Abstract
Percutaneous placement of central venous catheters, causing a direct lesion of the lung parenchyma, is a remarkable cause of iatrogenic pneumothorax, the incidence of which is approximately 1 to 4%. Clinical presentation, diagnosis and treatment guidelines of iatrogenic pneumothorax complicating central venous access placement are presented.
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References
Biffi R, De Braud F, Orsi F et al (1998) Totally implantable central venous access ports for long-term chemotherapy. A prospective study analyzing complications and costs of 333 devices with a minimum follow-up of 180 days. Ann Oncol 9:767–773
Aldrighetti L, Paganelli M, Arru M et al (2000) Complications of blind placement technique in 980 subcutaneous infusion ports. J Vasc Access 1:28–32
Lyon RD, Griggs KA, Johnson AM, Olsen JR (1999) Long-term follow-up of upper extremity implanted venous access devices in oncology patients. J Vasc Interv Radiol 110:463–471
Sarajego J, Bootorabi B, Matsumoto T, Kernstein M (1993) Major long-term complications in 1422 permanent venous access devices. Am J Surg 165:249–251
Sahn SA, Heffner JE (2000) Primary care: spontaneous pneumothorax. N Engl J Med 342:868–874
Biffi R, Pozzi S, Cenciarelli S et al (2001) Treatment of pneumothorax as a complication of long-term central venous port placement in oncology patients. An observational study. J Vasc Access 2:129–136
Dines DE, Clagett OT, Payne WS (1970) Spontaneous pneumothorax in emphysema. Mayo Clin Proc 45:481–487
Barton ED (1999) Tension pneumothorax. Curr Opin Pulm Med 5:269–274
Thomas CJ, Butler CS (1999) Delayed pneumothorax and hydrothorax with central venous catheter migration. Anaesthesia 54:987–990
Whitman DE (1996) Complications associated with the use of central venous access devices. Curr Probl Surg 4:309–378
Bradley M, Williams C, Walshaw MJ (1991) The value of routine expiratory chest films in the diagnosis of pneumothorax. Arch Emerg Med 8:115–116
Bourguin P, Couisineau G, Lemire P, Hebert G (1985) Computed tomography used to exclude pneumothorax in bullous lung disease. J Can Assoc Radiol 36:341–342
Northfield TC (1971) Oxygen therapy for spontaneous pneumothorax. BMJ 4:86–88
Soulsby T (1998) British Thoracic Society guidelines for the management of spontaneous pneumothorax: do we comply with them and do they work-J Accid Emerg Med 15:317–321
Martin T, Fontana G, Olak J, Ferguson M (1996) Use of pleural catheter for the management of simple pneumothorax. Chest 110:1169–1172
Minami H, Saka H, Senda K et al (1992) Small caliber catheter drainage for spontaneous pneumothorax. Am J Med Sci 304:345–347
Shields TW, Oilschlager GA (1966) Spontaneous pneumothorax in patients 40 years of age and older. Ann Thorac Surg 2:377–383
George RB, Herbet SJ, Shames JM et al (1975) Pneumothorax complicating pulmonary emphysema. JAMA 234:389–393
Laurent F, Michel P, Latrabe V et al (1999) Pneumothoraxes and chest tube placement after CT-guided transthoracic lung biopsy using a coaxial technique: incidence and risk factors. AJR 172:1049–1053
Cox JE, Chiles C, McManus CM (1999) Transthoracic needle aspiration biopsy: variables that affect risk of pneumothorax. Radiology 212:165–168
Ponn RB, Silverman HJ, Federico JA (1997) Outpatient chest tube management. Ann Thorac Surg 64:1437–1440
So SY, Yu DY (1982) Catheter drainage of spontaneous pneumothorax: suction or no suction, early or late removal. Thorax 37:46–48
Owen S, Gould D (1997) Underwater seal chest drains: the patient’s experience. J Clin Nurs 6:215–225
Chee CB, Abisheganaden J, Yeo JK et al (1998) Persistent air-leak in spontaneous pneumothorax-clinical course and outcome. Respir Med 92:757–761
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© 2012 Springer-Verlag Italia
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Biffi, R. (2012). Pneumothorax. In: Di Carlo, I., Biffi, R. (eds) Totally Implantable Venous Access Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2373-4_11
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DOI: https://doi.org/10.1007/978-88-470-2373-4_11
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2372-7
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