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Clinical Efficacy of 7-French Catheter for Initial Treatment of Primary Spontaneous Pneumothorax  

Ryu Kyoung-Min (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital)
Jung Eui-Seok (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital)
Cho Suk-Ki (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital)
Sung Sook-Whan (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine)
Jheon Sang-Hoon (Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Department of Thoracic and Cardiovascular Surgery, Seoul National University College of Medicine)
Publication Information
Journal of Chest Surgery / v.39, no.5, 2006 , pp. 394-398 More about this Journal
Abstract
Background: Goal of the initial treatment of primary spontaneous pneumothorax is re-expansion of the lung by evacuation of air from pleural space. Authors thought small caliber catheter could reach to this goal instead of conventional large bore chest tube. This retrospective study was undertaken to assess the effectiveness of 7-French (Fr) catheter for the initial treatment of primary spontaneous pneumothorax. Material and Method: Between May 2003 and April 2005, 111 patients with primary spontaneous pneumothorax were managed with tube drainage; 7 Fr catheter for 86 patients and 24-French chest tube for 25 patients. We analyzed catheter indwelling time, use of analgesics, re-expansion of the lung, and catheter related problems by medical records. Result: Mean catheter indwelling time was $2.4{\pm}1.1$ days in 7 Fr group and $2.3{\pm}1.3$ days in chest tube group (p>0.05). All patients with 24 Fr catheter needed analgesics injection but never in 7Fr group. Complete re-expansion of the lung based on plane chest radiograph was obtained in 77% of 7 Fr group. The problem related with 7 Fr catheter was kinking, which showed in 5.6%. Conclusion: Application of the 7 Fr catheter for initial management of primary spontaneous pneumothorax was as effective as 24 Fr catheter.
Keywords
Pneumothorax; Catheter;
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1 Conces DJ Jr, Tarver RD, Gray WC, Pearcy EA. Treatment of pneumothoraces utilizing small caliber chest tubes. Chest 1988;94:55-7   DOI   ScienceOn
2 Robert JS. Efficacy and complications of percutaneous pigtail catheters for thoracostomy in pediatric patients. Chest 1998;114:1116-21   DOI   ScienceOn
3 Light RW. Management of spontaneous pneumothorax. Am Rev Respir Dis 1993;148:245-8   DOI   ScienceOn
4 Minami H, Saka H, Senda K, et al. Small caliber catheter drainage for spontaneous pneumothorax. Am J Med Sci 1992;304:345-7   DOI   ScienceOn
5 Liu CM. Pigtail tube drainage in the treatment of spontaneous pneumothorax. Am J Emerg Med 2003;21:241-4   DOI   ScienceOn
6 Crouch JD, Keagy BA, Delany DJ, et al. Pigtail catheter drainage in the thoracic surgery. Am Rev Respir Des 1987; 136:174-5   DOI   ScienceOn
7 Shin JW, Lee BH, An CH, et al. The long-term follow up study of therapeutic effects of 8 french catheter for spontaenous pneumothorax. Tuberculosis and Respiratory Diseases 1997;44:1094-104   DOI
8 Scott K, Miler S, Sahn A. Chest tubes, indications technique, management and complications. Chest 1987;91:258-64   DOI   ScienceOn
9 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: 531-5   DOI
10 Jheon SH, Lee EB, Cho JY, et al. Critical pathway for management of primary spontaneous pneumothorax. Korean Thorac Cardiovasc Surg 2002;35:43-7
11 Park SH, Shin YC, Chee HK, Kim EJ, Kim KI, Park JU. Efficacy of 12 Fr. Closed Thoracostomy drainage in management of primary spontaneous pneumothorax. Korean J Thorac Cardiovasc Surg 2004;37:983-6