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Tunneled Pleural Catheters: An Effective Nonsurgical Alternative for Nonexpandable Lung in Chronic Pleural Infection.
J Bronchology Interv Pulmonol
January 2025
Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School.
Background: Open window thoracostomy (OTW) is the standard of care for debilitated patients with chronic pleural infection and nonexpandable lungs (NEL) who are not candidates for major surgical intervention. Tunneled pleural catheters (TPC) offer tremendous treatment potential in this setting based on their efficacy in malignant pleural effusion and NEL. We aim to assess the efficacy, safety, and health care utilization of TPC in this setting.
View Article and Find Full Text PDFLateral costal artery as a culprit for the steal phenomenon after coronary artery bypass grafting: a case report and review of the literature.
J Cardiothorac Surg
January 2025
Department of Heart Surgery, East Slovak Institute for Cardiovascular Diseases, Ondavská 8, Košice, 040 12, Slovakia.
Background: The left internal thoracic artery (LITA) has been widely accepted as the standard for revascularizing the left anterior descending artery during coronary artery bypass grafting (CABG) surgery. However, in 10-20% of cases, the LITA may lead to unsecured side branches to the chest wall, particularly the lateral costal artery (LCA), potentially resulting in postoperative chest angina.
Case Presentation: We report the case of a 58-year-old patient who experienced persistent angina eight months after having undergone coronary artery bypass grafting (CABG) due to the steal phenomenon caused by a thick lateral costal artery (LCA).
Efficacy of povidone-iodine as an effective pleurodesing agent: an experience from a teaching hospital.
Monaldi Arch Chest Dis
December 2024
Department of Pulmonology, Shaikh Zayed Hospital, Federal Postgraduate Medical Institute, Lahore.
The management of persistent malignant pleural effusion (MPE) or uremic pleural effusions requires the removal of pleural fluid and the prevention of recurrence through pleurodesis. Pleurodesis involves injecting a sclerosing agent into the pleura to encourage adhesion between the two layers, ultimately obliterating the pleural space. Povidone-iodine is a potential pleurodesing agent.
View Article and Find Full Text PDFExploring the efficacy and advancements of medical pleurodesis: a comprehensive review of current research.
Breathe (Sheff)
June 2024
Department of Pulmonology, S. Maria della Misericordia University Hospital, Udine, Italy.
This narrative review aims to provide an overview of medical pleurodesis techniques, and their indications and potential adverse effects. Pleurodesis is a procedure performed with the aim of obliterating the pleural space. It has indications in the management of both malignant and benign pleural effusions and pneumothorax.
View Article and Find Full Text PDFAre there features that can predict the unresectability of pleural mesothelioma?
Eur Radiol
August 2024
Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Article Synopsis
- - The study investigates discrepancies between clinical and pathological staging of pleural mesothelioma (PM) to identify features predicting whether the disease is resectable or not.
- - Researchers assessed 22 radiologic features using CT and PET/CT scans of 133 patients, classifying them as either resectable (52%) or unresectable (48%) based on several predictive indicators.
- - Key findings indicated that factors like pleural thickness and lung invasion significantly correlated with unresectability, with strong diagnostic models developed, particularly one that integrated maximum pleural thickness and mediastinal infiltration (AUC = 0.876).
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