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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

  1. 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

    Article  PubMed  CAS  Google Scholar 

  2. 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

    PubMed  CAS  Google Scholar 

  3. 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

    Article  Google Scholar 

  4. 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

    Article  Google Scholar 

  5. Sahn SA, Heffner JE (2000) Primary care: spontaneous pneumothorax. N Engl J Med 342:868–874

    Article  PubMed  CAS  Google Scholar 

  6. 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

    PubMed  CAS  Google Scholar 

  7. Dines DE, Clagett OT, Payne WS (1970) Spontaneous pneumothorax in emphysema. Mayo Clin Proc 45:481–487

    PubMed  CAS  Google Scholar 

  8. Barton ED (1999) Tension pneumothorax. Curr Opin Pulm Med 5:269–274

    Article  PubMed  CAS  Google Scholar 

  9. Thomas CJ, Butler CS (1999) Delayed pneumothorax and hydrothorax with central venous catheter migration. Anaesthesia 54:987–990

    Article  PubMed  CAS  Google Scholar 

  10. Whitman DE (1996) Complications associated with the use of central venous access devices. Curr Probl Surg 4:309–378

    Article  Google Scholar 

  11. 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

    PubMed  CAS  Google Scholar 

  12. 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

    Google Scholar 

  13. Northfield TC (1971) Oxygen therapy for spontaneous pneumothorax. BMJ 4:86–88

    Article  PubMed  CAS  Google Scholar 

  14. 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

    Article  PubMed  CAS  Google Scholar 

  15. Martin T, Fontana G, Olak J, Ferguson M (1996) Use of pleural catheter for the management of simple pneumothorax. Chest 110:1169–1172

    Article  PubMed  CAS  Google Scholar 

  16. Minami H, Saka H, Senda K et al (1992) Small caliber catheter drainage for spontaneous pneumothorax. Am J Med Sci 304:345–347

    Article  PubMed  CAS  Google Scholar 

  17. Shields TW, Oilschlager GA (1966) Spontaneous pneumothorax in patients 40 years of age and older. Ann Thorac Surg 2:377–383

    Article  PubMed  CAS  Google Scholar 

  18. George RB, Herbet SJ, Shames JM et al (1975) Pneumothorax complicating pulmonary emphysema. JAMA 234:389–393

    Article  PubMed  CAS  Google Scholar 

  19. 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

    PubMed  CAS  Google Scholar 

  20. Cox JE, Chiles C, McManus CM (1999) Transthoracic needle aspiration biopsy: variables that affect risk of pneumothorax. Radiology 212:165–168

    PubMed  CAS  Google Scholar 

  21. Ponn RB, Silverman HJ, Federico JA (1997) Outpatient chest tube management. Ann Thorac Surg 64:1437–1440

    Article  PubMed  CAS  Google Scholar 

  22. So SY, Yu DY (1982) Catheter drainage of spontaneous pneumothorax: suction or no suction, early or late removal. Thorax 37:46–48

    Article  PubMed  CAS  Google Scholar 

  23. Owen S, Gould D (1997) Underwater seal chest drains: the patient’s experience. J Clin Nurs 6:215–225

    Article  PubMed  CAS  Google Scholar 

  24. Chee CB, Abisheganaden J, Yeo JK et al (1998) Persistent air-leak in spontaneous pneumothorax-clinical course and outcome. Respir Med 92:757–761

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Roberto Biffi .

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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

  • Online ISBN: 978-88-470-2373-4

  • eBook Packages: MedicineMedicine (R0)

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