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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.

Keywords

Central venous catheters Percutaneous implantation Iatrogenic pneumothorax Tube thoracostomy 

References

  1. 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 9:767–773PubMedCrossRefGoogle Scholar
  2. 2.
    Aldrighetti L, Paganelli M, Arru M et al (2000) Complications of blind placement technique in 980 subcutaneous infusion ports. J Vasc Access 1:28–32PubMedGoogle Scholar
  3. 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 110:463–471CrossRefGoogle Scholar
  4. 4.
    Sarajego J, Bootorabi B, Matsumoto T, Kernstein M (1993) Major long-term complications in 1422 permanent venous access devices. Am J Surg 165:249–251CrossRefGoogle Scholar
  5. 5.
    Sahn SA, Heffner JE (2000) Primary care: spontaneous pneumothorax. N Engl J Med 342:868–874PubMedCrossRefGoogle Scholar
  6. 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 2:129–136PubMedGoogle Scholar
  7. 7.
    Dines DE, Clagett OT, Payne WS (1970) Spontaneous pneumothorax in emphysema. Mayo Clin Proc 45:481–487PubMedGoogle Scholar
  8. 8.
    Barton ED (1999) Tension pneumothorax. Curr Opin Pulm Med 5:269–274PubMedCrossRefGoogle Scholar
  9. 9.
    Thomas CJ, Butler CS (1999) Delayed pneumothorax and hydrothorax with central venous catheter migration. Anaesthesia 54:987–990PubMedCrossRefGoogle Scholar
  10. 10.
    Whitman DE (1996) Complications associated with the use of central venous access devices. Curr Probl Surg 4:309–378CrossRefGoogle Scholar
  11. 11.
    Bradley M, Williams C, Walshaw MJ (1991) The value of routine expiratory chest films in the diagnosis of pneumothorax. Arch Emerg Med 8:115–116PubMedGoogle Scholar
  12. 12.
    Bourguin P, Couisineau G, Lemire P, Hebert G (1985) Computed tomography used to exclude pneumothorax in bullous lung disease. J Can Assoc Radiol 36:341–342Google Scholar
  13. 13.
    Northfield TC (1971) Oxygen therapy for spontaneous pneumothorax. BMJ 4:86–88PubMedCrossRefGoogle Scholar
  14. 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 15:317–321PubMedCrossRefGoogle Scholar
  15. 15.
    Martin T, Fontana G, Olak J, Ferguson M (1996) Use of pleural catheter for the management of simple pneumothorax. Chest 110:1169–1172PubMedCrossRefGoogle Scholar
  16. 16.
    Minami H, Saka H, Senda K et al (1992) Small caliber catheter drainage for spontaneous pneumothorax. Am J Med Sci 304:345–347PubMedCrossRefGoogle Scholar
  17. 17.
    Shields TW, Oilschlager GA (1966) Spontaneous pneumothorax in patients 40 years of age and older. Ann Thorac Surg 2:377–383PubMedCrossRefGoogle Scholar
  18. 18.
    George RB, Herbet SJ, Shames JM et al (1975) Pneumothorax complicating pulmonary emphysema. JAMA 234:389–393PubMedCrossRefGoogle Scholar
  19. 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 172:1049–1053PubMedGoogle Scholar
  20. 20.
    Cox JE, Chiles C, McManus CM (1999) Transthoracic needle aspiration biopsy: variables that affect risk of pneumothorax. Radiology 212:165–168PubMedGoogle Scholar
  21. 21.
    Ponn RB, Silverman HJ, Federico JA (1997) Outpatient chest tube management. Ann Thorac Surg 64:1437–1440PubMedCrossRefGoogle Scholar
  22. 22.
    So SY, Yu DY (1982) Catheter drainage of spontaneous pneumothorax: suction or no suction, early or late removal. Thorax 37:46–48PubMedCrossRefGoogle Scholar
  23. 23.
    Owen S, Gould D (1997) Underwater seal chest drains: the patient’s experience. J Clin Nurs 6:215–225PubMedCrossRefGoogle Scholar
  24. 24.
    Chee CB, Abisheganaden J, Yeo JK et al (1998) Persistent air-leak in spontaneous pneumothorax-clinical course and outcome. Respir Med 92:757–761PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  1. 1.Division of Abdomino Pelvic SurgeryEuropean Institute of OncologyMilanItaly

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