Evaluation of risk factors in pneumothorax development after computerized tomography-guided transthoracic biopsy and management of complications

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dc.authorwosidYıldırım, İsmail Okan/AFR-8243-2022
dc.contributor.authorKolu, M.
dc.contributor.authorYildirim, I. O.
dc.date.accessioned2024-08-04T20:47:06Z
dc.date.available2024-08-04T20:47:06Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAims: This study aims to discuss the relationship between complications and patient characteristics and lesion properties in the transthoracic fine needle aspiration biopsy (TTFNAB) procedures performed for lung lesions and the treatment applied in our clinic to eliminate these complications. Methods: In this retrospective study conducted from July 2014 to August 2017, the CT-guided TTFNAB was performed on 186 patients (145 males, 41 females) who were considered to have malignancies on their clinical evaluation, CT, and PET CT results. Results: After 186 CT-guided TTFNAB interventions, a total of 24 (12.9%) patients developed procedure-related pneumothorax. Of these patients, 7 had a limited and minimal pneumothorax and no treatment was required for them, while 17 had a large and increasing pneumothorax and manual air aspiration was performed with coaxial needle during the procedure. The number pleural transitions (OR 6.513; 95%, 2,529-16,771 P < 0.001), emphysematous lungs (OR 4.612; 95%, 1,852-11.487 P < 0.001), and the presence of a lesion unrelated to the pleura (OR 8.205; 95%, 3,162-21,291 P < 0.001) can form the basis for the development of a pneumothorax. Conclusion: The chances of developing pneumothorax after TTFNAB depend on number of pleural transition, emphysematous lungs, and non-pleural lesions. However, it is considered that procedures such as manual air aspiration and autologous blood patch may reduce the need for chest tube following the development of pneumothorax.en_US
dc.identifier.doi10.4103/njcp.njcp_541_18
dc.identifier.endpage251en_US
dc.identifier.issn1119-3077
dc.identifier.issue2en_US
dc.identifier.pmid32031101en_US
dc.identifier.scopus2-s2.0-85079081516en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage246en_US
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_541_18
dc.identifier.urihttps://hdl.handle.net/11616/99170
dc.identifier.volume23en_US
dc.identifier.wosWOS:000514446300017en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofNigerian Journal of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLung nodulesen_US
dc.subjectpneumothoraxen_US
dc.subjecttransthoracic fine needle biopsyen_US
dc.titleEvaluation of risk factors in pneumothorax development after computerized tomography-guided transthoracic biopsy and management of complicationsen_US
dc.typeArticleen_US

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