Yıl: 2002 Cilt: 3 Sayı: 2 Sayfa Aralığı: 64 - 67 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Iatrogenic pneumothorax: Incidence and evaluation of the therapy

Öz:
Objective: To determine the incidence of iatrogenic pneumothorax caused by various diagnostic procedures in our center and to investigate its impact on morbidity. Methods: The outcomes of 418 invasive procedures performed between September 2000 and January 2001 were analyzed. The procedures were thoracentesis in 133 cases, computed tomography (CT) guided transthoracic fine needle aspiration (TFNA) in 123 cases, pleural biopsy in 84 cases, fluoroscopy guided TFNA in 42 cases, transbronchial biopsy in 30 cases and cutting-needle biopsy in 6 cases. Results: latrogenic pneumothorax was identified in 32 cases. Incidence of iatrogenic pneumothorax was 13% for CT guided TFNA, 7.1% for pleural biopsy, 16.6% for transbronchial biopsy, 7.1% for fluoroscopy guided TFNA and 1.5% for thoracentesis. The pneumothorax was minimal in 12 cases, small in 11 cases, moderate in 5 cases, complete in 2 cases. Hydropneumothorax was identified in 2 cases. Twenty cases were followed by observation only, 7 cases received supplemental oxygen and a chest tube with underwater seal was inserted in 5 cases. One patient who underwent chest tube drainage after pleural biopsy died. Conclusions: The leading causes of iatrogenic pneumothorax are transbronchial lung biopsy and CT-guided transthoracic fine needle aspiration. latrogenic pneumothorax is an important cause of morbidity, may cause prolonged hospital stay and may result in death.
Anahtar Kelime: Chest Tubes Morbidity Iatrogenic Disease Biopsy, Fine-Needle Diagnostic Techniques and Procedures Pneumothorax

Konular: Solunum Sistemi
Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
  • 1. Weissberg D, Refaely Y. Pneumothorax: experience with 1,199 patients. Chest 2000; 117: 1279-1285.
  • 2. Fraser RS, Colman N, Müller NL, Pare PD. Fraser and Pare's Diagnosis of Diseases of the Chest, W.B. Saunders Company, Philadelphia, 1999.
  • 3. Despars JA, Sassoon CSH, Light RW. Significance of iatrogenic pneumothorax. Chest 1994; 105: 1147-1150.
  • 4. Schoenenberger RA, Haefeli WE, Weiss P, Ritz R. Evaluation of conventional chest tube therapy for iatrogenic pneumothorax. Chest 1993; 104: 1770-1772.
  • 5. Bueno CE, elemente MG, Castro BC, et al. Cytologic and bacteriologic analysis of fluid and pleural biopsy specimens with Cope's needle. Arch Intern Med 1990; 150: 1190-1194.
  • 6. Seneff MG, Corwin RW, Gold LH, Irwin RS. Complications associated with thoracentesis. Chest 1990; 90: 97-100.
  • 7. Herf SM, Suratt PM, Arora NS. Deaths and complications associated with transbronchial lung biopsy. Am Rev Respir Dis 1977; 115: 708- 710.
  • 8. Doyle JJ, Hnatiuk OW, Torrington KG, Slade AR, Howard RS. Necessity of routine chest roentgenography after thoracentesis. Ann Intern Med 1996; 124: 816-820.
  • 9. Berger R. Iatrogenic pneumothorax. Chest 1994; 105: 980-981.
  • 10. Poe RH, Kallay MC, Wicks CM, Odoroff CI. Predicting risk of pneumothorax in needle biopsy of the lung. Chest 1984; 85: 232- 235.
  • 11. Ritter HG, Tarala R. Pneumothorax after acupuncture. BMJ 1978; 2: 602-603.
  • 12. Sassoon CSH, Light RW, O'Hara VS, Moritz TE. Iatrogenic pneumothorax: etiology and morbidity. Results of a Department of Veterans Affairs cooperative study. Respiration 1992; 59: 177-182.
  • 13. Anders CGT, Johnson MJE, Bush MBA, Matthews CJI. Transbronchial biopsy without fluoroscopy. A seven-year perspective. Chest 1988; 94: 557-560.
  • 14. Kalra S, D'Souza G, Bhusnurmath B, Jindal SK. Transbronchial lung biopsy in diffuse lung disease-a study of 28 cases. Indian J Chest Dis Allied Sci 1989; 31: 265-270.
  • 15. Hernandez BJ, Alfageme MI, Munoz MJ, Villagomez CR, Campos RF, Pena GN. Factors related to diagnostic yield and complications of transbronchial biopsy. Arch Bronconeumol 1998; 34: 133-141.
  • 16. Westcott JL. Percutaneous transthoracic needle biopsy. Radiology 1988; 169:593-601.
