Pneumothorax Clinical Trial
Official title:
The Incidence of Pneumothorax After CT-guided Lung Biopsy Performed With and Without Autologous Blood Patching: a Randomized Single-center Prospective Study
The aim of this prospective, randomized study is to compare the rate of postoperative pneumothorax between standard CT-guided core needle biopsy (CNB) versus CNB followed by autologous blood patch injection (ABPI).
Pneumothorax is the most common complication of percutaneous lung biopsies. Reducing this
risk is a goal of those who perform these procedures, particularly a reduction in large
pneumothoraces requiring intervention (eg, pleural drainage) and hospitalization (Clayton et
al. 2016). Recently, autologous blood patch injection (ABPI) inside the biopsy track has been
suggested as an effective mean of sealing the punctured lung thus halting air loss and
consequently pneumothorax (Graffy et al. 2017).
The aim of this prospective, randomized study is to compare the rate of postoperative
pneumothorax between standard CT-guided core needle biopsy (CNB) versus CNB followed by ABPI.
In particular, the main objectives are to compare:
1. incidence of immediate pneumothorax
2. incidence of late pneumothorax (2 hrs)
3. incidence of chest tube placement
4. duration of the procedure
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