Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Dec;44(6):418-22.
doi: 10.5090/kjtcs.2011.44.6.418. Epub 2011 Dec 7.

Comparative study for the efficacy of small bore catheter in the patients with iatrogenic pneumothorax

Affiliations

Comparative study for the efficacy of small bore catheter in the patients with iatrogenic pneumothorax

Tae Ook Noh et al. Korean J Thorac Cardiovasc Surg. 2011 Dec.

Abstract

Background: It has recently become most general to use the small bore catheter to perform closed thoracostomy in treating iatrogenic pneumothorax. This study was performed for analysis of the efficacy of treatment methods by using small bore catheter such as 7 F (French) central venous catheter, 10 F trocar catheter, 12 F pigtail catheter and for analysis of the appropriateness of each procedure.

Materials and methods: From March 2007 to February 2010, Retrospective review of 105 patients with iatrogenic pneumothorax, who underwent closed thoracostomy by using small bore catheter, was performed. We analyzed the total success rate for all procedures as well as the individual success rate for each procedure, and analyzed the cause of failure, additional treatment method for failure, influential factors of treatment outcome, and complications.

Results: The most common causes of iatrogenic pneumothorax were presented as percutaneous needle aspiration(PCNA) in 48 cases (45.7%), and central venous catheterization in 26 cases (24.8%). The mean interval to thoracostomy after the procedure was measured as 5.2 hours (1~34 hours). Total success rate of thoracostomy was 78.1%. The success rate was not significantly difference by tube type, with 7 F central venous catheter as 80%, 10 F trocar catheter as 81.6%, and 12 F pigtail catheter as 71%. Twenty one out of 23 patients that had failed with small bore catheter treatment added large bore conventional thoracostomy, and another 2 patients received surgery. The causes for treatment failure were presented as continuous air leakage in 12 cases (52.2%) and tube malfunction in 7 cases (30%). The causes for failure did not present significant differences by tube type. Statistically significant factors affecting treatment performance were not discovered.

Conclusion: Closed thoracostomy with small bore catheter proved to be effective for iatrogenic pneumothorax. The success rate was not difference for each type. However, it is important to select the appropriate catheter by considering the patient status, pneumothorax aspect, and medical personnel in the cardiothoracic surgery department of the relevant hospital.

Keywords: Catheter, indwelling; Iatrogenic disease; Pneumothorax; Thoracostomy.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Flow chart represent the treatment outcomes in 105 episode of iatrogenic pneumothorax.

References

    1. Khan MF, Straub R, Moghaddam SR, et al. Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy. Eur Radiol. 2008;18:1356–1363. - PubMed
    1. Henry M, Arnold T, Harvey J Pleural Diseases Group; Standards of Care Committee; British Thoracic Society. BTS guidelines for the management of spontaneous pneumothorax. Thorax. 2003;58(Suppl 2):ii39–ii52. - PMC - PubMed
    1. Sargent EN, Turner AF. Emergency treatment of pneumothorax. A simple catheter technique for use in the radiology department. Am J Roentgenol Radium Ther Nucl Med. 1970;109:531–535. - PubMed
    1. Lin YC, Tu CY, Liang SJ, et al. Pigtail catheter for the management of pneumothorax in mechanically ventilated patients. Am J Emerg Med. 2010;28:466–471. - PubMed
    1. Cho S, Lee EB. Management of primary and secondary pneumothorax using a small-bore thoracic catheter. Interact Cardiovasc Thorac Surg. 2010;11:146–149. - PubMed

LinkOut - more resources