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Effect of Needle-Tract Bleeding on Pneumothorax and Chest Tube Placement Following CT Guided Core Needle Lung Biopsy Cover

Effect of Needle-Tract Bleeding on Pneumothorax and Chest Tube Placement Following CT Guided Core Needle Lung Biopsy

Open Access
|Apr 2019

Figures & Tables

jbsr-103-1-1591-g1.jpg
Figure 1

Needle-tract bleeding: (A) localization of needle entry; (B) during the procedure, needle is in the lesion; (C) after the withdrawal of the needle, bleeding is seen along the needle trajectory as ground-glass attenuation.

Table 1

Correlation of the needle-tract bleeding with the lesion-related variables.

VariablesNTB Rate (%)p-value
Size(cm)p = 0.011
<368/170 (40%)
≥374/251 (29%)
Localizationp = 0.532
Upper82/248 (33%)
Middle9/21 (42%)
Lower51/152 (34%)
Contour Characteristicsp = 0.660
Smooth30/101 (30%)
Blurred68/206 (33%)
Spiculated44/114 (38%)

[i] NTB, needle-tract bleeding.

Table 2

Correlation of the needle-tract bleeding with the procedure-related variables.

VariablesNTB Rate (%)p-value
Entry angle (°)p = 0.325
<7559/150 (39%)
≥7583/271 (30%)
No of Pleu. Puncturep = 0.470
≤2115/355 (32%)
>227/66 (40%)
Time (minute)p = 0.692
<2.592/265 (35%)
≥2.550/156 (32%)
Depth (cm)p = 0.002
0.5–338/158 (24%)
>3104/263 (40%)
Operatorp = 0.842
Junior resident33/89 (37%)
Senior resident69/228 (30%)
Chest radiologist40/104 (38%)
Othersp = 0.105
Presence of atelectasis2/12 (16%)
Presence of fissure10/22 (45%)
Presence of pleu. Tag3/12 (25%)

[i] NTB, needle-tract bleeding; Pleu. Puncture, pleural puncture; No, number.

Table 3

Correlation of the needle-tract bleeding with the patient-related variables.

VariablesNTB Rate (%)p-value
Age (y)p = 0.441
<6078/207 (38%)
≥6064/214 (30%)
Genderp = 0.648
Male116/337 (34%)
Female26/84 (31%)
Patient positionp = 0.380
Supine43/128 (33%)
Prone80/247 (32%)
Lateral decubitus19/46 (41%)
Severity of emphysemap = 0.218
095/285 (33%)
131/80 (38%)
213/34 (38%)
33/22 (13%)

[i] NTB, needle-tract bleeding.

Table 4

Correlation of pneumothorax with needle-tract bleeding and emphysema.

With EmphysemaWithout Emphysema
NTBNo NTBTotal (%)p-valueNTBNo NTBTotal (%)p-value
Pneumothoraxp = 0.831p < 0.001
Not Seen27507783146229
Seen (%)20 (42%)39 (44%)59 (43%)12 (12%)44 (32%)56 (19%)
Total478913695190285

[i] NTB, needle tract bleeding.

NTBNeedle-tract bleeding
CTComputed tomography
CNBCore needle biopsy
IRBInstitutional review board
GGauge
ROCReceiver operating characteristic
OROdds ratio
DOI: https://doi.org/10.5334/jbsr.1591 | Journal eISSN: 2514-8281
Language: English
Submitted on: Jun 14, 2018
Accepted on: Mar 17, 2019
Published on: Apr 4, 2019
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2019 Esra Soylu, Kerem Ozturk, Gokhan Gokalp, Ugur Topal, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.