Chest Tube Drainage Under Radiological Guidance for Pleural Effusion and Pneumothorax in a Tertiary Care University Teaching Hospital: Review of 51 Cases

Author:

Cantin Luce1,Chartrand-Lefebvre Carl1,Lepanto Luigi1,Gianfelice David1,Rabbat Antoine2,Aubin Benoît1,Perreault Pierre1,Déry Renée1,Lafortune Michel1

Affiliation:

1. Radiology Department, University of Montreal Medical Center, Hôpital Saint-Luc, Montreal, Quebec, Canada

2. Surgery Department, University of Montreal Medical Center, Hôpital Saint-Luc, Montreal, Quebec, Canada

Abstract

BACKGROUND: Chest tube drainage under radiological guidance has been used with increasing frequency as a treatment option for pleural effusions and pneumothoraxes.OBJECTIVE: To evaluate the safety and usefulness of pleural drainage under radiological guidance for pleural effusion and pneumothorax in a tertiary care university teaching hospital.METHODS: A retrospective study of cases of chest tube placement under radiological guidance over a 12-month period in a university hospital.RESULTS: Fifty-one percutaneous pigtail catheter drainage cases were reviewed (30 patients). Forty-six (90%) chest tubes were inserted as a first-line treatment. The overall success rate of radiological drainage was 88%. Specific success rates were 92%, 85% and 91% for loculated pleural effusion, pneumothorax and empyema, respectively. The complications were few and minor.CONCLUSIONS: Pigtail catheter insertion under radiological guidance is a useful procedure for the treatment of sterile pleural effusion, empyema and pneumothorax. This technique can be used as a first-line procedure in the majority of cases.

Publisher

Hindawi Limited

Subject

Pulmonary and Respiratory Medicine

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1. Ultrasound-Guided Pleural Investigations;Clinics in Chest Medicine;2021-12

2. Two-Year Experience of 14 French Pigtail Catheters Placed by Procedure-Focused Hospitalists;Journal of Hospital Medicine;2020-03-18

3. Does pigtail catheters relieve pneumothorax?;Medicine;2018-11

4. Small-Bore Drains and Indwelling Catheters;Principles and Practice of Interventional Pulmonology;2012-11-07

5. Interventional radiology of pleural diseases;Respirology;2011-03-30

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