Back to Search
Start Over
Pneumothorax Incidence with Normal Saline Instillation for Sealing the Needle Track After Computed Tomography-Guided Percutaneous Lung Biopsy.
- Source :
-
Cardiovascular and interventional radiology [Cardiovasc Intervent Radiol] 2024 May; Vol. 47 (5), pp. 604-612. Date of Electronic Publication: 2024 Jan 23. - Publication Year :
- 2024
-
Abstract
- Purpose: To determine whether instillation of normal saline solution for sealing the needle track reduces incidence of pneumothorax and chest tube placement after computed tomography-guided percutaneous lung biopsy.<br />Materials and Methods: A total of 242 computed tomography-guided percutaneous lung biopsies performed at a single institution were retrospectively reviewed, including 93 biopsies in which the needle track was sealed by instillation of 3-5 ml of normal saline solution during needle withdrawal (water seal group) and 149 biopsies without sealing (control group). Patient and lesion characteristics, procedure-specific variables, pneumothorax and chest tube placement rates were recorded.<br />Results: Baseline characteristics were comparable in both groups. There was a statistically significant decrease in the pneumothorax rate (19.4% [18/93] vs. 40.9% [61/149]; pā<ā0.001) and a numerically lower chest tube placement rate without significant reduction (4.3% [4/93] vs. 10.7% [16/149]; pā=ā0.126) with using normal saline instillation for sealing the needle track versus not using sealant material. Using a multiple logistic regression analysis, using normal saline instillation to seal the needle track, having a senior radiologist as operator of the procedure and putting patients in prone position were significantly associated with a decreased risk of pneumothorax. The presence of emphysema along the needle track was significantly associated with an increased risk of pneumothorax. No complication was observed due to normal saline injection.<br />Conclusion: Normal saline solution instillation for sealing the needle track after computed tomography-guided percutaneous lung biopsy is a simple, low-cost and safe technique resulted in significantly decreased pneumothorax occurrence and a numerically lower chest tube placement rate, and might help to reduce both hospitalization risks and costs for the healthcare system. Level of evidence 3 Non-controlled retrospective cohort study.<br /> (© 2024. Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).)
- Subjects :
- Humans
Female
Male
Retrospective Studies
Middle Aged
Incidence
Aged
Biopsy, Needle adverse effects
Biopsy, Needle methods
Chest Tubes
Adult
Pneumothorax etiology
Pneumothorax prevention & control
Pneumothorax epidemiology
Tomography, X-Ray Computed methods
Saline Solution administration & dosage
Image-Guided Biopsy methods
Image-Guided Biopsy adverse effects
Lung diagnostic imaging
Lung pathology
Radiography, Interventional methods
Subjects
Details
- Language :
- English
- ISSN :
- 1432-086X
- Volume :
- 47
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Cardiovascular and interventional radiology
- Publication Type :
- Academic Journal
- Accession number :
- 38263525
- Full Text :
- https://doi.org/10.1007/s00270-023-03648-y