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Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients

PURPOSE: With several studies recording a higher percentage of complications in the first hour of post‐biopsy, this study sought to evaluate the safety in the reduction in post‐biopsy patient monitoring time after computed tomography (CT)‐guided thoracic biopsies, providing a basis for further resea...

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Autores principales: Frimpong, George Asafu Adjaye, Aboagye, Evans, Amankwah, Pierre, Coleman, Nana E., Abaidoo, Nakao K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545478/
https://www.ncbi.nlm.nih.gov/pubmed/30859701
http://dx.doi.org/10.1002/jmrs.330
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author Frimpong, George Asafu Adjaye
Aboagye, Evans
Amankwah, Pierre
Coleman, Nana E.
Abaidoo, Nakao K.
author_facet Frimpong, George Asafu Adjaye
Aboagye, Evans
Amankwah, Pierre
Coleman, Nana E.
Abaidoo, Nakao K.
author_sort Frimpong, George Asafu Adjaye
collection PubMed
description PURPOSE: With several studies recording a higher percentage of complications in the first hour of post‐biopsy, this study sought to evaluate the safety in the reduction in post‐biopsy patient monitoring time after computed tomography (CT)‐guided thoracic biopsies, providing a basis for further research. MATERIALS AND METHODS: This was a retrospective study involving patients who were referred to our centre for CT‐guided thoracic biopsies from January 2010 to December 2017. Patients who presented with no complications immediately after the post‐biopsy CT scan were given 30 min of post‐biopsy care after which they were discharged, and given a hot line to call in case of any complication. There was also a follow‐up call by a nurse after 24 h to inquire about any complication and general condition of the patients. RESULTS: A total of 440 core needle thoracic biopsies were performed within the period of the study. The most common thoracic region indicated for biopsy was mediastinal (n = 240, 54.5%), followed by lung (n = 185, 42.0%). Complications were recorded at a rate of 6.4% (n = 28), with 4.1% (n = 18) been pneumothorax and pulmonary haemorrhage and haemoptysis accounting for 2.3% (n = 10). No relevant complications were recorded in patients who presented with no complications immediately after the post‐biopsy CT scan (n = 374, 85%). CONCLUSIONS: Findings from this initial study have shown that thirty minutes of post‐biopsy care could be sufficient for patients present with no complications immediately after a post‐procedural scan in CT‐guided thoracic biopsies; providing a basis for similar algorithms to be explored in a randomised control study to substantiate the observation.
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spelling pubmed-65454782019-06-05 Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients Frimpong, George Asafu Adjaye Aboagye, Evans Amankwah, Pierre Coleman, Nana E. Abaidoo, Nakao K. J Med Radiat Sci Original Articles PURPOSE: With several studies recording a higher percentage of complications in the first hour of post‐biopsy, this study sought to evaluate the safety in the reduction in post‐biopsy patient monitoring time after computed tomography (CT)‐guided thoracic biopsies, providing a basis for further research. MATERIALS AND METHODS: This was a retrospective study involving patients who were referred to our centre for CT‐guided thoracic biopsies from January 2010 to December 2017. Patients who presented with no complications immediately after the post‐biopsy CT scan were given 30 min of post‐biopsy care after which they were discharged, and given a hot line to call in case of any complication. There was also a follow‐up call by a nurse after 24 h to inquire about any complication and general condition of the patients. RESULTS: A total of 440 core needle thoracic biopsies were performed within the period of the study. The most common thoracic region indicated for biopsy was mediastinal (n = 240, 54.5%), followed by lung (n = 185, 42.0%). Complications were recorded at a rate of 6.4% (n = 28), with 4.1% (n = 18) been pneumothorax and pulmonary haemorrhage and haemoptysis accounting for 2.3% (n = 10). No relevant complications were recorded in patients who presented with no complications immediately after the post‐biopsy CT scan (n = 374, 85%). CONCLUSIONS: Findings from this initial study have shown that thirty minutes of post‐biopsy care could be sufficient for patients present with no complications immediately after a post‐procedural scan in CT‐guided thoracic biopsies; providing a basis for similar algorithms to be explored in a randomised control study to substantiate the observation. John Wiley and Sons Inc. 2019-03-11 2019-06 /pmc/articles/PMC6545478/ /pubmed/30859701 http://dx.doi.org/10.1002/jmrs.330 Text en © 2019 The Authors. Journal of Medical Radiation Sciences published by John Wiley & Sons Australia, Ltd on behalf of Australian Society of Medical Imaging and Radiation Therapy and New Zealand Institute of Medical Radiation Technology This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Frimpong, George Asafu Adjaye
Aboagye, Evans
Amankwah, Pierre
Coleman, Nana E.
Abaidoo, Nakao K.
Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients
title Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients
title_full Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients
title_fullStr Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients
title_full_unstemmed Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients
title_short Short‐duration post CT‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients
title_sort short‐duration post ct‐guided thoracic biopsy monitoring‐ clinical experience with 440 patients
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6545478/
https://www.ncbi.nlm.nih.gov/pubmed/30859701
http://dx.doi.org/10.1002/jmrs.330
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