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19.01.2018 | Original Article

Does biopsy needle traversing through central portion of lesion increase the risk of hemoptysis during percutaneous transthoracic needle biopsy?

verfasst von: Chia-Hung Chen, Wei-Ming Huang, Shih-Hsuan Liang, Zong-Yi Jhou, Chien-Wen Chen, Yu-Chan Chien, Hui-Chen Lin, Chih-Hsin Wang, Chun-Chao Huang, Wei-Ni Liao, Chung-Yao Huang

Erschienen in: Japanese Journal of Radiology | Ausgabe 3/2018

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Abstract

Purpose

To evaluate whether traversal through the central part of a pulmonary lesion by a biopsy needle, and other factors, increases the risk of hemoptysis in patients undergoing CT-guided percutaneous transthoracic needle biopsy (PTNB).

Materials and methods

From July 2012 to November 2016, 227 patients undergoing 233 procedures were recruited as our study population. Patients were classified according to the occurrence of hemoptysis. Radiological assessments were performed by reviewing multiplanar reconstructed CT images. Other factors complicating PTNB-related hemoptysis were classified into (1) patient-related variables: age, gender, presence of emphysema; (2) lesion-related variables: size, location, distance to pleura, characteristics, presence of and degree of enhancement, histopathology of biopsy results; and (3) procedure-related variables: lesion depth, patient’s body position.

Results

Twenty-two cases (9.4%) experienced hemoptysis. Univariate analysis revealed that subsolid lesions (p = 0.031) and lesion depth > 1 cm (p = 0.049) were risk factors. Traversal through the central part of the lesion by the biopsy needle was not a risk factor.

Conclusion

Traversal through the central part of the lesion by the biopsy needle is not a risk factor of PTNB-related hemoptysis, but subsolid lesions and lesion depth > 1 cm increase the risk of hemoptysis.

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Titel: Does biopsy needle traversing through central portion of lesion increase the risk of hemoptysis during percutaneous transthoracic needle biopsy?
verfasst von: Chia-Hung Chen
Wei-Ming Huang
Shih-Hsuan Liang
Zong-Yi Jhou
Chien-Wen Chen
Yu-Chan Chien
Hui-Chen Lin
Chih-Hsin Wang
Chun-Chao Huang
Wei-Ni Liao
Chung-Yao Huang
Publikationsdatum: 19.01.2018
Verlag: Springer Japan
Erschienen in: Japanese Journal of Radiology / Ausgabe 3/2018
Print ISSN: 1867-1071
Elektronische ISSN: 1867-108X
DOI: https://doi.org/10.1007/s11604-018-0719-2

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Does biopsy needle traversing through central portion of lesion increase the risk of hemoptysis during percutaneous transthoracic needle biopsy?