Table 3. Procedural/periprocedural risk factors for prolonged chest tube requirement post percutaneous lung biopsy.
Chest tube dwell time <3 days post- biopsy | Chest tube dwell time ≥3 days post- biopsy | p-value | |
---|---|---|---|
| |||
Total (n) | 132 | 55 | |
| |||
Coaxial vs. non-coaxial technique | |||
% Coaxial (n) | 84.1% (111) | 81.8% (45) | p = 0.67 |
| |||
Core biopsy + FNA vs. FNA only | |||
% Core biopsy + FNA (n) | 81.3% (104) | 80.8% (42) | p = 1.00 |
| |||
Largest needle gauge used | |||
Mean ± SD | 19.5 | 19.5 | p = 0.77 |
Range | 17–22 | 17–22 | |
| |||
Needle path | |||
% Intraparenchymal | 73% (97) | 55% (30)16% (9) | p = 0.039* |
% Superficial | 11% (14) | 29% (16) | |
% Transfissural | 17% (21) | ||
| |||
Number of pleural interface punctures (n) | |||
Mean ± SD | 1.0 ± 0.7 | 1.0 ± 0.6 | p = 0.10 |
Range | 1–6 | 1–3 | |
| |||
Prone vs. supine patient positioning | |||
% Prone (n) | 42% (54) | 35% (19) | p = 0.41 |
| |||
Sedation time (minutes) | |||
Mean ± SD | 38 ± 13 | 46 ± 22 | p = 0.051 |
Range | 20–80 | 25–120 | |
| |||
Large vs. small/intermediate pneumothorax | |||
% Large pneumothorax (n) | 20% (26) | 27% (15) | p = 0.33 |
| |||
Presence vs. absence of air leak | |||
% Documented air leak (n) | 16% (21) | 18% (10) | p = 0.67 |
| |||
Chest tube size (French) | |||
% 8.5 (n) | 3.8% (5) | 0.0% (0) | p = 0.21 |
% 10.2 (n) | 72.3% (94) | 72.3% (45) | |
% 12 (n) | 23.8% (31) | 23.8% (10) |
When biopsy results in chest tube placement, the odds of having a chest tube placed for greater than 3 days is 2.5 times higher for Transfissural vs Intraparenchymal biopsy OR 2.5; 95% CI = 1.14 – 5.31; p=0.023, Fisher exact test.