Measures to Prevent Air Embolism in Transthoracic Biopsy of the Lung
2017
OBJECTIVE. Systemic
air embolism(AE) is a rare but feared complication of transthoracic
biopsywith potentially fatal consequences. The aim of the study was to assess the effect of patient positioning during transthoracic
biopsyon preventing systemic AE. MATERIALS AND METHODS. We compared a historical control group of 610 patients (group 1) who underwent transthoracic
biopsybefore the implementation of measures to prevent systemic AE during transthoracic
biopsyand a group of 1268 patients (group 2) who underwent
biopsyafter the measures were implemented. The patients in group 2 were placed in the ipsilateral-dependent position so that the lesion being
biopsiedwas located below the level of the
left atrium. RESULTS. The rate of systemic AE was reduced from 3.77% to 0.16% (odds ratio [OR], 0.040; 95% CI, 0.010–0.177; p < 0.001). Logistic regression analyses identified needle penetration depth,
prone positionof the patient during
biopsy, location above the level of the
left atrium, needle path through...
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