Skip to content
2000
Volume 21, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603

Abstract

The objective of this study is to investigate the effect of thrombin solution injection combined with the rapid biopsy-side down position technique on the incidence of pneumothorax in emphysema patients following computed tomography (CT)-guided lung biopsy based on propensity score matching.

A retrospective study was conducted on emphysema patients who underwent CT-guided percutaneous lung biopsy between May 2022 and July 2023. Patients were divided into two groups based on the use of the rapid biopsy-side-down position technique. Propensity score matching was then applied to explore correlations.

A total of 212 patients were included in the study. Before propensity score matching, there were no significant differences between Groups A and B in terms of sex, lesion size, puncture path length, or patient positioning in multivariate logistic regression analysis. After matching with a 1:1 ratio, 41 patients were successfully paired. Logistic regression analysis revealed that the rapid biopsy-side down position technique was significantly correlated with a reduced incidence of pneumothorax (p = 0.027), serving as a protective factor.

The combination of thrombin solution injection and the rapid biopsy-side down position technique significantly reduces the incidence of pneumothorax in emphysema patients following CT-guided lung biopsy.

© 2025 The Author(s). Published by Bentham Science Publishers. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/cmir/10.2174/0115734056342141250320084906
2025-01-01
2025-09-03
Loading full text...

Full text loading...

/deliver/fulltext/cmir/21/1/CMIR-21-E15734056342141.html?itemId=/content/journals/cmir/10.2174/0115734056342141250320084906&mimeType=html&fmt=ahah

References

  1. GrangeR. SarkissianR. Bayle-BleuezS. TissotC. TiffetO. BarralF.G. FlausA. GrangeS. Preventive tract embolization with gelatin sponge slurry is safe and considerably reduces pneumothorax after CT-guided lung biopsy with use of large 16–18 coaxial needles.Br. J. Radiol.20229511332021086910.1259/bjr.2021086934986006
    [Google Scholar]
  2. KhorochkovE. GarvinG.J. PotocznyS. KozakR.I. Injection of saline into the biopsy tract and rapid patient rollover decreases pneumothorax size following computed tomography–guided transthoracic needle biopsy.Can. Assoc. Radiol. J.201869448949210.1016/j.carj.2018.08.00230309700
    [Google Scholar]
  3. HeerinkW.J. de BockG.H. de JongeG.J. GroenH.J.M. VliegenthartR. OudkerkM. Complication rates of CT-guided transthoracic lung biopsy: Meta-analysis.Eur. Radiol.201727113814810.1007/s00330‑016‑4357‑827108299
    [Google Scholar]
  4. LimW.H. ParkC.M. YoonS.H. LimH.J. HwangE.J. LeeJ.H. GooJ.M. Time-dependent analysis of incidence, risk factors and clinical significance of pneumothorax after percutaneous lung biopsy.Eur. Radiol.20182831328133710.1007/s00330‑017‑5058‑728971242
    [Google Scholar]
  5. KoluM. YildirimI.O. Evaluation of risk factors in pneumothorax development after computerized tomography-guided transthoracic biopsy and management of complications.Niger. J. Clin. Pract.202023224625110.4103/njcp.njcp_541_1832031101
    [Google Scholar]
  6. KimC.R. SariM.A. GrimaldiE. VanderLaanP.A. BrookA. BrookO.R. CT-guided coaxial lung biopsy: Number of cores and association with complications.Radiology2024313223216810.1148/radiol.23216839499177
    [Google Scholar]
  7. GuoZ. ShiH. LiW. LinD. WangC. LiuC. YuanM. WuX. XiongB. HeX. DuanF. HanJ. YangX. YuH. SiT. XuL. XingW. JinhuaH. WangY. XieH. CuiL. GaoW. HeD. LiuC. LiuZ. MaC. PanJ. ShaoH. TuQ. YongL. XuY. WeihaoZ. QiangZ. WangS. Chinese multidisciplinary expert consensus: Guidelines on percutaneous transthoracic needle biopsy.Thorac. Cancer20189111530154310.1111/1759‑7714.1284930221455
    [Google Scholar]
  8. YoonS.H. LeeS.M. ParkC.H. LeeJ.H. KimH. ChaeK.J. JinK.N. LeeK.H. KimJ.I. HongJ.H. HwangE.J. KimH. SuhY.J. ParkS. ParkY.S. KimD.W. ChoiM. ParkC.M. 2020 Clinical practice guideline for percutaneous transthoracic needle biopsy of pulmonary lesions: A consensus statement and recommendations of the korean society of thoracic radiology.Korean J. Radiol.202122226328010.3348/kjr.2020.013733236542
    [Google Scholar]
  9. ChenF.T. ZhongF.K. BaiQ.H. ZhuJ. YangY. CaoL.F. Application of thrombin blocking technique in percutaneous lung biopsy in the elderly.Chin J Geriatrics Res.201854384110.3877/cma.j.issn.2095‑8757.2018.04.009
    [Google Scholar]
  10. ZhengH.J. YangH.F. DuY. XuX.X. LiY. ChenY.K. Comparison of preventing common complications in percutaneous needle biopsy of lung using normal saline or thrombin solutions injection.Radiol. Prat.201126444644810.13609/j.cnki1000‑0313.2011.04.011
    [Google Scholar]
  11. ZengL-C. DuY. YangH-F. XieM-G. LiaoH-Q. ZhangY-D. LiL. WangQ. HuL. XuX-X. Efficacy of an opposite position aspiration on resolution of pneumothorax following CT-guided lung biopsy.Br. J. Radiol.20158810512015022710.1259/bjr.2015022725966292
    [Google Scholar]
  12. ManhireA. CharigM. ClellandC. GleesonF. MillerR. MossH. PointonK. RichardsonC. SawickaE. Guidelines for radiologically guided lung biopsy.Thorax2003581192093610.1136/thorax.58.11.92014586042
    [Google Scholar]
  13. CollingsC.L. WestcottJ.L. BansonN.L. LangeR.C. Pneumothorax and dependent versus nondependent patient position after needle biopsy of the lung.Radiology19992101596410.1148/radiology.210.1.r99ja17599885587
    [Google Scholar]
  14. AnW. ZhangH. WangB. ZhongF. WangS. LiaoM. Comparison of CT-guided core needle biopsy in pulmonary ground-glass and solid nodules based on propensity score matching analysis.Technol. Cancer Res. Treat.2022211533033822108535710.1177/1533033822108535735297696
    [Google Scholar]
  15. KaneL.T. FangT. GalettaM.S. GoyalD.K.C. NicholsonK.J. KeplerC.K. VaccaroA.R. SchroederG.D. Propensity score matching.Clin. Spine Surg.202033312012210.1097/BSD.000000000000093231913173
    [Google Scholar]
  16. WienerR.S. SchwartzL.M. WoloshinS. WelchH.G. Population-based risk for complications after transthoracic needle lung biopsy of a pulmonary nodule: An analysis of discharge records.Ann. Intern. Med.2011155313714410.7326/0003‑4819‑155‑3‑201108020‑0000321810706
    [Google Scholar]
  17. HeC. ZhaoL. YuH.L. ZhaoW. LiD. LiG.D. WangH. HuoB. HuangQ.M. LiangB.W. DingR. WangZ. LiuC. DengL.Y. XiongJ.R. HuangX.Q. Pneumothorax after percutaneous CT-guided lung nodule biopsy: A prospective, multicenter study.Quant. Imaging Med. Surg.202414120821810.21037/qims‑23‑89138223129
    [Google Scholar]
  18. HirakiT. MimuraH. GobaraH. IguchiT. FujiwaraH. SakuraiJ. MatsuiY. InoueD. ToyookaS. SanoY. KanazawaS. CT fluoroscopy-guided biopsy of 1,000 pulmonary lesions performed with 20-gauge coaxial cutting needles: Diagnostic yield and risk factors for diagnostic failure.Chest200913661612161710.1378/chest.09‑037019429718
    [Google Scholar]
  19. KazerooniE.A. LimF.T. MikhailA. MartinezF.J. Risk of pneumothorax in CT-guided transthoracic needle aspiration biopsy of the lung.Radiology1996198237137510.1148/radiology.198.2.85968348596834
    [Google Scholar]
  20. SarajlicV. VesnicS. Udovicic - GagulaD. KuricH. AkhanO. Diagnostic accuracy and complication rates of percutaneous CT-guided coaxial needle biopsy of pulmonary lesions.Diagn. Interv. Radiol.202127455355710.5152/dir.2021.2084433769291
    [Google Scholar]
  21. RenierH. GérardL. LamborelleP. CousinF. Efficacy of the tract embolization technique with gelatin sponge slurry to reduce pneumothorax and chest tube placement after percutaneous CT-guided lung biopsy.Cardiovasc. Intervent. Radiol.202043459760310.1007/s00270‑019‑02387‑331792589
    [Google Scholar]
  22. BabuS.B. SrinivasanS. ChungR. ChawlaA. TanH.K. LohanR. Tract sealing with normal saline after percutaneous transthoracic lung biopsies.J. Med. Imaging Radiat. Oncol.202064221121410.1111/1754‑9485.1300232037715
    [Google Scholar]
  23. MaybodyM. MuallemN. BrownK.T. MoskowitzC.S. HsuM. ZenobiC.L. JihadM. GetrajdmanG.I. SofocleousC.T. ErinjeriJ.P. CoveyA.M. BrodyL.A. YarmohammadiH. DeipolyiA.R. BryceY. AlagoW. SiegelbaumR.H. DurackJ.C. Gonzalez-AguirreA.J. ZivE. BoasF.E. SolomonS.B. Autologous blood patch injection versus hydrogel plug in CT-guided lung biopsy: A prospective randomized trial.Radiology2019290254755410.1148/radiol.201818114030480487
    [Google Scholar]
  24. ZidulkaA. Position may reduce or stop pneumothorax formation in dogs receiving mechanical ventilation.Clin. Invest. Med.19871042902943308238
    [Google Scholar]
  25. O'NeillAC McCarthyC RidgeCA MitchellP HanrahanE ButlerM KeaneMP DoddJD Rapid needle-out patient-rollover time after percutaneous CT-guided transthoracic biopsy of lung nodules: Effect on pneumothorax rate.Radiology2012262131431910.1148/radiol.11103506
    [Google Scholar]
  26. KimJ.I. ParkC.M. LeeS.M. GooJ.M. Rapid needle-out patient-rollover approach after cone beam CT-guided lung biopsy: Effect on pneumothorax rate in 1,191 consecutive patients.Eur. Radiol.20152571845185310.1007/s00330‑015‑3601‑y25636421
    [Google Scholar]
  27. HashimotoK. NishimuraS. ItoT. OkaN. AkagiM. Limitations and usefulness of biopsy techniques for the diagnosis of metastatic bone and soft tissue tumors.Ann. Med. Surg.20216810258110.1016/j.amsu.2021.10258134336201
    [Google Scholar]
/content/journals/cmir/10.2174/0115734056342141250320084906
Loading
/content/journals/cmir/10.2174/0115734056342141250320084906
Loading

Data & Media loading...


  • Article Type:
    Research Article
Keyword(s): Biopsy; Emphysema; Incidence; Lung; Pneumothorax
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test