Complications of Computed tomography-guided fine needle aspiration biopsy (FNAB) of pulmonary lesions:Factor related
Keywords:
Fine, Needle, Biopsy, Lung, Complication, Ct-guided biopsyAbstract
A retrospective review of 209 patients who were submitted to a consecutive computed tomography-guided FNAB of lung lesions between Jan 2010 and Jan 2014,by using 21gauge needles (CHIBA). The factors including radiological characteristics of the lesion, biopsy technique and complications were recorded. Complications occurred in 58 (27.7%) cases, pneumothorax being the most frequent, with 32 (15.3.1%) cases, followed by pulmonary hemorrhage 26 (12.4%)
cases. The risk factors included smaller lesion(<4 cm diameter),increased depth of lesion(>4cm),location,loss of pleural contact,frequency of needle adjustment and CT evidence of chronic obstructive pulmonary disease (COPD),with a statistically significant difference (p <0.05)
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Chest 2004;126:748-754
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AJR 1988;150:71-74
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22. Khan MF,Straub R,Moghaddam SR,et al. Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy,
Eur Radiolo 2008;18:1356-1363
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2. Westcott JL. Percutaneous transtoracic needle biopsy . radiology 1988;169:593-601
3. Van Sonnenberg E,Lin AS,Deutsch AL,Mattrey RF. Percutaneous biopsy of difficult mediastinal ,hilar and pulmonary computed tomographic guidance
and a modified coaxial technique. Radiology 1983;148:300-302
4. Stanley JH,Fish GD,Andriole JG,et al. Lung lesions :cytologic diagnosis by fine needle biopsy. Radiology 1987;162
5. Khouri, NF,Stitik FP,Erozan YS,et al. Transtoracic needle aspiration biopsy of benign and malignant lung lesions. Am J Roentgenol 1985;144:281-288
6. Li H,Boiselle PM,Shepard JO,Trotman-Dickenson B,McCloud TC. Diagnostic accuracy and safety of CT-guided percutaneous fine needle aspiration
biopsy of t he lung. AJR 1996;109
7. Larscheid RC,Thorpe PE,Scott WJ. Percutaneous transthoracic needle aspiration biopsy: a comprehensive review and role in the diagnosis and treatment
of lung tumors. Chest 1998;114:704-709
8. Tsukada H,Satou t,lwashima A,Souma T. Diagnostic accuracy of CT-guided automated needle biopsy of lung nodule. AJR 2000;175:239-243
9. Perlmutt LM,Johnson WW,Dunnick NR. Percutaneous transthoracic needle aspiration;a review AJR 2001;152:451-455
10. Laurent F,Michel P,Latrabe V,de lara MT,Marthan R. pneumothorraces and chest tube placement after CT-guided transthoracic lungt biopsy using
a coaxial technique. AJR 1999;172:1049-1053
11. Laurent F,labtrabe V,V ergier B,Michel P. Percutaneous Ct-guided biopsy of the lung:comparison between aspiration and automated cutting needles
using a coaxial technique. Cardiovasc intervent Radiolo 2000;23:266-272
12. Sinner WN Complications of percutaneous transthoracic needle aspiration biopsy. Acta radiolo 1976;17:813-828
13. Tolly TL,Feldmeier JE,Czernecki D. Air embolism complicating percutaneous lung biopsy. AJR 1986
14. Austin JH,Cohen MB. Value of having a cytopathologist present during percutaneous fine needle aspiration biopsy of lung:report of 55 cancer
patients and metaanalysis of the literature. AJR 12993;160:175-7
15. Covey AM,Gandhi R,Brody LA,Getrajdman G,Thaler HT,Brown KT. Factors associated with pneumothorax and pneumothorax requiring treatment
after percutaneous lung b iopsy in 443 consecutive patients. J Vasc Interv Radiolo 2004;15:479-483
16. Saji H,Nakamura H,Tsuchida T,et al. The incidence and the risk of pneumothorax and chest tube placement after percutaneous CT-guided lung biopsy. Chest 2002;121:1521-1526
17. Yeaow KM,SU IH,Pan KT,et al. Rsik factors of pneummothorax and bleeding;multivariate analysis of 660 CT-guided coaxial cutting needle lung biopsies.
Chest 2004;126:748-754
18. Fish GD,Stanley JH,Miller KS,Schabel SI,Sutherland SE. Postbiopsy pneumothorax:estimating thoe risk by chest resdiograph and pulmonary function tests.
AJR 1988;150:71-74
19. Tomiyama BN,Yasuhara Y,nakajima Y,et al. C t-guided needle biopsy of lung lesions based on 9783 biopsies in Japan. Eur J Radiol 2006;59: 60-64
20. Ayar D,Golla B,Lee JY,Nath H. Needle-track metastases after transthoracic needle biopsy. J Thorac Imaging 1998;13:2-6
21. Moore EH,Shepard JO,MCLoud TC,et all. Positional precaution in needle aspiration lung biopsy. Radiology 1990;175:733-735
22. Khan MF,Straub R,Moghaddam SR,et al. Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy,
Eur Radiolo 2008;18:1356-1363
23. Heyer CM,Reichelt S,Peters SA,Walther JW,Muller KM,Nicolas V. Computed tomography-navigated transthoracic core biopsy of pulmonary lesions:whick factore affect diagnostic yield and complication rates? Acad Radiolo 2008;15:1017- 1026
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Published
2015-03-02
How to Cite
Arnuntapong, P. (2015). Complications of Computed tomography-guided fine needle aspiration biopsy (FNAB) of pulmonary lesions:Factor related. Region 11 Medical Journal, 29(1), 43–50. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/180214
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