Name of the Procedure:

• Common Names: Lung Biopsy Plug, Biopsy Plug
• Technical/Medical Term: Lung Biopsy Plug with Delivery System (HCPCS Code C2613)

Summary

A lung biopsy plug is a procedure used to take a small sample of lung tissue for analysis. The plug helps to seal the biopsy site and prevent complications such as air leaks or bleeding.

Purpose

• Medical Conditions Addressed: Helps in diagnosing lung diseases such as infections, inflammatory conditions, and cancers.
• Goals/Expected Outcomes: To obtain a tissue sample for diagnostic evaluation while minimizing the risk of complications like pneumothorax (collapsed lung) and bleeding.

Indications

• Symptoms/Conditions: Unexplained lung masses, nodules, or abnormal imaging findings.
• Patient Criteria: Patients with suspected pulmonary disease needing a tissue diagnosis, especially when non-invasive tests are inconclusive.

Preparation

• Pre-procedure Instructions: Patients may need to fast for a certain period before the procedure, typically 6-8 hours.
• Diagnostic Tests/Assessments: Pre-procedure imaging like a CT scan to locate the area of interest, blood tests to check clotting parameters, and perhaps lung function tests.

Procedure Description

1. Anesthesia/Sedation: Local anesthesia combined with moderate sedation or, less commonly, general anesthesia.
2. Steps:
   • Patient is positioned, and the site is cleaned and sterilized.
   • A needle is inserted through the chest wall into the lung to obtain the tissue sample.
   • The biopsy plug is delivered via the same needle to seal the track, reducing the risk of air leaks or bleeding.
   • The needle is withdrawn, and a small bandage is applied.
3. Tools/Equipment: Biopsy needle, biopsy plug delivery system, imaging guidance (e.g., CT or ultrasound).

Duration

The procedure typically takes 30-60 minutes.

Setting

Usually performed in a hospital or outpatient surgical center with imaging facilities.

Personnel

• Healthcare Professionals: Interventional radiologist or pulmonologist, nurses, radiologists, and potentially an anesthesiologist.

Risks and Complications

• Common Risks: Pain at the biopsy site, minor bleeding, coughing up blood.
• Rare Risks: Pneumothorax (collapsed lung), significant bleeding, infection.
• Management: Most complications are managed with close observation; severe complications may require further intervention.

Benefits

• Expected Benefits: Accurate diagnosis of lung conditions, leading to appropriate treatment planning.
• Timeline: Diagnostic results are typically available within a few days to a week.

Recovery

• Post-procedure Care: Observation for a few hours post-procedure to monitor for complications.
• Recovery Time: Most patients can resume normal activities within 24-48 hours.
• Restrictions/Follow-up: Avoid strenuous activities for a few days; follow-up visit to discuss biopsy results.

Alternatives

• Other Treatment Options:
  • Bronchoscopy: Less invasive but may not reach all lung areas.
  • CT-guided needle biopsy without plug: Higher risk of complications.
  • Watchful waiting or repeat imaging: If immediate diagnosis is not critical.
• Pros and Cons: Each alternative has varying risks and diagnostic accuracy.

Patient Experience

• During the Procedure: Patients will feel pressure and a biopsy needle prick; sedation minimizes discomfort.
• After the Procedure: Some soreness at the biopsy site and potential coughing. Over-the-counter pain medication can manage discomfort. Regular breath monitoring to ensure no complications arise.

This markdown text provides comprehensive information regarding the Lung Biopsy Plug with Delivery System procedure in an organized format suitable for patients and healthcare providers.