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Article

Usefulness of Saline Sealing in Preventing Pneumothorax after CT-Guided Biopsies of the Lung

by
Andrei Roman
1,2,
Andreea Brozba
1,*,
Alexandru Necula
1,
Delia Doris Muntean
1,3,
Paul Kubelac
1,4,
Zsolt Fekete
1,5,
Ciprian Tomuleasa
1,6,
Csaba Csutak
1,3,
Diana Feier
1,3,
Roxana Pintican
1,3 and
Catalin Vlad
1,7
1
Faculty of Medicine, “Iuliu Hatieganu” University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania
2
Department of Radiology, Oncology Institute “Prof. Dr. Ion Chiricuta”, 400015 Cluj-Napoca, Romania
3
Department of Radiology, Cluj County Emergency Hospital, 400347 Cluj-Napoca, Romania
4
Department of Oncology, Oncology Institute “Prof. Dr. Ion Chiricuta”, 400015 Cluj-Napoca, Romania
5
Department of Radiotherapy, Oncology Institute “Prof. Dr. Ion Chiricuta”, 400015 Cluj-Napoca, Romania
6
Department of Hematology, Oncology Institute “Prof. Dr. Ion Chiricuta”, 400015 Cluj-Napoca, Romania
7
Department of Surgery, Oncology Institute “Prof. Dr. Ion Chiricuta”, 400015 Cluj-Napoca, Romania
*
Author to whom correspondence should be addressed.
Diagnostics 2023, 13(23), 3546; https://doi.org/10.3390/diagnostics13233546
Submission received: 24 October 2023 / Revised: 24 November 2023 / Accepted: 26 November 2023 / Published: 28 November 2023
(This article belongs to the Special Issue Lung Cancer: Screening, Diagnosis and Management)
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Abstract

This study aimed to assess the effectiveness of saline sealing in reducing the incidence of pneumothorax after a CT-guided lung biopsy. This was a retrospective case-control study of patients who underwent CT-guided biopsies for lung tumors using 18 G semiautomatic core needles in conjunction with 17 G coaxial needles. The patients were divided into two consecutive groups: a historical Group A (n = 111), who did not receive saline sealing, and Group B (n = 87), who received saline sealing. In Group B, NaCl 0.9% was injected through the coaxial needle upon its removal. The incidence of pneumothorax and chest tube insertion was compared between the two groups. Multivariate logistic regression was performed to verify the contribution of other pneumothorax risk factors. The study included 198 patients, with 111 in Group A and 87 in Group B. There was a significantly (p = 0.02) higher pneumothorax rate in Group A (35.1%, n = 39) compared to Group B (20.7%, n = 18). The difference regarding chest tube insertion was not significant (p = 0.1), despite a tendency towards more insertions in Group A (5.4%, n = 6), compared to Group B (1.1%, n = 1). Among the risk factors for pneumothorax, only the presence of emphysema (OR = 3.5, p = 0.0007) and belonging to Group A (OR = 2.2, p = 0.02) were significant. Saline sealing of the needle tract after a CT-guided lung biopsy can significantly reduce the incidence of pneumothorax. This technique is safe, readily available, and inexpensive, and should be considered as a routine preventive measure during this procedure.
Keywords: saline sealing; CT-guided lung biopsy; pneumothorax prevention saline sealing; CT-guided lung biopsy; pneumothorax prevention

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MDPI and ACS Style

Roman, A.; Brozba, A.; Necula, A.; Muntean, D.D.; Kubelac, P.; Fekete, Z.; Tomuleasa, C.; Csutak, C.; Feier, D.; Pintican, R.; et al. Usefulness of Saline Sealing in Preventing Pneumothorax after CT-Guided Biopsies of the Lung. Diagnostics 2023, 13, 3546. https://doi.org/10.3390/diagnostics13233546

AMA Style

Roman A, Brozba A, Necula A, Muntean DD, Kubelac P, Fekete Z, Tomuleasa C, Csutak C, Feier D, Pintican R, et al. Usefulness of Saline Sealing in Preventing Pneumothorax after CT-Guided Biopsies of the Lung. Diagnostics. 2023; 13(23):3546. https://doi.org/10.3390/diagnostics13233546

Chicago/Turabian Style

Roman, Andrei, Andreea Brozba, Alexandru Necula, Delia Doris Muntean, Paul Kubelac, Zsolt Fekete, Ciprian Tomuleasa, Csaba Csutak, Diana Feier, Roxana Pintican, and et al. 2023. "Usefulness of Saline Sealing in Preventing Pneumothorax after CT-Guided Biopsies of the Lung" Diagnostics 13, no. 23: 3546. https://doi.org/10.3390/diagnostics13233546

APA Style

Roman, A., Brozba, A., Necula, A., Muntean, D. D., Kubelac, P., Fekete, Z., Tomuleasa, C., Csutak, C., Feier, D., Pintican, R., & Vlad, C. (2023). Usefulness of Saline Sealing in Preventing Pneumothorax after CT-Guided Biopsies of the Lung. Diagnostics, 13(23), 3546. https://doi.org/10.3390/diagnostics13233546

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