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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 8/2019

01-08-2019 | Pneumothorax | Review

Post-Biopsy Manoeuvres to Reduce Pneumothorax Incidence in CT-Guided Transthoracic Lung Biopsies: A Systematic Review and Meta-analysis

Authors: Ya Ruth Huo, Michael Vinchill Chan, Al-Rahim Habib, Isaac Lui, Lloyd Ridley

Published in: CardioVascular and Interventional Radiology | Issue 8/2019

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Abstract

This systematic review and meta-analysis investigated post-biopsy manoeuvres to reduce pneumothorax following computed tomography-guided percutaneous transthoracic lung biopsy. Twenty-one articles were included with 7080 patients. Chest drain insertion rates were significantly reduced by ninefold with the normal saline tract sealant compared to controls (OR 0.11, 95% CI 0.02–0.48), threefold with the rapid rollover manoeuvre to puncture site down (OR 0.34, 95% CI 0.18–0.63), threefold with the tract plug (OR 0.33, 95% CI 0.22–0.48) and threefold with the blood patch (OR 0.39, 95% CI 0.26–0.58). The absolute chest drain insertion rates were the lowest in the normal saline tract sealant (0.8% vs 7.3% for controls), rapid rollover (1.9% vs 5.2%), deep expiration and breath-hold on needle extraction (0.9% vs 1.8%) and standard rollover versus no rollover (2.6% vs 5.2%). These findings highlight post-biopsy manoeuvres which could help reduce pneumothorax and chest drain insertions following lung biopsies.

Level of Evidence

Level 1/no level of evidence, systematic review.
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Metadata
Title
Post-Biopsy Manoeuvres to Reduce Pneumothorax Incidence in CT-Guided Transthoracic Lung Biopsies: A Systematic Review and Meta-analysis
Authors
Ya Ruth Huo
Michael Vinchill Chan
Al-Rahim Habib
Isaac Lui
Lloyd Ridley
Publication date
01-08-2019
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 8/2019
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-019-02196-8

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