Use of tunneled pleural catheters in chronic empyema: Two case reports and brief review of the literature.

Respir Med Case Rep

Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, University of California San Francisco, 513 Parnassus Ave, Box 0111, San Francisco, CA, 94143, USA.

Published: October 2022

The incidence of empyema is increasing worldwide, which, coupled with the aging global population, makes the non-surgical management of pleural space infections increasingly important. Despite this, there remains no consensus for management of chronic empyema in those patients who are not surgical candidates and do not get adequate source control with chest tube and intra-pleural lytic therapy, particularly for patients with non-expandable lungs. We reviewed the literature regarding non-surgical management of chronic empyema and present two cases that support the use of pleuroscopy in conjunction with tunneled pleural catheters for management of chronic empyema in non-surgical candidates.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9563632PMC
http://dx.doi.org/10.1016/j.rmcr.2022.101754DOI Listing

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