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Case Reports
. 2022 Aug 13:2022:2541285.
doi: 10.1155/2022/2541285. eCollection 2022.

Noninvasive Management of Fractured Indwelling Tunneled Pleural Catheter Valve

Azib Shahid  1 , Harpreet Singh  2 , Toni-Denise Espina  2 , Mohammad Abdalla  2 , Uzair Ghori  2 , Bryan S Benn  2
Affiliations
Case Reports

Noninvasive Management of Fractured Indwelling Tunneled Pleural Catheter Valve

Azib Shahid et al. Case Rep Pulmonol. .

Abstract

Tunneled indwelling pleural catheters (IPCs) are frequently used to palliate symptomatic dyspnea due to recurrent pleural effusions. The drainage valve of IPCs is an important component of the catheter as fracture of the valve leads to malfunctioning of the IPCs. Replacement of the catheter includes risks such as pain, infection, pneumothorax, and procedure cost. We report two cases of malfunctioning tunneled IPC drainage valves repaired by our noninvasive method and discuss the need for a repair kit and a standardized approach to this repair in case of nonavailability of repair kits.

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Conflict of interest statement

The authors report no conflicts of interest.

Figures

Figure 1
Figure 1
Longitudinal incision made on the distal end of the new indwelling pleural catheter tip to free the drainage valve.
Figure 2
Figure 2
Cyanoacrylate tissue adhesive applied to the tapering end of the new drainage valve and inserted into the old catheter.
Figure 3
Figure 3
New indwelling pleural catheter drainage valve tightened at the end of the old indwelling pleural catheter with a zip tie.
See this image and copyright information in PMC

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