18 June 2002
Intervention in patients with pneumothorax immediately following CT-guidedfine needle aspiration of pulmonary nodules.
Ryland P Byrd, Anand B Karnad, Mathew G Mathai, Harsha N Shantaveerappa, Jayant B Mehta, Thomas M RoyMed Sci Monit 2002; 8(6): CR401-404 :: ID: 420818
Abstract
BACKGROUND: The incidence of pneumothorax (PTX) as a complication of computerizedtomography guided fine needle aspirates (CT-FNA) of solitary pulmonary nodules (SPN) varies from 8-61%.It has been suggested that the practice of obtaining a delayed chest radiograph in patients who haveundergone CT-FNA of SPN is not cost effective and adds little information concerning lung expansion obtainedby CT at the end of the procedure. It, however, is not known what percent of patients with a PTX presentimmediately after CT-FNA but do not require prompt chest tube placement will progress and require interventionlater.MATERIAL/METHODS: One hundred-fifty-eight consecutive patients undergoing CT-FNA of SPN were includedin the study. Immediately after CT-FNA each patient was reimaged with the CT scanner to check for PTX.Patients with a PTX immediately after CT-FNA were assessed as to whether intervention was undertakenor whether the PTX enlarged and/or required drainage at a later time.RESULTS: Thirty-eight patients developeda PTX while still on the CT scanner. Twenty-nine patients with an immediate PTX did not require drainageof their pleural space. Chest tube placement was required promptly after the CT-FNA in 4 patients. Fivepatients had their pleural space drained at a later time due to an increasing size of the PTX and/orthe development of symptoms attributed to the PTX.CONCLUSIONS: These data suggest that patients who developa PTX immediately after CT-FNA but who do not require prompt pleural space evacuation should be followedclosely both clinically and radiographically.
Keywords: Biopsy, Needle, Lung Diseases, Pneumothorax, Tomography, X-Ray Computed
652 6
Editorial
01 June 2023 : Editorial
Editorial: Infectious Disease Surveillance Using Artificial Intelligence (AI) and its Role in Epidemic and Pandemic PreparednessDOI: 10.12659/MSM.941209
Med Sci Monit 2023; 29:e941209
In Press
05 Jun 2023 : Laboratory Research
Comparison of Composite Resin (Duo-Shade) Shade Guide with Vita Ceramic Shades Before and After Chemical an...Med Sci Monit In Press; DOI: 10.12659/MSM.940949
01 Jun 2023 : Clinical Research
Root Canal Numbers and Configurations in 1080 Permanent Canine Teeth in 270 Saudi Subjects Using Cone-Beam ...Med Sci Monit In Press; DOI: 10.12659/MSM.940472
01 Jun 2023 : Clinical Research
Internal Orifice Alloy Closure: A New Procedure for Treatment of Perianal Fistulizing Crohn’s DiseaseMed Sci Monit In Press; DOI: 10.12659/MSM.940873
01 Jun 2023 : Clinical Research
Effectiveness of Needle Aspiration versus Surgical Excision for Symptomatic Synovial Cysts of the Hip: A Si...Med Sci Monit In Press; DOI: 10.12659/MSM.940187
Most Viewed Current Articles
13 Nov 2021 : Clinical Research
Acceptance of COVID-19 Vaccination and Its Associated Factors Among Cancer Patients Attending the Oncology ...DOI :10.12659/MSM.932788
Med Sci Monit 2021; 27:e932788
30 Dec 2021 : Clinical Research
Retrospective Study of Outcomes and Hospitalization Rates of Patients in Italy with a Confirmed Diagnosis o...DOI :10.12659/MSM.935379
Med Sci Monit 2021; 27:e935379
08 Mar 2022 : Review article
A Review of the Potential Roles of Antioxidant and Anti-Inflammatory Pharmacological Approaches for the Man...DOI :10.12659/MSM.936292
Med Sci Monit 2022; 28:e936292
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952