Large-bore Chest Tube Insertion: Seldinger Technique over Two Guidewires.
Interv Radiol (Higashimatsuyama)
; 9(2): 74-77, 2024 Jul 01.
Article
em En
| MEDLINE
| ID: mdl-39175649
ABSTRACT
Purpose:
Large-bore chest tube insertion is commonly performed using the trocar technique and blunt dissection; however, large-bore chest tube can cause severe visceral injury due to penetration, which is a life-threatening complication. Conversely, small-bore chest tubes can be safely inserted using the Seldinger technique; however, small-bore chest tubes are prone to blockage, especially in empyema cases. Therefore, this study aimed to demonstrate large-bore chest tube insertion using the Seldinger technique over two guidewires following image-guided puncture. Material andMethods:
We started performing large-bore chest tube insertion using the Seldinger technique over two guidewires following image-guided puncture in February 2022. Demographic data and procedural details, such as chest tube size, dilator size, procedure time, and type of image-guided puncture, of patients who underwent this procedure between February 2022 and March 2023 were retrospectively reviewed. Technical success was defined as the successful drainage of the pleural cavity.Results:
This method was used for performing ten procedures in nine patients who presented with empyema, pneumothorax, and pulmonary fistula. The insertion of a large-bore chest tube with a size ranging from 18- to 24-French was successfully performed in all cases without any complications. The median procedure time was 17.5 (first quartile-third quartile, 13.5-28.0) min.Conclusions:
Large-bore chest tube insertion using the Seldinger technique over two guidewires may be used as an alternative to conventional methods.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Interv Radiol (Higashimatsuyama)
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Japão