Ultrasound-Guided Percutaneous Transthoracic Biopsy by Pulmonologists

Authors

  • Avatar Verma Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Narendra Bhatta Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Rejina Shahi Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Urmila Lama Family Welfare Division, Department of Health Services, Kathmandu, Nepal
  • Prakash Aryal Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Srijan Pantha Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Sangita Hamal Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Deebya Raj Mishra Department of Pulmonary, Critical Care and Sleep Medicine, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

DOI:

https://doi.org/10.3126/nrj.v3i2.83169

Keywords:

Diagnostic yield, Pulmonologist, Transthoracic biopsy, USG

Abstract

Background: Ultrasound-guided transthoracic needle biopsy (USG-TTNB) is a simple and safe procedure carried out to obtain a tissue sample for confirmation of the diagnosis of various thoracic pathologies. These procedures are usually carried out by radiologists in our country. However, there is good efficacy and fewer complications even in the hands of chest physicians, as shown by many studies published abroad. Considering this, the study is carried out to evaluate outcomes of USG-TTNB by pulmonologists in Nepal.

Objective: To study the efficacy and complications associated with USG-guided transthoracic needle biopsies performed by pulmonologists.

Methods: Retrospective analysis of 77 patients undergoing USG-TTNB by pulmonologists at BPKIHS from November 2019 to November 2023 were analyzed. The efficacy of the procedure and the complication rate were derived. Efficacy was calculated as proportion of the patients who had undergone the biopsy and resulted in a clinically contributory specimen.

Results: Mean age: 62.5 ± 13.7 years; 63.6% female. Transthoracic Fine Needle Aspiration showed a diagnostic yield of 82.6 % of patients, whereas that of trucut biopsy was 86.7 % with a combined diagnostic yield of 94 %. Pneumothorax occurred in four (5.2 %) of patients, and hemothorax occurred in two (2.6 %) of patients.

Conclusion: USG-guided percutaneous transthoracic biopsy by a pulmonologist is a procedure with good diagnostic yield and a lower complication rate.

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Published

2024-12-31

How to Cite

Verma, A., Bhatta, N., Shahi, R., Lama, U., Aryal, P., Pantha, S., … Mishra, D. R. (2024). Ultrasound-Guided Percutaneous Transthoracic Biopsy by Pulmonologists. Nepalese Respiratory Journal, 3(2), 30–34. https://doi.org/10.3126/nrj.v3i2.83169

Issue

Vol. 3 No. 2 (2024)

Section

Original Articles

License

Copyright (c) 2024 Nepalese Respiratory Society

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