keyword
https://read.qxmd.com/read/38417419/autologous-blood-patch-pleurodesis-and-endobronchial-valves-for-management-of-persistent-air-leaks-in-two-cases-of-tuberculosis
#1
Aida F Martinez, Zachary Tom, David W Hsia, Janine Vintch, Nathan Yee
Pulmonary infections, such as tuberculosis, can result in numerous pleural complications including empyemas, pneumothoraces with broncho-pleural fistulas, and persistent air leak. While definitive surgical interventions are often initially considered, management of these complications can be particularly challenging if a patient has an active infection and is not a surgical candidate. Autologous blood patch pleurodesis and endobronchial valve placement have both been described in remedying persistent air leaks (PALs) effectively and safely...
February 28, 2024: Respiration; International Review of Thoracic Diseases
https://read.qxmd.com/read/38167171/effectiveness-of-pleurodesis-for-postoperative-air-leaks-after-lung-resection
#2
JOURNAL ARTICLE
Norifumi Tsubokawa, Takahiro Mimae, Risa Ito, Ryuma Sasai, Kouichi Hirano, Atsushi Kamigaichi, Nobutaka Kawamoto, Yoshihiro Miyata, Morihito Okada
BACKGROUND: Pleurodesis is often performed for air leaks; however, the ideal materials and timing of the procedure remain controversial. We investigated the efficacy of pleurodesis using different materials and timing. METHODS: We retrospectively reviewed 913 consecutive patients who underwent segmentectomy or lobectomy for non-small cell lung cancer between 2014 and 2021. Pleurodesis efficacy was assessed on the day of chest tube removal. RESULTS: Eighty-six patients (9%) underwent pleurodesis for postoperative air leaks...
January 2, 2024: Journal of Cardiothoracic Surgery
https://read.qxmd.com/read/38166982/erasure-early-autologous-blood-pleurodesis-for-postoperative-air-leaks-a-randomized-controlled-trial-comparing-prophylactic-autologous-blood-pleurodesis-versus-standard-watch-and-wait-treatment-for-postoperative-air-leaks-following-thoracoscopic-anatomic-lung
#3
RANDOMIZED CONTROLLED TRIAL
Ioannis Karampinis, Christian Ruckes, Fabian Doerr, Servet Bölükbas, Sara Ricciardi, Giuseppe Cardillo, Carlos Galvez, Bogdan Vidmar, Tomaz Stupnik, Vincent Fang, Rene Horsleben Petersen, Eric Dominic Roessner
BACKGROUND: The prolonged air leak is probably the most common complication following lung resections. Around 10-20% of the patients who undergo a lung resection will eventually develop a prolonged air leak. The definition of a prolonged air leak varies between an air leak, which is evident after the fifth, seventh or even tenth postoperative day to every air leak that prolongs the hospital stay. However, the postoperative hospital stay following a thoracoscopic lobectomy can be as short as 2 days, making the above definitions sound outdated...
January 2, 2024: Trials
https://read.qxmd.com/read/38159925/predictive-risk-factors-for-pneumothorax-following-fluoroscopic-guided-transbronchial-lung-biopsy
#4
JOURNAL ARTICLE
B H Ng, H J Low, N A Nuratiqah, C I Soo, A Imree, F M J Mas, A A Azat, A H Faisal, B Y L Andrea
INTRODUCTION: Fluoroscopic-guided transbronchial lung biopsy (FG-TBLB) is routinely performed via bronchoscopy to diagnose focal peripheral lesions and diffuse lung disease. Identifying the risk factors of FG-TBLB-related pneumothorax can assist the operator in taking pre-emptive measures to prepare for this potential complication. MATERIALS AND METHODS: We retrospectively analysed data from 157 patients who underwent FG-TBLB, with the primary outcome being procedure-related pneumothorax...
December 2023: Medical Journal of Malaysia
https://read.qxmd.com/read/37855445/evaluation-and-management-of-persistent-air-leak
#5
REVIEW
Garret Duron, Elliot Backer, David Feller-Kopman
INTRODUCTION: Persistent air leaks (PAL) represent a challenging clinical problem for which there is not a clear consensus to guide optimal management. PAL is associated with significant morbidity, mortality, and increased length of hospital stay. There are a variety of surgical and non-surgical management options available. AREAS COVERED: This narrative review describes the current evidence for PAL management including surgical approach, autologous blood patch pleurodesis, chemical pleurodesis, endobronchial valves, and one-way valves...
