Medicine;Jun2007, Vol. 102 Issue 6, p361 

    The article focuses on a study which investigated the diagnostic accuracy of cytologic evaluation of splenic aspirates. Splenic aspirates were gathered by using ultrasound-guided fine-needle aspiration. It was concluded by the authors that ultrasound-guided aspiration was safe, technically easy...

  • Management of isolated thyroid swellings: a prospective six year study of fine needle aspiration cytology in diagnosis. Cusick, Eleri L.; Maclntosh, Carol A.; Krukowski, Zygmunt H.; Williams, Valeri M.M.; Ewen, Stanley W.B.; Matheson, Norman A. // BMJ: British Medical Journal (International Edition);8/11/90, Vol. 301 Issue 6747, p318 

    Examines the accuracy of operation of fine needle aspiration cytology of isolated thyroid swellings. Comparison between histological and cytological findings; Importance of prospective analysis for the investigation; Importance of aspiration cytology for the detection of malignant disease.

Share

Read the Article

Courtesy of NEW JERSEY STATE LIBRARY

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics