Risk Factors for Systemic Air Embolism as a Complication of Percutaneous CT-guided Lung Biopsy: Multicenter Case-control Study
Purpose To determine risk factors for systemic air embolism by percutaneous computed tomography (CT)-guided lung biopsy. Methods This case-control study used data from 2216 percutaneous lung biopsy procedures performed over 11 years at 12 institutions in Japan. Systemic air embolism was identified b...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2014-10, Vol.37 (5), p.1312-1320 |
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| creator | Ishii, Hiroaki Hiraki, Takao Gobara, Hideo Fujiwara, Hiroyasu Mimura, Hidefumi Yasui, Kotaro Doke, Tetsuya Mukai, Takashi Kurokawa, Hironori Ando, Yoshitomo Hase, Soichiro Iguchi, Toshihiro Yabuki, Takayuki Omae, Kenichi Tajiri, Nobuhisa Mitsuhashi, Toshiharu Kanazawa, Susumu |
| description | Purpose
To determine risk factors for systemic air embolism by percutaneous computed tomography (CT)-guided lung biopsy.
Methods
This case-control study used data from 2216 percutaneous lung biopsy procedures performed over 11 years at 12 institutions in Japan. Systemic air embolism was identified by retrospective review of CT images obtained during and immediately after the procedures. To fulfill our objective, multiple variables were compared between cases and controls with univariate analyses by using Student’s
t
test and Fisher’s exact test for numerical and categorical values, respectively. Multivariate logistic regression analysis was then performed using selected variables.
Results
Ten cases of systemic air embolism and 2,206 controls were identified. Univariate analyses showed that the lesions in the lower lobe (
P
= 0.025) and occurrence of parenchymal hemorrhage (
P
= 0.019) were significant risk factors. Multivariate analysis showed that the use of a larger biopsy needle was a significant risk factor (
P
= 0.014).
Conclusion
Parenchymal hemorrhage during the procedure, lesions in the lower lobe, and the use of larger biopsy needles may be risk factors for systemic air embolism by percutaneous CT-guided lung biopsy. Our findings may provide clues toward minimizing the risk of this complication. |
| doi_str_mv | 10.1007/s00270-013-0808-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1560579531</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1560579531</sourcerecordid><originalsourceid>FETCH-LOGICAL-c634t-2b383149e99b086ad39839ced9167bc5ea63954268cdc4f5871cdb1c363a10e43</originalsourceid><addsrcrecordid>eNp1kU1r3DAQhkVoaTZpf0AuQdBLLko1liXbvaUmX7AhpUmhNyHL8qLUtrb6OOwlvz1KnZRS6EkMeuadGR6EjoCeAqXVp0BpUVFCgRFa05pUe2gFJStyJX68QSsKVUmAc9hHByE8UAq8Lvg7tF-UjBe1gBV6_GbDT3yhdHQ-4MF5fLcL0UxW4zPr8fnUudGGCauAFW7dtB2tVtG6GbsBfzVep6hm41LA7T3ZJNubHq_TvMFfrNuG3Wd8k8ZotZmj8bhVwRDt5ujdiO9i6nfv0dtBjcF8eHkP0feL8_v2iqxvL6_bszXRgpWRFB2rGZSNaZou36Z61tSs0aZvQFSd5kYJ1vCyELXudTnwugLdd6CZYAqoKdkhOllyt979SiZEOdmgzTguy0vggvKq4Qwy-vEf9MElP-ftflOMCUpFpmChtHcheDPIrbeT8jsJVD7LkYscmeXIZzmyyj3HL8mpm0z_p-PVRgaKBQj5a94Y_9fo_6Y-AfmamXc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1560336006</pqid></control><display><type>article</type><title>Risk Factors for Systemic Air Embolism as a Complication of Percutaneous CT-guided Lung Biopsy: Multicenter Case-control Study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Ishii, Hiroaki ; Hiraki, Takao ; Gobara, Hideo ; Fujiwara, Hiroyasu ; Mimura, Hidefumi ; Yasui, Kotaro ; Doke, Tetsuya ; Mukai, Takashi ; Kurokawa, Hironori ; Ando, Yoshitomo ; Hase, Soichiro ; Iguchi, Toshihiro ; Yabuki, Takayuki ; Omae, Kenichi ; Tajiri, Nobuhisa ; Mitsuhashi, Toshiharu ; Kanazawa, Susumu</creator><creatorcontrib>Ishii, Hiroaki ; Hiraki, Takao ; Gobara, Hideo ; Fujiwara, Hiroyasu ; Mimura, Hidefumi ; Yasui, Kotaro ; Doke, Tetsuya ; Mukai, Takashi ; Kurokawa, Hironori ; Ando, Yoshitomo ; Hase, Soichiro ; Iguchi, Toshihiro ; Yabuki, Takayuki ; Omae, Kenichi ; Tajiri, Nobuhisa ; Mitsuhashi, Toshiharu ; Kanazawa, Susumu</creatorcontrib><description>Purpose
To determine risk factors for systemic air embolism by percutaneous computed tomography (CT)-guided lung biopsy.
Methods
This case-control study used data from 2216 percutaneous lung biopsy procedures performed over 11 years at 12 institutions in Japan. Systemic air embolism was identified by retrospective review of CT images obtained during and immediately after the procedures. To fulfill our objective, multiple variables were compared between cases and controls with univariate analyses by using Student’s
t
test and Fisher’s exact test for numerical and categorical values, respectively. Multivariate logistic regression analysis was then performed using selected variables.
Results
Ten cases of systemic air embolism and 2,206 controls were identified. Univariate analyses showed that the lesions in the lower lobe (
P
= 0.025) and occurrence of parenchymal hemorrhage (
P
= 0.019) were significant risk factors. Multivariate analysis showed that the use of a larger biopsy needle was a significant risk factor (
P
= 0.014).
Conclusion
Parenchymal hemorrhage during the procedure, lesions in the lower lobe, and the use of larger biopsy needles may be risk factors for systemic air embolism by percutaneous CT-guided lung biopsy. Our findings may provide clues toward minimizing the risk of this complication.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-013-0808-7</identifier><identifier>PMID: 24352861</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Aged ; Aged, 80 and over ; Cardiology ; Case-Control Studies ; Clinical Investigation ; Embolism, Air - diagnostic imaging ; Embolism, Air - etiology ; Female ; Humans ; Image-Guided Biopsy - adverse effects ; Image-Guided Biopsy - methods ; Imaging ; Lung - diagnostic imaging ; Lung - pathology ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nuclear Medicine ; Radiography, Interventional - methods ; Radiology ; Retrospective Studies ; Risk Factors ; Tomography, X-Ray Computed - methods ; Ultrasound</subject><ispartof>Cardiovascular and interventional radiology, 2014-10, Vol.37 (5), p.1312-1320</ispartof><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013</rights><rights>Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c634t-2b383149e99b086ad39839ced9167bc5ea63954268cdc4f5871cdb1c363a10e43</citedby><cites>FETCH-LOGICAL-c634t-2b383149e99b086ad39839ced9167bc5ea63954268cdc4f5871cdb1c363a10e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00270-013-0808-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00270-013-0808-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24352861$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ishii, Hiroaki</creatorcontrib><creatorcontrib>Hiraki, Takao</creatorcontrib><creatorcontrib>Gobara, Hideo</creatorcontrib><creatorcontrib>Fujiwara, Hiroyasu</creatorcontrib><creatorcontrib>Mimura, Hidefumi</creatorcontrib><creatorcontrib>Yasui, Kotaro</creatorcontrib><creatorcontrib>Doke, Tetsuya</creatorcontrib><creatorcontrib>Mukai, Takashi</creatorcontrib><creatorcontrib>Kurokawa, Hironori</creatorcontrib><creatorcontrib>Ando, Yoshitomo</creatorcontrib><creatorcontrib>Hase, Soichiro</creatorcontrib><creatorcontrib>Iguchi, Toshihiro</creatorcontrib><creatorcontrib>Yabuki, Takayuki</creatorcontrib><creatorcontrib>Omae, Kenichi</creatorcontrib><creatorcontrib>Tajiri, Nobuhisa</creatorcontrib><creatorcontrib>Mitsuhashi, Toshiharu</creatorcontrib><creatorcontrib>Kanazawa, Susumu</creatorcontrib><title>Risk Factors for Systemic Air Embolism as a Complication of Percutaneous CT-guided Lung Biopsy: Multicenter Case-control Study</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><description>Purpose
To determine risk factors for systemic air embolism by percutaneous computed tomography (CT)-guided lung biopsy.
Methods
This case-control study used data from 2216 percutaneous lung biopsy procedures performed over 11 years at 12 institutions in Japan. Systemic air embolism was identified by retrospective review of CT images obtained during and immediately after the procedures. To fulfill our objective, multiple variables were compared between cases and controls with univariate analyses by using Student’s
t
test and Fisher’s exact test for numerical and categorical values, respectively. Multivariate logistic regression analysis was then performed using selected variables.
Results
Ten cases of systemic air embolism and 2,206 controls were identified. Univariate analyses showed that the lesions in the lower lobe (
P
= 0.025) and occurrence of parenchymal hemorrhage (
P
= 0.019) were significant risk factors. Multivariate analysis showed that the use of a larger biopsy needle was a significant risk factor (
P
= 0.014).
Conclusion
Parenchymal hemorrhage during the procedure, lesions in the lower lobe, and the use of larger biopsy needles may be risk factors for systemic air embolism by percutaneous CT-guided lung biopsy. Our findings may provide clues toward minimizing the risk of this complication.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiology</subject><subject>Case-Control Studies</subject><subject>Clinical Investigation</subject><subject>Embolism, Air - diagnostic imaging</subject><subject>Embolism, Air - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Image-Guided Biopsy - adverse effects</subject><subject>Image-Guided Biopsy - methods</subject><subject>Imaging</subject><subject>Lung - diagnostic imaging</subject><subject>Lung - pathology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nuclear Medicine</subject><subject>Radiography, Interventional - methods</subject><subject>Radiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Ultrasound</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU1r3DAQhkVoaTZpf0AuQdBLLko1liXbvaUmX7AhpUmhNyHL8qLUtrb6OOwlvz1KnZRS6EkMeuadGR6EjoCeAqXVp0BpUVFCgRFa05pUe2gFJStyJX68QSsKVUmAc9hHByE8UAq8Lvg7tF-UjBe1gBV6_GbDT3yhdHQ-4MF5fLcL0UxW4zPr8fnUudGGCauAFW7dtB2tVtG6GbsBfzVep6hm41LA7T3ZJNubHq_TvMFfrNuG3Wd8k8ZotZmj8bhVwRDt5ujdiO9i6nfv0dtBjcF8eHkP0feL8_v2iqxvL6_bszXRgpWRFB2rGZSNaZou36Z61tSs0aZvQFSd5kYJ1vCyELXudTnwugLdd6CZYAqoKdkhOllyt979SiZEOdmgzTguy0vggvKq4Qwy-vEf9MElP-ftflOMCUpFpmChtHcheDPIrbeT8jsJVD7LkYscmeXIZzmyyj3HL8mpm0z_p-PVRgaKBQj5a94Y_9fo_6Y-AfmamXc</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Ishii, Hiroaki</creator><creator>Hiraki, Takao</creator><creator>Gobara, Hideo</creator><creator>Fujiwara, Hiroyasu</creator><creator>Mimura, Hidefumi</creator><creator>Yasui, Kotaro</creator><creator>Doke, Tetsuya</creator><creator>Mukai, Takashi</creator><creator>Kurokawa, Hironori</creator><creator>Ando, Yoshitomo</creator><creator>Hase, Soichiro</creator><creator>Iguchi, Toshihiro</creator><creator>Yabuki, Takayuki</creator><creator>Omae, Kenichi</creator><creator>Tajiri, Nobuhisa</creator><creator>Mitsuhashi, Toshiharu</creator><creator>Kanazawa, Susumu</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Risk Factors for Systemic Air Embolism as a Complication of Percutaneous CT-guided Lung Biopsy: Multicenter Case-control Study</title><author>Ishii, Hiroaki ; Hiraki, Takao ; Gobara, Hideo ; Fujiwara, Hiroyasu ; Mimura, Hidefumi ; Yasui, Kotaro ; Doke, Tetsuya ; Mukai, Takashi ; Kurokawa, Hironori ; Ando, Yoshitomo ; Hase, Soichiro ; Iguchi, Toshihiro ; Yabuki, Takayuki ; Omae, Kenichi ; Tajiri, Nobuhisa ; Mitsuhashi, Toshiharu ; Kanazawa, Susumu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c634t-2b383149e99b086ad39839ced9167bc5ea63954268cdc4f5871cdb1c363a10e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiology</topic><topic>Case-Control Studies</topic><topic>Clinical Investigation</topic><topic>Embolism, Air - diagnostic imaging</topic><topic>Embolism, Air - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Image-Guided Biopsy - adverse effects</topic><topic>Image-Guided Biopsy - methods</topic><topic>Imaging</topic><topic>Lung - diagnostic imaging</topic><topic>Lung - pathology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nuclear Medicine</topic><topic>Radiography, Interventional - methods</topic><topic>Radiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Tomography, X-Ray Computed - methods</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishii, Hiroaki</creatorcontrib><creatorcontrib>Hiraki, Takao</creatorcontrib><creatorcontrib>Gobara, Hideo</creatorcontrib><creatorcontrib>Fujiwara, Hiroyasu</creatorcontrib><creatorcontrib>Mimura, Hidefumi</creatorcontrib><creatorcontrib>Yasui, Kotaro</creatorcontrib><creatorcontrib>Doke, Tetsuya</creatorcontrib><creatorcontrib>Mukai, Takashi</creatorcontrib><creatorcontrib>Kurokawa, Hironori</creatorcontrib><creatorcontrib>Ando, Yoshitomo</creatorcontrib><creatorcontrib>Hase, Soichiro</creatorcontrib><creatorcontrib>Iguchi, Toshihiro</creatorcontrib><creatorcontrib>Yabuki, Takayuki</creatorcontrib><creatorcontrib>Omae, Kenichi</creatorcontrib><creatorcontrib>Tajiri, Nobuhisa</creatorcontrib><creatorcontrib>Mitsuhashi, Toshiharu</creatorcontrib><creatorcontrib>Kanazawa, Susumu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishii, Hiroaki</au><au>Hiraki, Takao</au><au>Gobara, Hideo</au><au>Fujiwara, Hiroyasu</au><au>Mimura, Hidefumi</au><au>Yasui, Kotaro</au><au>Doke, Tetsuya</au><au>Mukai, Takashi</au><au>Kurokawa, Hironori</au><au>Ando, Yoshitomo</au><au>Hase, Soichiro</au><au>Iguchi, Toshihiro</au><au>Yabuki, Takayuki</au><au>Omae, Kenichi</au><au>Tajiri, Nobuhisa</au><au>Mitsuhashi, Toshiharu</au><au>Kanazawa, Susumu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors for Systemic Air Embolism as a Complication of Percutaneous CT-guided Lung Biopsy: Multicenter Case-control Study</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><stitle>Cardiovasc Intervent Radiol</stitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>37</volume><issue>5</issue><spage>1312</spage><epage>1320</epage><pages>1312-1320</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>Purpose
To determine risk factors for systemic air embolism by percutaneous computed tomography (CT)-guided lung biopsy.
Methods
This case-control study used data from 2216 percutaneous lung biopsy procedures performed over 11 years at 12 institutions in Japan. Systemic air embolism was identified by retrospective review of CT images obtained during and immediately after the procedures. To fulfill our objective, multiple variables were compared between cases and controls with univariate analyses by using Student’s
t
test and Fisher’s exact test for numerical and categorical values, respectively. Multivariate logistic regression analysis was then performed using selected variables.
Results
Ten cases of systemic air embolism and 2,206 controls were identified. Univariate analyses showed that the lesions in the lower lobe (
P
= 0.025) and occurrence of parenchymal hemorrhage (
P
= 0.019) were significant risk factors. Multivariate analysis showed that the use of a larger biopsy needle was a significant risk factor (
P
= 0.014).
Conclusion
Parenchymal hemorrhage during the procedure, lesions in the lower lobe, and the use of larger biopsy needles may be risk factors for systemic air embolism by percutaneous CT-guided lung biopsy. Our findings may provide clues toward minimizing the risk of this complication.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>24352861</pmid><doi>10.1007/s00270-013-0808-7</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0174-1551 |
| ispartof | Cardiovascular and interventional radiology, 2014-10, Vol.37 (5), p.1312-1320 |
| issn | 0174-1551 1432-086X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1560579531 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Aged, 80 and over Cardiology Case-Control Studies Clinical Investigation Embolism, Air - diagnostic imaging Embolism, Air - etiology Female Humans Image-Guided Biopsy - adverse effects Image-Guided Biopsy - methods Imaging Lung - diagnostic imaging Lung - pathology Male Medicine Medicine & Public Health Middle Aged Nuclear Medicine Radiography, Interventional - methods Radiology Retrospective Studies Risk Factors Tomography, X-Ray Computed - methods Ultrasound |
| title | Risk Factors for Systemic Air Embolism as a Complication of Percutaneous CT-guided Lung Biopsy: Multicenter Case-control Study |
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