2023: Expert Review of Respiratory Medicine
https://read.qxmd.com/read/37090364/the-efficacy-and-safety-of-autologous-blood-patch-for-persistent-air-leaks-a-systematic-review-and-meta-analysis
#6
REVIEW
Zaryab Umar, Mahmoud Nassar, Salman Ashfaq, Allison Foster, Jasmine K Sandhu, Jonathan Ariyaratnam, Ricardo Lopez, Theo Trandafirescu
Persistent air leaks (PALs) are associated with prolonged hospital stays, contamination and sustained infection of the pleural space, and significant morbidity. A fistulous tract between the alveoli and the pleural space is referred to as an alveolar-pleural fistula (APF), whereas a fistulous tract between the bronchiole and the pleural space is referred to as a bronchopleural fistula (BPF). There is no consensus on the treatment, and multiple modalities exist for the management of persistent air leak (PAL)...
March 2023: Curēus
https://read.qxmd.com/read/37065172/the-benefit-of-indwelling-pleural-catheter-with-ambulatory-pneumothorax-device-and-autologous-blood-patch-pleurodesis-in-lymphangioleiomyomatosis-with-persistent-air-leak
#7
Boon Hau Ng, Hsueh Jing Low, Nik Nuratiqah Nik Abeed, Mas Fazlin Mohamad Jailaini, Mohamed Faisal Abdul Hamid, Andrea Ban Yu-Lin
We report a 35-year-old woman who presented with dyspnoea and chest pain for 1 week. High-resolution computed tomography (HRCT) thorax revealed bilateral pneumothoraces with diffuse lung cysts. Bilateral intercostal chest tubes were inserted, and there was a persistent air leak (PAL) bilaterally. We performed an autologous blood patch pleurodesis (ABPP) for the left PAL. For the right PAL, she underwent a successful right video-assisted thoracic (VATS) surgery, wedge biopsy, and surgical pleurodesis. Histopathology examination confirmed the diagnosis of lymphangioleiomyomatosis (LAM)...
May 2023: Respirology Case Reports
https://read.qxmd.com/read/36876270/autologous-blood-patch-pleurodesis-for-persistent-air-leak-in-an-aids-patient-with-pneumothorax
#8
Haris Patail, Hassan Patail
Autologous blood-patch pleurodesis (ABPP) is a common technique used to manage patients with persistent pleural air leaks caused by pneumothorax. Other treatment options for persistent air leak (PAL) include chemical pleurodesis or placement of endobronchial valves, though severity of illness, risk of complications such as infection, or patient comorbidities may impact treatment decisions. The use of ABPP in patients with HIV and AIDS has not been reported in the literature. We present a case of a 32-year-old man with a history of AIDS (noncompliant with medications) and schizophrenia who presented with acute hypoxemic respiratory failure complicated by pneumothorax and PAL...
2023: Proceedings of the Baylor University Medical Center
https://read.qxmd.com/read/36585556/autologous-blood-patch-pleurodesis-for-secondary-spontaneous-pneumothorax-a-narrative-review-a-retrospective-case-series-and-state-of-play-in-the-uk
#9
JOURNAL ARTICLE
Sufyan Shakir, Brian Choo-Kang, Clare Ross, Kevin Conroy, Richard Thorley, Steven Walker, Rahul Bhatnagar, Avinash Aujayeb
INTRODUCTION: Treatment of prolonged air leak due to secondary spontaneous pneumothorax is challenging. Autologous blood patch pleurodesis (ABPP) is a treatment option. Previous evidence is reliant on single-centre series and underpowered trials and is mostly described in air leaks post cardiothoracic intervention. There are no United Kingdom (UK) wide data. METHODS: Members of the UK Pleural Society were surveyed for their practice and for patients who underwent blood patch...
