Risk and protective factors of higher-grade intrapulmonary hemorrhage in patients undergoing percutaneous computed tomography-guided microcoil localization before video-assisted thoracoscopic surgery.

ABSTRACT:

Background

Computed tomography (CT)-guided microcoil localization before video-assisted thoracoscopic surgery (VATS), while generally safe, carries non-negligible risks of intrapulmonary hemorrhage. This study identifies independent predictors of higher-grade hemorrhage (≥ Grade 2) caused by CT-guided microcoil localization to optimize patient selection and procedural planning.

Methods

In this retrospective study, 432 consecutive patients [2016-2020] undergoing microcoil localization prior to VATS for solitary pulmonary nodules were analyzed. Hemorrhage severity was graded radiologically (Grade 0-4). Univariate and multivariate logistic regression identified the independent factors associated with higher-grade hemorrhage (≥ Grade 2), with P<0.05 considered significant.

Re

SUBMITTER: Li Y 

PROVIDER: S-EPMC12557614 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature