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Journals / Bozok Tıp Dergisi / 2018 / Cilt: 8 - Sayı: 3

Management of Iatrogenic Pneumothorax, Following Transthoracic Needle Aspiration Biopsy

TRANSTORASİK İĞNE ASPİRASYON BİYOPSİSİ SONRASI GELİŞEN İATROJENİK PNÖMOTORAKS YÖNETİMİ

Burcu KILIÇ
Akif TURNA
H. Volkan KARA
Ezel ERŞEN
Selim BAKAN
Pages
87–91
Publication Date
2022-10-11
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Overall 9 patients needed chest tube (37,5 %) Themean hospitalization for the whole group was 3,2 days There was no mortality or morbidity in the studygroup.Conclusion: Pneumothorax following TTNB may be seen.Our algorithm of 3 protocols depending on the sizeof pneumothorax is simple to use and results successful.There is a need for a multidisciplinary teamwork,close follow up and preparation for urgent chest tube insertion.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: Pneumothorax is the most common complication following Trans Thoracic Needle Biopsy (TTNB).The treatment plan choice is either conservative treatment with high flow (8-10 lt) nasal oxygen andsurgical treatment with chest tube is still varying.
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Key Findings & Data:Patients with pneumothorax followingTTNB between January 2016 and December 2017 are evaluated.
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Conclusion & Impact:Overall 9 patients needed chest tube (37,5 %) Themean hospitalization for the whole group was 3,2 days There was no mortality or morbidity in the studygroup.Conclusion: Pneumothorax following TTNB may be seen.Our algorithm of 3 protocols depending on the sizeof pneumothorax is simple to use and results successful.There is a need for a multidisciplinary teamwork,close follow up and preparation for urgent chest tube insertion.
🔬Design:Research Article
📍Scope:2016 Verileri
⚙️Variables:Domain Parameters

Abstract

Purpose: Pneumothorax is the most common complication following Trans Thoracic Needle Biopsy (TTNB).The treatment plan choice is either conservative treatment with high flow (8-10 lt) nasal oxygen andsurgical treatment with chest tube is still varying. The aim of this study to evaluate the treatment plans forpneumothorax after TTNB and efficacy different treatment approachesPatients and Methods: This is a retrospective cross-sectional study. Patients with pneumothorax followingTTNB between January 2016 and December 2017 are evaluated. According to the size of the pneumothorax,we have created 3 treatment protocols consisting of follow up with high flow (8-10 lt) nasal oxygen and –orchest tube insertion . The results were analyzedResults: There were 187 patients who had CT guided TTNB for diagnosis of a lung mass. Of those 24 patients(12,8%) had pneumothorax following the procedure. Overall 9 patients needed chest tube (37,5 %) Themean hospitalization for the whole group was 3,2 days There was no mortality or morbidity in the studygroup.Conclusion: Pneumothorax following TTNB may be seen.Our algorithm of 3 protocols depending on the sizeof pneumothorax is simple to use and results successful.There is a need for a multidisciplinary teamwork,close follow up and preparation for urgent chest tube insertion.

Özet

Amaç: Pnömotoraks Trans Torasik İğne Aspirasyon Biopsisinin (TTIAB) en sık komplikasyonudur. Tedavisinde konservatif takip ve göğüs tüpü uygulamasının yeri tartışılmakta ve tercihler farklılık göstermektedir. Bu çalışmanın amacı TTIAB sonrası pnömotoraks tedavisini farklı yaklaşımlarla değerlendirmektir. Hastalar ve Yöntem: Çalışmamız retrospektif kesitseldir. Ocak 2016 ve Aralık 2017 arası TTIAB sonrası gelişen pnömotoraks vakaları incelenmiştir. Pnömotoraks tedavisi için: yüksek akım (8-10 lt nazal oksijen) ile konservatif ve göğüs tüpü yerleştirmesini kullanarak oluşturduğumuz 3 tedavi protokolü pnömotoraks yüzdesine göre uygulayıp sonuçları değerlendirilmiştir. Bulgular: Toplamda 187 hastaya akciğerdeki kitle lezyon tespiti ve malign hastalık öntanısıyla TTIAB işlemi uygulandı. Hastaların 24 ünde (%12,8) işlem sonrası pnömotoraks tespit edildi. Tanımladığımız protokoller kullanılarak toplamda 9 hastada (%37,5) göğüs tüpü yerleştirildi. On beş hasta (%62,5) konservatif ( yüksek akım nazal oksijen ile) tedavi edildi. Ortalama hastane kalış süresi tüm çalışma grubu için 3,2 gün idi . Hastalarda mortalite yada morbidite izlenmedi Sonuç: TTIAB sonrası iatrojenik pnömotoraks riski mevcuttur. Pnömotoraks yüzdesine göre oluşturduğumuz 3 protoke dayalı algoritmamız basit olarak uygulanabilir ve sonuçları başarılıdır. Bu hastaların yakın takibi ve gerektiğinde acil göğüs tüpü yerleştirilebilmesi için multidisipliner takım çalışmasına ihtiyaç vardır.

