دورية أكاديمية
Hemorrhagic Adverse Events of Transthoracic Needle Biopsy of the Lung in Patients with Pulmonary Hypertension: A Systematic Review and Meta-Analysis.
| العنوان: | Hemorrhagic Adverse Events of Transthoracic Needle Biopsy of the Lung in Patients with Pulmonary Hypertension: A Systematic Review and Meta-Analysis. |
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| المؤلفون: | Jang D; Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island. Electronic address: danielhjang@gmail.com., Darling R; Division of Pulmonary, Critical Care and Sleep Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island., Choudhary G; Division of Cardiology, Providence Veterans Affairs Medical Center and Warren Alpert Medical School of Brown University, Providence, Rhode Island., Jankowich M; Division of Pulmonary and Critical Care Medicine, Providence Veterans Affairs Medical Center and Warren Alpert Medical School of Brown University, Providence, Rhode Island. |
| المصدر: | Journal of vascular and interventional radiology : JVIR [J Vasc Interv Radiol] 2024 Aug; Vol. 35 (8), pp. 1139-1146.e3. Date of Electronic Publication: 2024 Apr 27. |
| نوع المنشور: | Systematic Review; Meta-Analysis; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Society of Cardiovascular and Interventional Radiology Country of Publication: United States NLM ID: 9203369 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1535-7732 (Electronic) Linking ISSN: 10510443 NLM ISO Abbreviation: J Vasc Interv Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Reston, Va. : Society of Cardiovascular and Interventional Radiology, c1990- |
| مواضيع طبية MeSH: | Hypertension, Pulmonary*/etiology , Hypertension, Pulmonary*/diagnostic imaging , Hemorrhage*/etiology , Hemoptysis*/etiology , Lung*/pathology , Lung*/diagnostic imaging, Humans ; Risk Factors ; Biopsy, Needle/adverse effects ; Male ; Female ; Middle Aged ; Tomography, X-Ray Computed ; Odds Ratio ; Adult ; Risk Assessment |
| مستخلص: | Purpose: To compare the risk of hemorrhagic adverse events of transthoracic needle biopsy (TTNB) such as pulmonary hemorrhage and hemoptysis between patients with pulmonary hypertension (PH) and patients without PH. Materials and Methods: Database search and citation review of search results were performed for studies reporting frequency of hemorrhagic adverse events of TTNB in adult patients with evidence of PH compared with that in patients undergoing the procedure without evidence of PH. Random-effects meta-analysis was performed for both rates of pulmonary hemorrhage and hemoptysis. Results: A total of 5 studies (encompassing 6,250 patients who underwent 6,684 biopsies) were included. All studies were retrospective and used computed tomography (CT) or echocardiography for identification of signs of PH. Biopsy-related pulmonary hemorrhage was diagnosed radiographically, and postbiopsy hemoptysis was diagnosed by documentation in the medical record. There were no differences found between patients with evidence of PH and those without regarding rates of pulmonary hemorrhage (odds ratio [OR], 1.12 [95% confidence interval {CI}, 0.85-1.47] in studies that used CT to define PH, and OR, 0.88 [95% CI 0.56-1.39] in studies that used echocardiography to define PH). There were also no differences in the rates of hemoptysis (OR, 0.95 [95% CI, 0.46-1.97]). Conclusions: A systematic review and meta-analysis of the literature did not demonstrate that patients with imaging evidence of PH undergoing TTNB had an increased risk of hemorrhagic adverse events. (Copyright © 2024 SIR. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20240430 Date Completed: 20240725 Latest Revision: 20240725 |
| رمز التحديث: | 20240726 |
| DOI: | 10.1016/j.jvir.2024.04.015 |
| PMID: | 38685471 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1535-7732 |
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| DOI: | 10.1016/j.jvir.2024.04.015 |