https://doi.org/10.4081/monaldi.2022.2400
Intracavitary fibrinolysis directly under vision during medical thoracoscopy: a case report
Submitted: August 8, 2022
Accepted: October 12, 2022
Published: November 2, 2022
Accepted: October 12, 2022
Abstract Views: 891
PDF: 175
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Medical thoracoscopy is a minimally invasive single-port endoscopic technique that allows for direct visualization of the pleural surface as well as diagnostic and therapeutic procedures. When fibrous adhesions are extensive, its utility is limited. In patients with malignant pleural effusion and loculated effusion, fibrinolytics have been used through chest drainage to break down septations to relieve breathlessness and to improve pleurodesis success We described the use of intrapleural fibrinolytics during a medical thoracoscopy to break the septations and perform pleural biopsies in a patient with multiloculated pleural effusion. To the best of our knowledge, no studies on this subject have been published in the literature, only case reports. We believe that direct instillation of fibrinolytics during medical thoracoscopy is safe and has the potential to increase both the therapeutic and diagnostic capacity of medical thoracoscopy and fibrinolysis.
Murthy V, Bessich JL. Medical thoracoscopy and its evolving role in the diagnosis and treatment of pleural disease. J Thorac Dis 2017;9:S1011-21.
DOI: https://doi.org/10.21037/jtd.2017.06.37
Rahman NM, Ali NJ, Brown G, et al. Local anaesthetic thoracoscopy: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010;65:ii54-60.
DOI: https://doi.org/10.1136/thx.2010.137018
Khemasuwan D, Sorensen J, Griffin DC. Predictive variables for failure in administration of intrapleural tissue plasminogen activator/deoxyribonuclease in patients with complicated parapneumonic effusions/empyema. Chest 2018;154:550-6.
DOI: https://doi.org/10.1016/j.chest.2018.01.037
Banka R, Terrington D, Mishra EK. Management of septated malignant pleural effusions. Curr Pulmonol Rep 2018;7:1-5.
DOI: https://doi.org/10.1007/s13665-018-0194-3
Thomas R, Piccolo F, Miller D, MacEachern PR, et al. Intrapleural fibrinolysis for the treatment of indwelling pleural catheter-related symptomatic loculations: A multicenter observational study. Chest 2015;148:746-51.
DOI: https://doi.org/10.1378/chest.14-2401
Terashita S, Kawachi H, Horikawa S, et al. Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of malignant pleural mesothelioma with severe multiloculated pleural effusions. J Bronchology Interv Pulmonol 2019;26:e26-7.
DOI: https://doi.org/10.1097/LBR.0000000000000576
Terashita S, Kawachi H, Tajiri T, et al. Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy. Respirol Case Rep 2019;8:e00498.
DOI: https://doi.org/10.1002/rcr2.498
How to Cite
Stirpe, Emanuele, Floriana Bardaro, and Johanna Köhl. 2022. “Intracavitary Fibrinolysis Directly under Vision During Medical Thoracoscopy: A Case Report”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2400.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Elio Gorga, Marta Scodro, Francesca Valentini, Renzo D'Ortona, Mariachiara Arisi, Edoardo Sciatti, Ivano Bonadei, Valentina Regazzoni, Enrico Vizzardi, Marco Metra, Piergiacomo Calzavara Pinton, Echocardiographic evaluation of diastolic dysfunction in young and healthy patients with psoriasis: A case-control study , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Vishal Chopra, Hardik Jain, Akhil D. Goel, Siddharth Chopra, Ashrafjit S. Chahal, Neha Garg, Vidhu Mittal, Correlation of aspergillus skin hypersensitivity with the duration and severity of asthma , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Amanda R. Jimenez, Arielle Shaeffer Weiss, Anthony C. Campagna, Use of pulmonary function test demographic data to identify high-risk patients for lung cancer screening , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
- T. Kontakiotis, N. Manolakoglou, F. Zoglopitis, D. Iakovidis, L. Sacas, A. Papagiannis, A. Mandrali, D. Papakosta, P. Argyropoulou, D. Bouros, Epidemiologic trends in lung cancer over two decades in Northern Greece: an analysis of bronchoscopic data , Monaldi Archives for Chest Disease: Vol. 71 No. 4 (2009): Pulmonary series
- Cuneyt Tetikkurt, Nail Yılmaz, Seza Tetikkurt, Şule Gundogdu, Rian Disci, The value of exfoliative cell cytology in the diagnosis of exudative pleural effusions , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- S.M. Mirsaeidi, P. Tabarsi, A. Mardanloo, G. Ebrahimi, M. Amiri, P. Farnia, M. Sheikhleslami, V. Bakayev, F. Mohammadi, S.D. Mansouri, M.R. Masjedi, A.A. Velayati, Pulmonary Mycobacterium Simiae infection and HTLV1 infection: an incidental co-infection or a predisposing factor? , Monaldi Archives for Chest Disease: Vol. 65 No. 2 (2006): Pulmonary series
- Lucrezia Piccioli, Michele Arcopinto, Andrea Salzano, Roberta D'Assante, Alessandra Schiavo, Francesca M. Stagnaro, Anna Lombardi, Veronica Panicara, Pietro Valente, Giuseppe Vitale, Filippo M. Sarullo, Francesco Giallauria, Alberto M. Marra, The impairment of the Growth Hormone/Insulin-like growth factor 1 (IGF-1) axis in heart failure: A possible target for future therapy , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Abhijeet Singh, Rajendra Prasad, Rajiv Garg, Surya Kant, Giridhar B. Hosmane, Abhisek Dubey, Abhisek Agarwal, Ram Kishun Verma, A study to estimate prevalence and risk factors of Obstructive Sleep Apnoea Syndrome in a semi-urban Indian population , Monaldi Archives for Chest Disease: Vol. 87 No. 1 (2017)
- Sumita P. Agrawal, Pranav Ish, Akhil Dhanesh Goel, Nitesh Gupta, Shibdas Chakrabarti, Dipak Bhattacharya, Manas Kamal Sen, Jagdish Chander Suri, Diagnostic utility of endobronchial ultrasound features in differentiating malignant and benign lymph nodes , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
- P. Pirina, M. Budroni, S. Esposito, S. Ostera, M.F. Polo, L. Santoru, G. Madeddu, A.G. Fois, G.C. Ginesu, G. Padua, F. Tanda, F. Ginesu, Cytological and histological diagnosis of lung cancer in Sardinia and Italy in the 1990s , Monaldi Archives for Chest Disease: Vol. 67 No. 4 (2007): Pulmonary series
You may also start an advanced similarity search for this article.