December 30, 2022: Pulmonary Therapy
https://read.qxmd.com/read/36567689/bilateral-refractory-pneumothorax-treated-by-pleurodesis-and-bronchial-occlusion-in-a-covid-19-patient
#10
Satoshi Tanaka, Yoshihiro Takayama, Riiko Kitou, Ryo Asakawa, Satoshi Tobita, Akihiro Ike, Masahiro Kawada, Suguru Yamamoto, Kiyonobu Ueno
Coronavirus disease 2019 (COVID-19) has become a worldwide outbreak, and it can cause various symptoms and complications. However, pneumothorax secondary to COVID-19 is relatively uncommon. We herein report a 60-year-old man with bilateral refractory pneumothorax with severe COVID-19. In patients with poor general health and who are difficult to undergo surgery for pneumothorax post-COVID-19, internal treatments such as chest drainage, bronchial occlusion, and pleurodesis are essential to relieving refractory pneumothorax...
December 2022: Clinical Case Reports
https://read.qxmd.com/read/36530129/early-pleurodesis-for-postoperative-air-leak-with-autologous-blood-and-50-glucose-solution
#11
JOURNAL ARTICLE
Jeong In Hong, Jun Hee Lee, Hyun Koo Kim
BACKGROUND: Postoperative air leaks after pulmonary resection prolong the duration of chest drainage and the length of hospital stay. One of the many treatment options is bedside pleurodesis using various agents. This study evaluated the feasibility of an early intervention to stop postoperative air leaks with either autologous blood or a 50% glucose solution. METHODS: We retrospectively reviewed 323 patients who underwent bedside pleurodesis between January 2017 and March 2022...
December 19, 2022: Journal of chest surgery
https://read.qxmd.com/read/35812575/the-use-of-autologous-blood-patch-in-ullrich-muscular-dystrophy-and-recurrent-pneumothorax
#12
Aledie Navas Nazario, Felicia I Cooper, Fabiola Weber-Guzman, Richard S Finkel
We present the case of a 19-year-old female with Ullrich congenital muscular dystrophy (UCMD1, a collagen VI defect) who developed a right-sided pneumothorax after choking on a piece of meat. She received two chest tubes (pigtails) that resolved the pneumothorax. She was discharged in stable condition, and a chest radiograph two weeks later showed total resolution of the pneumothorax. Two months after this episode, the patient presented with another small, right-sided pneumothorax that shortly progressed to extension throughout the right side of the chest...
June 2022: Curēus
https://read.qxmd.com/read/35698824/comparison-of-efficacy-of-autologous-blood-patch-pleurodesis-versus-doxycycline-pleurodesis-in-the-management-of-persistent-air-leak-in-patients-with-secondary-spontaneous-pneumothorax-a-randomized-control-trial
#13
JOURNAL ARTICLE
Vijayarangam Narenchandra, Govindaraj Vishnukanth, Dharm Prakash Dwivedi, Munuswamy Hemachandren, Subathra Adithian, Saka Vinod Kumar, Manju Rajangam, Madhusmita Mohanty Mohapatra, Pratap Upadhya
Secondary spontaneous pneumothorax (SSP) patients sometimes have a persistent air leak (PAL) that leads to increased morbidity and increased hospital stay. Further, these patients also need pleurodesis to prevent a recurrence. Autologous blood patch pleurodesis (ABPP) has been successfully tried in post lobectomy air leak cases. However, its utility in SSP patients with PAL has not been widely established. In this context, we performed a non-blinded randomized control study to compare the efficacy of ABPP vs doxycycline pleurodesis in the closure of air leak in SSP patients...
June 10, 2022: Monaldi Archives for Chest Disease
https://read.qxmd.com/read/34903699/autologous-blood-patch-pleurodesis-for-the-management-of-a-persistent-air-leak-after-secondary-spontaneous-pneumothorax
#14
Jane A Shaw, Elisma Wilken, Brian W Allwood, Elvis M Irusen, Coenraad F N Koegelenberg
Patients with secondary spontaneous pneumothorax (SSP) complicated by persistent air leak (PAL) and who are poor surgical candidates have limited treatment options. This case series explored autologous blood patch pleurodesis as a possible cost-effective management option. A total of 46 episodes of SSP with PAL were included. The procedure was successful in 33 (71.7%). Of these, 17 (51.5%) resolved within 1 day. The mean duration of intercostal drainage prior to the blood patch was 22 days in the successful group...