  • 17. Saji H, Nakamura H, Tsuchida T, et al. The incidence and the risk of pneumothorax and chest tube placement after percutaneous CT- guided lung biopsy: The angle of needle trajectory is a novel predictor. Chest 2002; 121: 1521-1526.
  • 18. Poe RH, Israel RH, Utell MJ, Hall WJ, Greenblatt DW, Kallay MC. Sensitivity, specificity, and predictive values of closed pleural biopsy. Arch Intern Med 1984; 144: 325-328.
  • 19. Delius RE, Obeid FN, Horst HM, Sorensen VJ, Fath JJ, Bivins BA. Catheter aspiration for simple pneumothorax: experience with 114 patients. Arch Surg 1989; 124: 833-836.
APA yılmaz a, BAYRAMGÜRLER B, YAZICIOĞLU Ö, ünver e, ERTUĞRUL M, GÜNGÖR N, BARAN R (2002). Iatrogenic pneumothorax: Incidence and evaluation of the therapy. , 64 - 67.
Chicago yılmaz adnan,BAYRAMGÜRLER Birol,YAZICIOĞLU Özlem,ünver edhem,ERTUĞRUL Müyesser,GÜNGÖR Nur,BARAN Reha Iatrogenic pneumothorax: Incidence and evaluation of the therapy. (2002): 64 - 67.
MLA yılmaz adnan,BAYRAMGÜRLER Birol,YAZICIOĞLU Özlem,ünver edhem,ERTUĞRUL Müyesser,GÜNGÖR Nur,BARAN Reha Iatrogenic pneumothorax: Incidence and evaluation of the therapy. , 2002, ss.64 - 67.
AMA yılmaz a,BAYRAMGÜRLER B,YAZICIOĞLU Ö,ünver e,ERTUĞRUL M,GÜNGÖR N,BARAN R Iatrogenic pneumothorax: Incidence and evaluation of the therapy. . 2002; 64 - 67.
Vancouver yılmaz a,BAYRAMGÜRLER B,YAZICIOĞLU Ö,ünver e,ERTUĞRUL M,GÜNGÖR N,BARAN R Iatrogenic pneumothorax: Incidence and evaluation of the therapy. . 2002; 64 - 67.
IEEE yılmaz a,BAYRAMGÜRLER B,YAZICIOĞLU Ö,ünver e,ERTUĞRUL M,GÜNGÖR N,BARAN R "Iatrogenic pneumothorax: Incidence and evaluation of the therapy." , ss.64 - 67, 2002.
ISNAD yılmaz, adnan vd. "Iatrogenic pneumothorax: Incidence and evaluation of the therapy". (2002), 64-67.
APA yılmaz a, BAYRAMGÜRLER B, YAZICIOĞLU Ö, ünver e, ERTUĞRUL M, GÜNGÖR N, BARAN R (2002). Iatrogenic pneumothorax: Incidence and evaluation of the therapy. Turkish Respiratory Journal, 3(2), 64 - 67.
Chicago yılmaz adnan,BAYRAMGÜRLER Birol,YAZICIOĞLU Özlem,ünver edhem,ERTUĞRUL Müyesser,GÜNGÖR Nur,BARAN Reha Iatrogenic pneumothorax: Incidence and evaluation of the therapy. Turkish Respiratory Journal 3, no.2 (2002): 64 - 67.
MLA yılmaz adnan,BAYRAMGÜRLER Birol,YAZICIOĞLU Özlem,ünver edhem,ERTUĞRUL Müyesser,GÜNGÖR Nur,BARAN Reha Iatrogenic pneumothorax: Incidence and evaluation of the therapy. Turkish Respiratory Journal, vol.3, no.2, 2002, ss.64 - 67.
AMA yılmaz a,BAYRAMGÜRLER B,YAZICIOĞLU Ö,ünver e,ERTUĞRUL M,GÜNGÖR N,BARAN R Iatrogenic pneumothorax: Incidence and evaluation of the therapy. Turkish Respiratory Journal. 2002; 3(2): 64 - 67.
Vancouver yılmaz a,BAYRAMGÜRLER B,YAZICIOĞLU Ö,ünver e,ERTUĞRUL M,GÜNGÖR N,BARAN R Iatrogenic pneumothorax: Incidence and evaluation of the therapy. Turkish Respiratory Journal. 2002; 3(2): 64 - 67.
IEEE yılmaz a,BAYRAMGÜRLER B,YAZICIOĞLU Ö,ünver e,ERTUĞRUL M,GÜNGÖR N,BARAN R "Iatrogenic pneumothorax: Incidence and evaluation of the therapy." Turkish Respiratory Journal, 3, ss.64 - 67, 2002.
ISNAD yılmaz, adnan vd. "Iatrogenic pneumothorax: Incidence and evaluation of the therapy". Turkish Respiratory Journal 3/2 (2002), 64-67.