Open AccessIntractable pneumothorax managed by talc pleurodesis and bronchial occlusion with spigots
Author(s) -
Ishida Atsuko,
Kida Hirotaka,
Muraoka Hiromi,
Nishine Hiroki,
Mineshita Masamichi,
Miyazawa Teruomi
Publication year - 2015
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.88
Subject(s) - medicine , pleurodesis , pneumothorax , surgery , occlusion , talc , chest tube , complication , radiology , anesthesia , materials science , composite material
Three cases of inoperable secondary spontaneous pneumothorax were diagnosed in patients with chronic obstructive pulmonary disease. Two cases initially underwent bronchial occlusion with endobronchial W atanabe spigot ( EWS ), while one underwent talc poudrage with pleuroscopy. As air leaks were not stopped completely in all cases with the initial procedures, we performed additional interventional treatments: pleuroscopic talc poudrage in cases when bronchial occlusion was performed first; and bronchial occlusion with EWS for a case that initially underwent talc pleurodesis. The air leaks ceased in all cases without complication. We successfully removed chest tubes 2–10 days after secondary procedure, which was 10–23 days after the first procedure. The combination of talc pleurodesis and bronchial occlusion with EWS , when a single, initial interventional treatment fails, can be considered in cases of intractable, inoperable secondary pneumothorax.