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

George Asafu Adjaye Frimpong,Nana E Coleman,Nakao K Abaidoo,Evans Aboagye,Pierre Amankwah

doi:10.1002/jmrs.330

Abstract

PurposeWith 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 MethodsThis 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.ResultsA 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%).ConclusionsFindings 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.

Highlights

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
A coaxial system is employed in thoracic biopsy, and two categories of needles are used: core-needle biopsy (CNB) and fine-needle aspiration biopsy (FNAB), providing specimens for histological examination and cytological a 2019 The Authors
We report our experience with 30 min of post-biopsy care in patients who presented with no complications after the post-biopsy scan, providing a starting point for similar algorithms to be explored in a randomised control study to establish the observation

Summary

Introduction

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. The most common thoracic region indicated for biopsy was mediastinal (n = 240, 54.5%), followed by lung (n = 185, 42.0%). 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. As a result of the advances in imaging modalities, needle technology, immunohistochemistry and pathological techniques, clinical indications of CT-guided thoracic biopsy have significantly changed.

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