Abstract
Purpose
The authors devised a new method of an axial puncture approach through the pulmonary apex (PA) for percutaneous catheter drainage (PCD) of loculated fluid collections extending to the PA. The purpose of this report is to introduce the new procedure.
Methods
Percutaneous catheter drainage by the axial puncture approach was performed in two patients with limited supine position and loculated pleural fluid collection in the posteromedial part of thoracic cavity.
Results
The procedures succeeded in two patients without difficulties while keeping them in a supine position, even if the loculated fluids exist in the posterior side of thoracic cavity.
Conclusions
Percutaneous catheter drainage by the axial puncture approach is particularly effective in patients with limited supine positions and loculated pleural fluid collection in the posteromedial part of thoracic cavity.
References
Van Sonnenberg E, Ferrucci JT Jr, Mueller PR, Writtenberg J, Simeone JF (1982) Percutaneous drainage of abscesses and fluid collections: technique, result, and application. Radiology 142:1–10
Stark DD, Federle MP, Goodman PC (1983) CT and radiographic assessment of tube thoracostomy. AJR Am J Roentgenol 141:253–258
Wescott JL (1985) Percutaneous catheter drainage of pleural effusion and empyema. AJR Am J Roentgenol 144:1189–1193
Merriam MA, Cronan JJ, Dorfman GS, Lambiase RE, Haas RA (1988) Radiographically guided percutaneous catheter drainage of pleural fluid collections. AJR Am J Roentgenol 151(6):1113–1116
Stanly T, Tench WD (1977) Lung entrapment and infarction by chest tube suction. Radiology 122:307–309
Moessinger AC, Driscoll JM Jr, Wingger HJ (1978) High incidence of lung perforation by chest tube in neonatal pneumothorax. J Pediatr 92:635–637
Da Rocha RP, Vengjer A, Blanco A, de Carvalho PT, Mongon ML, Fernandes GJ (2002) Size of the collateral intercostal artery in adults: anatomical considerations in relation to thoracocentesis and thoracoscopy. Surg Radiol Anat 24(1):23–26
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Takizawa, K., Nakajima, Y., Ogawa, Y. et al. A New Method of an Axial Puncture Approach for Draining Loculated Pleural Effusions. Cardiovasc Intervent Radiol 34, 1303–1307 (2011). https://doi.org/10.1007/s00270-011-0138-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-011-0138-6