CT-Guided Percutaneous Trans-scapular Lung Biopsy in the Diagnosis of Peripheral Pulmonary Lesion Nodules of the Superior Lobes Using Large Needles Erratum to: CT-Guided Percutaneous Trans-scapular Lung Biopsy in the Diagnosis of Peripheral Pulmonary Lesion Nodules of the Superior Lobes Using Large Needles

摘要

Abstract\udPurpose CT-guided percutaneous transthoracic lung needle\udbiopsy (PLB) is an effective procedure for obtaining\udcyto-histological diagnoses of peripheral lesions. However,\udupper postero-lateral lung nodules (UPLN) may be difficult\udto reach using a standard intercostal either anterior or lateral\udapproach or when the nodule is just behind a rib or\udscapula. We evaluated the feasibility and effectiveness of\udtrans-scapular approach (tPLB) in these patients using\udlarge-core needles.\udMethods We retrospectively collected the data of 11 consecutive\udpatients (mean age 74.6 years, SD 5.9) among\udthose scheduled to undergo CT-guided PLB over the period\udFebruary 2015 to February 2017. In these patients, the\udpresence of a UPLN required a tPLB using a co-axial\udtechnique and large full-core needles (15G for the scapular\udpiercing and 18–19G for tissue sampling). All patients\udwere assessed by telephone at 24 h, 78 h and at an office\udvisit at 30 days after the procedure to evaluate post-procedural\udpain (VAS score) and shoulder mobility.\udResults Ten of the eleven samples were diagnostic. No\udmajor complications were encountered. Three patients\uddeveloped a pneumothorax, but none required pleural\uddrainage. All the patients confirmed the absence of pain at\ud24–72 h and 30 days, reporting a VAS score less than 1,\udwithout any shoulder mobility limitation.\udConclusion tPLB seems to be an effective and feasible\udprocedure, accompanied by a low risk of pneumothorax in\udUPLN cases.