https://doi.org/10.4081/monaldi.2024.2994
Thoracoscopic blood patch instillation for persistent air leak in pneumothorax: a case series and systematic review
Submitted: March 17, 2024
Accepted: March 22, 2024
Published: April 5, 2024
Accepted: March 22, 2024
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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
Persistent air leaks in patients with pneumothorax can lead to significant morbidity. If a patient with persistent air leak is medically unfit for thoracic surgery, medical pleurodesis via chest tube or thoracoscopy is either an option. Thoracoscopy offers the advantage of visualizing the site of the air leak and enabling direct instillation of the pleurodesis agent or glue at that location. Autologous blood patch instillation via chest tube has been reported to be a cheap and very effective technique for the management of persistent air leaks. However, thoracoscopic blood patch instillation has not been reported in the literature. We report two cases of secondary spontaneous pneumothorax in which patients had persistent air leaks for more than seven days and were subjected to thoracoscopy to locate the site of the leak. In the same sitting, 50 mL of autologous blood patch was instilled directly at the leak site. Post-procedure, the air leak subsided in both patients, and the chest tube was removed with complete lung expansion. We also conducted a systematic review of the use of medical thoracoscopic interventions for treating persistent air leaks.
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How to Cite
Kedia, Yash, Manu Madan, Rajnish Kaushik, Rohit Kumar, AJ Mahendran, Pranav Ish, Neeraj Gupta, Tanmaya Talukdar, and Nitesh Gupta. 2024. “Thoracoscopic Blood Patch Instillation for Persistent Air Leak in Pneumothorax: A Case Series and Systematic Review”. Monaldi Archives for Chest Disease, April. https://doi.org/10.4081/monaldi.2024.2994.
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