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: 892
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
- Matteo Gelardi, Mario Notargiacomo, Eleonora Maria Consiglia Trecca, Michele Cassano, Giorgio Ciprandi, COVID-19: the difference between the nose and the lung , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Arturo Cesaro, Carmine Riccio, Paolo Calabrò, Lipid-lowering therapy in high cardiovascular risk patients during COVID-19 pandemic: keep focused on the target , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Carmine Guarino, Cristiano Cesaro, Giuseppe La Cerra, Raffaella Lucci, Flavio Cesaro, Enzo Zamparelli, Gianfranco Gaglione, Agostina Pontarelli, Annunziata De Rosa, Roberto Parrella, Endobronchial hamartoma in a young COVID-19 symptomatic woman. Radical endoscopic treatment with a disposable bronchoscope. Case Report , Monaldi Archives for Chest Disease: Vol. 92 No. 3 (2022)
- Alfonso Sforza, Mario Guarino, Claudia Sara Cimmino, Arturo Izzo, Giovanna Cristiano, Costantino Mancusi, Gerolamo Sibilio, Maria Viviana Carlino, Continuous positive airway pressure therapy in the management of hypercapnic cardiogenic pulmonary edema , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
- Veronica Rossi, Martina Santambrogio, Cesare Del Monaco, Mariangela Retucci, Serena Tammaro, Clara Ceruti, Laura Saderi, Stefano Aliberti, Emilia Privitera, Giacomo Grasselli, Giovanni Sotgiu, Francesco Blasi, Safety and feasibility of physiotherapy in ICU-admitted severe COVID-19 patients: an observational study , Monaldi Archives for Chest Disease: Vol. 92 No. 4 (2022)
- Josuel Ora, Angelo Coppola, Andrea Perduno, Gian Marco Manzetti, Ermanno Puxeddu, Paola Rogliani, Acute effect of oxygen therapy on exercise tolerance and dyspnea perception in ILD patients , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Federico Raimondi, Caterina Conti, Luca Novelli, Francesco Tarantini, Giuseppe Ciaravino, Piermario Scuri, Aurelia Grosu, Daniela Chinaglia, Lorenzo S.C. Grazioli, Andrea Gianatti, Ferdinando L. Lorini, Michele Senni, Fabiano Di Marco, A 57-year-old man with rapidly progressive pulmonary hypertension , Monaldi Archives for Chest Disease: Vol. 92 No. 1 (2022)
- Vidushi Rathi, Pranav Ish, Comments on “Clinical, radiological and histopathological profile of patients with endobronchial lesions on fibreoptic bronchoscopy” by Sarma et al. , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- Domenico Galzerano, Seemi Saba , Abdullah Al Sergani, Olga Vriz, Khalil Alghalayini, Khushnooda Ramzan, Isra Elmahi, Antonio Cittadini, Giovanni Di Salvo, Valeria Pergola, Features and behavior of valvular abnormalities in adolescent and adult patients in mucopolysaccharidosis: an echocardiographic study , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
- Carmine Guarino, Ilaria Pedicelli, Francesco Perna, Valentina Di Spirito, Giuseppe Fiorentino, Fabio Procaccini, Gaetano Rea, E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists , Monaldi Archives for Chest Disease: Vol. 92 No. 3 (2022)
<< < 66 67 68 69 70 71 72 73 74 75 > >>
You may also start an advanced similarity search for this article.