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Cite This Article

KILIÇ, B., TURNA, A., KARA, H. V., ERŞEN, E., BAKAN, S. (2022). Management of Iatrogenic Pneumothorax, Following Transthoracic Needle Aspiration Biopsy. Bozok Tıp Dergisi, Cilt: 8 - Sayı: 3, 87–91. https://ajindex.com/articles/468660

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References (9)

  1. Nakamura M, Yoshizako T, Koyama S, Kitagaki H. Risk factors influencing chest tube placement among patients with pneumothorax because of CT-guided needle biopsy of the lung.J Med Imaging Radiat Oncol. 2011;55(5):474-8
  2. Boskovic T, Stanic J, Pena-Karan S, Zarogoulidis P, Drevelegas K, Katsikogiannis N. et al. Pneumothorax after transthoracic needle biopsy of lung lesions under CT guidance. J Thorac Dis. 2014;6 (Suppl 1):S99-S107 3. Shaham D. Semi-invasive and invasive procedures for the diagnosis and staging of lung cancer. I. Percutaneous transthoracic needle biopsy. Radiol Clin North Am. 2000;38(6):525-34
  3. Yankelevitz DF, Vazquez M, Henschke CI. Special techniques in transthoracic needle biopsy of pulmonary nodules. Radiol Clin North Am. 2000;38(3):267-79 5. Brown KT, Brody LA, Getrajdman GI, Napp TE. Outpatient treatment of iatrogenic pneumothorax after needle biopsy. Radiology. 1997;205(4):249-52
  4. Gurley MB, Richli WR, Waugh KA. Outpatient management of pneumothorax after fine-needle aspiration: economic advantages for the hospital and patient. Radiology. 1998;209(8):717-22
  5. Yeow KM, Su IH, Pan KT, Tsay PK, Lui KW, Cheung YC, et al. Risk factors of pneumothorax and bleeding: multivariate analysis of 660 CT-guided coaxial cutting needle lung biopsies. Chest. 2004;126(9):748–54
  6. Kazerooni EA, Lim FT, Mikhail A, Martinez FJ. Risk of pneumothorax in CT-guided transthoracic needle aspiration biopsy of the lung. Radiology. 1996;198(4):371–5
  7. Laurent F, Michel P, Latrabe V, de Lara MT, Marthan R. Pneumothoraces and chest tube placement after CT-guided transthoracic lung biopsy using a coaxial technique: incidence and risk factors. AJR. 1999;172:1049–53
  8. Hiraki T, Mimura H, Gobara H, Shibamoto K, Inoue D, Matsui Y. Incidence of and risk factors for pneumothorax and chest tube placement after CT fluoroscopy-guided percutaneous lung biopsy: retrospective analysis of the procedures conducted over a 9-year period. AJR. 2010;194:809–14
  9. Doğan N, Usca Z N, Ünal D. Bilgisayarlı tomografi (BT) eşliğinde transtorasik iğne biyopsisi (TİB)’nin komplikasyonları.Ş.E.E.A.H. Tıp Bülteni. 2009:43(1);107-111 12. Çubuk R, Tasalı N, Ahmet Midi A. Bayrak ET, Arslan G, Orki A et al. Our Computerized Tomography Guided Transthoracic Biopsy Results in Lung Lesions; Procedure, Complications and the Diagnostic Value Maltepe Medical Journal, 2009, 1(1): 32-7 13. Rhea JT, DeLuca SA, Greene RE. Determining the size of pneumothorax in the upright patient. Radi