fibrin glue for sealing the needle track in fine-needle percutaneous lung biopsy using a coaxial system: Part II—clinical study
✍ Scribed by Theodore Petsas; Dimitris Siamblis; Costas Giannakenas; Kostas Tepetes; Dimitris Dougenis; Kostas Spiropoulos; Ioannis Fezoulidis; Ioannis Dimopoulos
- Book ID
- 104729340
- Publisher
- Springer
- Year
- 1995
- Tongue
- English
- Weight
- 968 KB
- Volume
- 18
- Category
- Article
- ISSN
- 1432-086X
No coin nor oath required. For personal study only.
✦ Synopsis
Purpose:
Following percutaneous lung biopsy (plb), we used fibrin glue as a sealant in 26 patients for the purpose of decreasing the incidence of pneumothorax.
Methods:
All 26 patients (group a) had chronic obstructive pulmonary disease (copd). the results for group a were compared with a control group of 32 patients (group b), also with copd and in whom fibrin glue was not used. all biopsies were conducted under computed tomography (ct) using a coaxial needle system consisting of 19-gauge and 22-gauge needles.
Results:
Pneumothorax developed in five patients (19.2%) in group a and in one instance, drainage was required (3.8%). in group b, pneumothorax developed in 13 patients (40.6%) and in six instances (18.8%) drainage was required. comparing the use of chest-tube drainage in the two groups, a statistical significance was observed, p < 0.0025). no adverse reactions related to the fibrin glue were observed.
Conclusion:
Our results indicate that fibrin glue is a safe sealing material for lung plb and serves to decrease the incidence and, in particular, the severity of pneumothorax, especially in high-risk patients.