Abstract | OBJECTIVE:
Pleurodesis using chemical agents has been applied to high-risk patients with pneumothorax. This treatment, however, is sometimes unsuccessful in patients with intractable pneumothorax. We have developed intrapleural administration of diluted fibrin glue as an effective treatment for such patients. METHODS: RESULTS: The air leaks were stopped by administration of the glue in all except 2 patients. During the follow-up period, a recurrence rate of 10.5% was observed. These recurrent pneumothoraces were successfully treated using the same procedure with no further recurrence. Pyrexia (12.3%) and chest discomfort (8.8%) were observed as side effects, and there was no occurrence of severe chest pain or thoracic empyema. CONCLUSIONS: These results suggested that intrapleural administration of a large amount of diluted fibrin glue was an effective treatment for intractable pneumothoraces in high-risk patients.
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Authors | Takahiro Kinoshita, Shinichiro Miyoshi, Takaomi Suzuma, Teruhisa Sakurai, Katsumi Enomoto, Tatsuya Yoshimasu, Shinzi Maebeya, Masanobu Juri, Yoshitaka Okamura |
Journal | The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi
(Jpn J Thorac Cardiovasc Surg)
Vol. 51
Issue 2
Pg. 41-7
(Feb 2003)
ISSN: 1344-4964 [Print] Japan |
PMID | 12692930
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Aged
- Aged, 80 and over
- Female
- Fibrin Tissue Adhesive
(administration & dosage)
- Humans
- Male
- Middle Aged
- Pleural Cavity
- Pleurodesis
(methods)
- Pneumothorax
(therapy)
- Recurrence
- Treatment Outcome
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