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Abstract
ACCURACY OF PERCUTANEOUS CT-GUIDED LUNG BIOPSY IN ACHIEVING GOOD TISSUE SAMPLING AND ASSESSING THE COMPLICATIONS RATES
Dr. Khalid Salih Maulood* and Dr. Ali Ahmed Darib Al-Baldawi
ABSTRACT
Introduction: Percutaneous computed tomography-guided biopsy (PCTGB) is a safe, and simple technique for the taking biopsy from lung lesions and performing quick and reliable diagnosis. It is important to know the perfect procedure method and complications rates and its related causes to perform the procedure. Objective: To explain the perfect procedure of tissue sampling to avoid the risk of alternative risky options as thoracotomy and effect of its related anesthesia and to be aware of associated complications that may happen during the procedure and their relation with the characteristics of the patients, the types of lesions and the approach used in our institution. Materials and Methods: It is a retrospective study of 64 patients that perform (PCTGB) between May 2023 and April 2024 in the Radiology department of the in the Medical city center in Baghdad / Iraq. Results: Of the 64 patients, there was 17 patients (26.5%) presented with complications of which pneumothorax was the most common (20.3%), followed by two focal intra-parenchymal hemorrhage (3.1%) and 2 hemoptysis (3.1%). Patients with pulmonary comorbidities, especially emphysema, with small lesions, without adherence to the pleura with greater needle tract, had a higher rate of complications. Conclusions: The PCTGB is a simple and safe procedure, having low rate of complications, even if complications occur, majority of them are simple, just requiring patient reassurance and short term follow up, the most common being pneumothorax, alveolar hemorrhage and hemoptysis.
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