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Safety & efficacy of pig tail catheter for pneumothorax caused during pulmonary interventions
EP34216
Poster Title: Safety & efficacy of pig tail catheter for pneumothorax caused during pulmonary interventions
Submitted on 05 Nov 2020
Author(s): Navin Nagesh, Rahul S Chivate
Affiliations: Worcester Hospital
This poster was presented at BIR Annual Congress 2020
Poster Views: 47
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Poster Information
Abstract:
Incidence of pneumothorax is common during pulmonary interventions including cancer biopsy and ablative procedures. An iatrogenic pneumothorax can result in significant patient distress and procedure failure. Lung atelectasis can displace the target which further complicates the procedure. Pig tail catheters can be inserted to relieve the pneumothorax and salvage the procedure. We present our experiences including safety, efficacy and complication rates for the use of pigtail catheters to manage intra-procedural pneumothorax in a large tertiary referral centre.
Over two years 56 patients had pneumothorax post CT guided pulmonary interventions. Patient ages ranged between 22 – 77 years. 44 patients underwent pulmonary biopsies and 12 had thermal ablation therapy. Target regions included subcarinal node, paratracheal node and pleural nodes which resulted in this complication. 22 patients had non-resolving pneumothoraxes which were managed with insertion of 8Fr. 22cm pig tail catheter connected to an underwater seal. All patients tolerated the procedure well and no procedure failures occurred. Patients were discharged home the same day and closure trials were performed three days post procedure which only 2 patients required a further intercostal drainage.
This study has supported the use of pig tail catheters in the intra-procedural management of pneumothorax. There were no serious complications such as infection, bleeding or visceral damage. Patients were discharged the same day and successful closure trials were achieved in the vast majority of patients. We advocate the use of pigtail catheters in this population of patients as a safe and effective management of pneumothorax in the intra-procedural setting.





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