Chest tube drainage under radiological guidance for pleural effusion and pneumothorax in a tertiary care university teaching hospital: Review of 51 cases

Can Respir J. Jan-Feb 2005;12(1):29-33. doi: 10.1155/2005/498709.

Abstract

Background: Chest tube drainage under radiological guidance has been used with increasing frequency as a treatment option for pleural effusions and pneumothoraxes.

Objective: To evaluate the safety and usefulness of pleural drainage under radiological guidance for pleural effusion and pneumothorax in a tertiary care university teaching hospital.

Methods: A retrospective study of cases of chest tube placement under radiological guidance over a 12-month period in a university hospital.

Results: Fifty-one percutaneous pigtail catheter drainage cases were reviewed (30 patients). Forty-six (90%) chest tubes were inserted as a first-line treatment. The overall success rate of radiological drainage was 88%. Specific success rates were 92%, 85% and 91% for loculated pleural effusion, pneumothorax and empyema, respectively. The complications were few and minor.

Conclusions: Pigtail catheter insertion under radiological guidance is a useful procedure for the treatment of sterile pleural effusion, empyema and pneumothorax. This technique can be used as a first-line procedure in the majority of cases.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Adult
  • Aged
  • Chest Tubes
  • Drainage / instrumentation*
  • Drainage / methods
  • Female
  • Follow-Up Studies
  • Hospitals, Teaching
  • Hospitals, University
  • Humans
  • Male
  • Middle Aged
  • Pleural Effusion / diagnostic imaging*
  • Pleural Effusion / therapy
  • Pneumothorax / diagnostic imaging*
  • Pneumothorax / therapy
  • Radiology, Interventional*
  • Retrospective Studies
  • Risk Assessment
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome