Risk factors of pneumothorax after CT-guided coaxial cutting needle lung biopsy through aerated versus nonaerated lung

Chor Shen Lim, Lan Eng Tan, Jann Yuan Wang, Chih Hsin Lee, Hsu Chao Chang, Chou Chin Lan, Mei Chen Yang, Thomas Chang-Yao Tsao, Yao Kuang Wu

研究成果: 雜誌貢獻文章

9 引文 (Scopus)

摘要

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.

原文英語
頁(從 - 到)1209-1217
頁數9
期刊Journal of Vascular and Interventional Radiology
25
發行號8
DOIs
出版狀態已發佈 - 2014

指紋

Needle Biopsy
Pneumothorax
Lung
Biopsy
Odds Ratio
Tomography
Demography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

引用此文

Risk factors of pneumothorax after CT-guided coaxial cutting needle lung biopsy through aerated versus nonaerated lung. / Lim, Chor Shen; Tan, Lan Eng; Wang, Jann Yuan; Lee, Chih Hsin; Chang, Hsu Chao; Lan, Chou Chin; Yang, Mei Chen; Chang-Yao Tsao, Thomas; Wu, Yao Kuang.

於: Journal of Vascular and Interventional Radiology, 卷 25, 編號 8, 2014, p. 1209-1217.

研究成果: 雜誌貢獻文章

Lim, Chor Shen ; Tan, Lan Eng ; Wang, Jann Yuan ; Lee, Chih Hsin ; Chang, Hsu Chao ; Lan, Chou Chin ; Yang, Mei Chen ; Chang-Yao Tsao, Thomas ; Wu, Yao Kuang. / Risk factors of pneumothorax after CT-guided coaxial cutting needle lung biopsy through aerated versus nonaerated lung. 於: Journal of Vascular and Interventional Radiology. 2014 ; 卷 25, 編號 8. 頁 1209-1217.
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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.",
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AU - Lim, Chor Shen

AU - Tan, Lan Eng

AU - Wang, Jann Yuan

AU - Lee, Chih Hsin

AU - Chang, Hsu Chao

AU - Lan, Chou Chin

AU - Yang, Mei Chen

AU - Chang-Yao Tsao, Thomas

AU - Wu, Yao Kuang

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N2 - 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.

AB - 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.

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