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CardioVascular and Interventional Radiology

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01.12.2015 | Clinical Investigation

The Effect of Needle Gauge on the Risk of Pneumothorax and Chest Tube Placement After Percutaneous Computed Tomographic (CT)-Guided Lung Biopsy

verfasst von: Joshua D. Kuban, Alda L. Tam, Steven Y. Huang, Joe E. Ensor, Asher S. Philip, Geraldine J. Chen, Judy Ahrar, Ravi Murthy, Rony Avritscher, David C. Madoff, Armeen Mahvash, Kamran Ahrar, Michael J. Wallace, Arun C. Nachiappan, Sanjay Gupta

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 6/2015

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Abstract

Background

The aim of this study was to evaluate the effect of coaxial guide needle gauge (18 vs. 19 gauge) on the risk of pneumothorax and chest tube placement after CT-guided lung biopsy.

Methods

Imaging records of all patients who had undergone CT-guided lung biopsies at our institution from March 1, 2006 to December 9, 2010 were retrospectively reviewed. Univariate and multivariate logistic regression analyses were performed to assess the effect of various patient-, lesion-, and procedure-related variables on subsequent pneumothorax and chest tube placement rates.

Results

The study included 4262 biopsies (2304 with 18-gauge and 1958 with 19-gauge coaxial guide needles) in 3917 patients. The rates of pneumothorax and chest tube placement were 30.2 and 15 %, respectively. Pneumothorax occurred in 35 % of procedures performed with 18-gauge needles and in 24.5 % of procedures performed with 19-gauge needles (p < 0.0001). Chest tube insertion occurred in 16.7 % of procedures performed with 18-gauge needles and in 13.1 % of procedures performed with 19-gauge needles (p = 0.0011). Multivariate logistic regression models demonstrated that the use of an 18-gauge needle was associated with a higher rate of pneumothorax (p < 0.0001) and chest tube placement (p = 0.0003). The following factors were also associated with higher rates of pneumothorax and chest tube placement: older age, emphysema, greater number of pleural surfaces crossed, and a longer biopsy needle path length.

Conclusions

The use of a 19-gauge coaxial guide needle significantly decreases the risk of pneumothorax and chest tube placement compared with an 18-guage needle.

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Titel: The Effect of Needle Gauge on the Risk of Pneumothorax and Chest Tube Placement After Percutaneous Computed Tomographic (CT)-Guided Lung Biopsy
verfasst von: Joshua D. Kuban
Alda L. Tam
Steven Y. Huang
Joe E. Ensor
Asher S. Philip
Geraldine J. Chen
Judy Ahrar
Ravi Murthy
Rony Avritscher
David C. Madoff
Armeen Mahvash
Kamran Ahrar
Michael J. Wallace
Arun C. Nachiappan
Sanjay Gupta
Publikationsdatum: 01.12.2015
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 6/2015
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-015-1097-0

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The Effect of Needle Gauge on the Risk of Pneumothorax and Chest Tube Placement After Percutaneous Computed Tomographic (CT)-Guided Lung Biopsy