+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Talc pleurodesis for secondary pneumothorax in elderly patients with persistent air leak



Talc pleurodesis for secondary pneumothorax in elderly patients with persistent air leak



Journal of Thoracic Disease 11(1): 171-176



We herein report the usefulness of two types of talc pleurodesis for secondary pneumothorax of elderly patients with persistent air leak who have severe pulmonary emphysema. We assessed 17 elderly patients with persistent air leak who received talc pleurodesis for secondary pneumothorax from April 2013 to March 2017. Thoracoscopic talc poudrage (TTP) (n=11) was performed in patients whose general condition was thought to sufficiently stable to tolerate for general anesthesia. Talc slurry pleurodesis (TSP) (n=6) via a chest tube was performed in patients whose general condition was thought to be insufficiently stable to tolerate general anesthesia. The median drainage period after pleurodesis was 6 days in patients who received TTP and 12 days in patients who received TSP. Complications associated with talc pleurodesis included atrial fibrillation (n=1) in the thoracoscopic poudrage group, while the slurry pleurodesis group showed chest pain (n=2), asthmatic attack (n=1), and pneumonia (n=1). All patients who received thoracoscopic poudrage were able to leave the hospital after removal of the chest tube. Five of the six patients who received slurry pleurodesis were able to leave the hospital, but one of them died of acute exacerbation of interstitial pneumonia (IP) on the 45th day after pleurodesis. The success rate was 94% (16/17). There were no cases of recurrence during the observation period. TTP was deemed likely to be safe and effective for patients able to tolerate general anesthesia. In patients with IP, especially those treated with steroids, the indication of talc pleurodesis should be cautiously considered.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066582618

Download citation: RISBibTeXText

PMID: 30863586

DOI: 10.21037/jtd.2018.12.85


Related references

Is video-assisted thoracoscopic surgery talc pleurodesis superior to talc pleurodesis via tube thoracostomy in patients with secondary spontaneous pneumothorax?. Interactive Cardiovascular and Thoracic Surgery 23(3): 459-461, 2017

Autologous blood-patch pleurodesis for secondary spontaneous pneumothorax with persistent air leak. Respiratory Medicine 93(6): 432-434, 1999

Minocycline and talc slurry pleurodesis for patients with secondary spontaneous pneumothorax. International Journal of Tuberculosis and Lung Disease 14(10): 1342-1346, 2011

Autologous blood pleurodesis for treatment of spontaneous pneumothorax and persistent air leak in pediatric patients. Cirugia Pediatrica 29(1): 4-7, 2018

A different application method of talc pleurodesis for the treatment of persistent air leak. Anz Journal of Surgery 76(8): 754-756, 2006

Talc pleurodesis in secondary pneumothorax with long-standing airleak. European Respiratory Journal Supplement 10(25): 327S, Sept, 1997

Autologous blood patch pleurodesis in spontaneous pneumothorax with persistent air leak. Scandinavian Cardiovascular Journal 32(2): 75-78, 1998

Spontaneous pneumothorax after traumatic pneumonectomy: a role for talc pleurodesis in secondary prevention?. Annals of Thoracic Surgery 92(1): E7-E9, 2011

Autologous blood pleurodesis for treatment of prolonged air leak in secondary spontaneous pneumothorax. Indian Journal of Thoracic and Cardiovascular Surgery 25(4): 188-191, 2009

Spontaneous pneumothorax: comparison of simple drainage, talc pleurodesis, and tetracycline pleurodesis. Thorax 44(8): 627-630, 1989

Spontaneous pneumothorax treated randomly with simple drainage talc pleurodesis or tetracycline pleurodesis. European Respiratory Journal 1(SUPPL 2): 292S, 1988

Is talc pleurodesis safe for young patients following primary spontaneous pneumothorax?. Interactive Cardiovascular and Thoracic Surgery 6(1): 117-120, 2007

Malignant pleural effusion and talc pleurodesis. Experimental model regarding early kinetics of talc particle dissemination in the chest after experimental talc pleurodesis. Journal of B.U.On. 14(3): 419-423, 2010

Postsurgical pleurodesis with autologous blood in patients with persistent air leak. Annals of Thoracic Surgery 70(1): 270-272, 2000

Chemical pleurodesis assessment in compromised patients with a persistent air leak. Revista Clinica Espanola 190(6): 334, 1992