Computed tomography guided lung biopsy under general anaesthesia with apnoea: Preliminary experience.
anaesthetics
apnoea
general
image-guided biopsy
interventional radiology
lung
Journal
Journal of medical imaging and radiation oncology
ISSN: 1754-9485
Titre abrégé: J Med Imaging Radiat Oncol
Pays: Australia
ID NLM: 101469340
Informations de publication
Date de publication:
Oct 2021
Oct 2021
Historique:
received:
15
04
2021
accepted:
15
06
2021
pubmed:
4
7
2021
medline:
26
11
2021
entrez:
3
7
2021
Statut:
ppublish
Résumé
Certain pulmonary lesions may be challenging to biopsy with conventional computed tomography percutaneous lung biopsy (CTPLB) under local anaesthesia (LA) which requires consistent patient breath holding to minimise complications. We aim to describe and evaluate the feasibility of CTPLB under general anaesthesia (GA) with apnoea, comparing results to patients undergoing biopsy under LA. This was a retrospective analysis of CTPLB with 18 GA and 137 LA patients. All biopsies were performed using a co-axial needle system in the radiology department on a multi-detector CT scanner with patient positioning determined by assessing shortest distance to target lesion. GA cases were performed under relaxant anaesthesia with intermittent positive pressure ventilation. Lower lobar lesion location and a combination of size and location (including proximity to critical structures) were indications for GA biopsy in >90% of patients. Mean lesion size for GA biopsies was 18 mm and control group 30 mm (P < 0.006) and mean pleura to lesion distance 29 and 11 mm, respectively (P < 0.0009). Pneumothorax rates were lower in our GA biopsy group (11%) compared to control group (42%) (P < 0.05). No anaesthetic complications were encountered. All GA samples were diagnostic. Based on a small number of patients, CTPLB under GA with apnoea seems a safe, feasible alternative to conventional CTPLB under LA for technically challenging lesions. This technique is routinely employed at our centre allowing access to lesions previously deemed unsafe to biopsy.
Identifiants
pubmed: 34216112
doi: 10.1111/1754-9485.13279
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
719-723Informations de copyright
© 2021 The Royal Australian and New Zealand College of Radiologists.
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