2022: Respiration; International Review of Thoracic Diseases
https://read.qxmd.com/read/34876546/-prolonged-air-leaks-after-right-upper-lobectomy-successfully-treated-with-administration-of-blood-coagulation-factor-report-of-a-case
#15
JOURNAL ARTICLE
Toshihiro Ikeda, Masashi Kobayashi, Shusuke Fujimoto, Taisei Aono, Norihito Okumura
A 80-year-old man who underwent right S1 segmentectomy three years ago was pointed out a mass shadow in the right upper lobe by chest computed tomography( CT). Because the mass was suspected of 2nd lung cancer, right upper lobectomy was performed. Air leakage from the chest tube appeared the day after the operation did not improve with the autologous blood patch pleurodesis. Since neither surgery nor invasive pleurodesis was thought to be possible because of the risk of acute respiratory failure due to the severe pulmonary emphysema, the administration of factor was challenged based on the result of its reduced activity...
December 2021: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://read.qxmd.com/read/34597390/refractory-pneumothorax-secondary-to-covid-19-treated-by-autologous-blood-patch-pleurodesis
#16
JOURNAL ARTICLE
Y Mitsuyama, S Tanaka, A Ike, J Tanaka, S Fujimi
No abstract text is available yet for this article.
January 5, 2022: QJM: Monthly Journal of the Association of Physicians
https://read.qxmd.com/read/34527361/persistent-air-leak-management-in-critically-ill-patients
#17
REVIEW
Jonathan S Kurman
Persistent air leak (PAL) is a challenging clinical entity, particularly in the setting of critical illness. It is a significant cause of morbidity, health care expenditure, and resource utilization. Data on its prevalence in the critically ill patient population are limited. Unique patient factors often necessitate an individualized approach. Guidelines on this subject are antiquated and do not specially address patients on mechanical ventilation. Critically ill patients may not be able to tolerate surgical intervention...
August 2021: Journal of Thoracic Disease
https://read.qxmd.com/read/34477307/autologous-blood-pleurodesis-for-the-treatment-of-postoperative-air-leaks-a-systematic-review-and-meta-analysis
#18
REVIEW
Ioannis Karampinis, Christian Galata, Alireza Arani, Maurizio Grilli, Svetlana Hetjens, Michael Shackcloth, Silviu Buderi, Davor Stamenovic, Eric D Roessner
BACKGROUND: Postoperative air leaks are a common complication after lung surgery. They are associated with prolonged hospital stay, increased postoperative pain and treatment costs. The treatment of prolonged air leaks remains controversial. Several treatments have been proposed including different types of sealants, chemical pleurodesis, or early surgical intervention. The aim of this review was to analyze the impact of autologous blood pleurodesis in a systematic way. METHODS: A systematic review of the literature was conducted until July 2020...
September 3, 2021: Thoracic Cancer
https://read.qxmd.com/read/34375648/autologous-blood-patch-pleurodesis-a-large-retrospective-multicenter-cohort-study
#19
MULTICENTER STUDY
Alessio Campisi, Andrea Dell'Amore, Piotr Gabryel, Angelo Paolo Ciarrocchi, Magdalena Sielewicz, Yonghui Zhang, Zhitao Gu, Eleonora Faccioli, Franco Stella, Federico Rea, Wentao Fang, Cezary Piwkowski
BACKGROUND: Prolonged air leaks (PAL) complicate 10% to 15% of lung resections, delaying chest tube removal and prolonging length of hospital stay. No consensus exists for managing this common complication, despite favorable results for autologous blood patch pleurodesis (ABPP) in the literature. The aim of this study was to evaluate the effectiveness and safety of ABPP. METHODS: We retrospectively reviewed medical records of 510 patients with PAL after lobectomy in four centers between January 2010 and December 2019...
July 2022: Annals of Thoracic Surgery
https://read.qxmd.com/read/34307086/autologous-blood-patch-pleurodesis-treatment-for-persistent-pneumothorax-a-case-series-of-five-dogs-2016-2020
#20
Marie-Laure Théron, Tomas Lahuerta-Smith, Sébastien Sarrau, Bruno Ben-Moura, Antoine Hidalgo
Background: Autologous blood patch pleurodesis (ABP) has been described as a treatment for persistent pneumothorax in the dogs and among humans. Although the treatment of persistent or recurring spontaneous pneumothorax is classically surgical, it cannot always be performed due to medical or financial constraints. This case series describes the clinical course, etiology, and outcome of five dogs with persistent pneumothorax treated with ABP. Case Description: Five client-owned dogs with persistent pneumothorax are presented...
April 2021: Open Veterinary Journal
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