Post-Biopsy Pneumothorax Incidence in Patients Treated with Biosentry Plug Device

Kansas Journal of Medicine

article

Hythem Abouodah¹  Gregg Werner¹  Thomas Fahrbach¹  Cameron Fox¹  Jared Mazurek¹  Jeremy Lott¹  Carissa Walter²  Lauren Clark¹  Brandon Custer¹ 

[1] University of Kansas Medical Center;KUMC

关键词: Biosentry Plug;    Pneumothorax;    Chest Tube;    Thoracostomy;    Lung Biopsy;   

DOI  :  10.17161/kjm.vol1415093

学科分类：医学（综合）

来源: The University of Kansas Medical Center

【 摘 要 】

Introduction: This study aimed to determine if Biosentry Plug Device (BP), a prophylactic sealant used to prevent pneumothorax after lung biopsies, reduced post-lung biopsy pneumothorax rates and other complications compared to no device utilization. Methods: This single institution, retrospective cohort study included patients who received a lung biopsy in the department of interventional radiology from May 1, 2015 to August 31, 2017. Data such as sex, race, ethnicity, COPD status, degree of lung bullae if present, smoking status, and use of BP were recorded. Decisions to use BP were based on operator preference. A chi squared analysis was used with a p value <0.05 considered significant. Results: The study included 521 patients who underwent a lung biopsy during the study timeframe. Of these, 74 (14.2%) received the BP device, while 447 (85.8%) did not. One-hundred ninety (36.4%) had a pneumothorax within 1 month of the lung biopsy. Of the total 190 that experienced pneumothorax, 36.7% of non-BP biopsies resulted in pneumothorax, while 35.1% of BP biopsies resulted in pneumothorax, p-value = 0.7970, degrees of freedom = 1. Conclusions: These findings indicate that BP may not reduce pneumothorax incidence nor limit the severity of complications in patients.

【 授权许可】

Unknown