Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

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 Roy

Med Sci Monit 2002; 8(6): CR401-404 :: ID: 420818


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

Add Comment 0 Comments

652 6


01 June 2023 : Editorial  

Editorial: Infectious Disease Surveillance Using Artificial Intelligence (AI) and its Role in Epidemic and Pandemic Preparedness

Dinah V. Parums
Science Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA

DOI: 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 Disease

Med 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

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750