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Fibrin glue for sealing the needle track after percutaneous lung biopsy: Part I—experimental study

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Abstract

Purpose

Evaluate the effectiveness of fibrin glue for the embolic occlusion of needle tracks following percutaneous lung biopsy (PLB).

Methods

Twenty-six rabbits underwent computed tomography (CT)-guided PLB using a coaxial system consisting of 19-and 22-gauge needles. Thirteen rabbits were used as controls (group A). In 13 other rabbits (group B), fibrin glue labelled with I131 fibrinogen and contrast medium was injected into the track. Both groups were examined by CT for the presence and severity of pneumothorax (mild: less than 20%; severe: more than 20%). Group B was also examined scintigraphically and their lungs were studied histologically. Results: In group A, pneumothorax developed in eight animals (61.6%) and was severe in six (46.1%) whereas in group B, pneumothorax developed in five animals (38.5%) and was severe in one (7.7%). Though the difference between the two groups in overall incidence of pneumothorax was not significant (p > 0.1), it was significantly higher (p < 0.025) for severe pneumothorax in group A. No signs of systemic embolism were observed.

Conclusions

Based on this animal model, fibrin glue is a safe and useful sealant following PLB and reduces the incidence of severe pneumothorax.

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Authors and Affiliations

  1. Department of Radiology, Regional University Hospital of Patras, 26500, Rion, Greece

    Theodore Petsas, Katerina Vasiou & Ioannis Fezoulidis

  2. Department of Nuclear Medicine, Regional University Hospital of Patras, 26500, Rion, Greece

    Pavlos J. Vassilakos & Costas Giannakenas

  3. Department of Surgery, Cardiothoracic Unit, Regional University Hospital of Patras, 26500, Rion, Greece

    Dimitris Dougenis

  4. Department of Pathology, Regional University Hospital of Patras, 26500, Rion, Greece

    Chrisoula D. Scopa

Authors
  1. Theodore Petsas
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  2. Pavlos J. Vassilakos
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  3. Dimitris Dougenis
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  4. Costas Giannakenas
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  5. Chrisoula D. Scopa
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  6. Katerina Vasiou
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  7. Ioannis Fezoulidis
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Petsas, T., Vassilakos, P.J., Dougenis, D. et al. Fibrin glue for sealing the needle track after percutaneous lung biopsy: Part I—experimental study. Cardiovasc Intervent Radiol 18, 373–377 (1995). https://doi.org/10.1007/BF00338304

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  • DOI: https://doi.org/10.1007/BF00338304

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