Evaluation of major complications associated with percutaneous CT-guided biopsy of lung nodules below 3 cm
Background/aim: The aim of this study was to evaluate retrospectively the incidence and risk factors for the serious complications of pneumothorax and/or parenchymal haemorrhage occurring after computed tomography CT guided transthoracic biopsy. Materials and methods: The relation between the incidence of pneumothorax and parenchymal haemorrhage due to biopsy, age, sex, lesion localization, lesion size, duration of the procedure, depth of lesion, number of pleural insertions of the biopsy needle and pathology results were statistically evaluated. Results: Between 2016 and 2017, 309 cases with lesions below 3 cm in diameter of a total of 768 40.2% CT-guided chest biopsy patients were selected for retrospective review. The rate of pneumothorax and parenchymal haemorrhage was 18.1% 59/309 and 51% 158/309 , respectively post biopsy. The number of needle pleural insertions was correlated with the development of pneumothorax P = 0.002 . At regression analysis, for parenchymal haemorrhage, lesion depth P
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