Long-term follow-up of thoracoscopic pleurodesis for hydrothorax complicating peritoneal dialysis

Mak, Siu‐Ka; Nyunt, Kyaw; Wong, Puisan; Lo, Kin‐Yee; Tong, Gensy M.W.; Tai, Yuk‐Ping; Wong, Andrew K.

doi:10.1016/s0003-4975(02)03648-2

Cited by 32 publications

(24 citation statements)

References 15 publications

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“…In cases of RPE secondary to CHF, the therapeutic options are limited to pleural drainage with a small or large bore chest tube followed by chemical pleurodesis [13,14,26] or thoracoscopic talc poudrage pleurodesis, which is successful in 97% of cases [13,14,26,27] therefore, surgical pleurodesis is rarely needed [15,28].…”

Section: Congestive Heart Failurementioning

confidence: 99%

The Use of a PleurX Catheter in the Management of Recurrent Benign Pleural Effusion: A Concise Review

Harris

Chalhoub

2012

Heart, Lung and Circulation

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Section: Congestive Heart Failurementioning

confidence: 99%

The Use of a PleurX Catheter in the Management of Recurrent Benign Pleural Effusion: A Concise Review

Harris

Chalhoub

2012

Heart, Lung and Circulation

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“…Video-assisted thoracic surgery allows direct application of talc (chemical pleurodesis) (21,23,24,(60)(61)(62)(63)(64) and abrasion of the parietal pleura with either Marlex or Prolene mesh (mechanical pleurodesis) (21,23). In the former situation, thoracoscopy is thought to offer reliable distribution of talc to effect uniform pleurodesis (64).…”

Section: Video-assisted Thoracoscopic Approachmentioning

confidence: 99%

Review Articles: Management Options for Hydrothorax Complicating Peritoneal Dialysis

Chow

Szeto

2003

Seminars in Dialysis

100

139

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Hydrothorax as a result of pleuroperitoneal communication occurs in approximately 2% of continuous ambulatory peritoneal dialysis (CAPD) patients. Although our understanding of its mechanisms is incomplete, it is apparent that the key to successful therapy is obliteration of a transdiaphragmatic route of dialysate leakage (pleuroperitoneal communication), possibly coupled with reduction of intra-abdominal pressure. This review corroborated the findings from 10 major population-based case series in which 60 of the 104 cases (58%) were able to resume long-term peritoneal dialysis (PD). Temporary interruption of PD alone was successful in half of them. As compared to this conservative approach, as well as chemical pleurodesis via intercostal chest drain, video-assisted thoracoscopic intervention (including direct pleurodesis and diaphragmatic repair) has shown a promising role. Efficacy of thoracoscopic treatment has been confirmed by several case series from various centers and the demonstration of a success rate in excess of 90%. With accumulating experience using the thoracoscopic technique, it remains to be seen whether this mode of treatment will obviate the traditional closed pleurodesis.

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“…Several types of refractory pleural effusion have been successfully managed by pleurodesis, including those due to chronic ambulatory peritoneal dialysis [7], yellow nail syndrome [8], and heart failure [6]. However, a Medline search confirmed that the occurrence of an increased intracranial pressure following pleurodesis has not been reported before.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death

Mortazavi-Moghaddam

Riasi

2012

Case Reports in Pulmonology

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Here we report a 22-year old woman with massive and bilateral transudative effusion succeeded by pulmonary edema and brain edema and death. Investigations for systemic disorders were negative. Exacerbation of dyspnea after intravenous fluid infusion was a main problem. As effusion was refractory to medical treatment, the patient was referred for surgical pleurodesis and bilateral surgical pleurodesis were done separately. Postsurgically, dyspnea exacerbation occurred after each common cold infection. Vertigo and high intracranial pressure were also a problem postsurgically. CSF pressure was 225 mm/H2O. Therapeutic lumbar puncture was done in two sequential weeks, and the patient was on acetazolamide 250 mg/trivise a day. Despite the medical treatment, progressive dyspnea, headache, and high intracranial pressure followed by death nine months after pleurodesis. As there is a gradient of pressure between pleura and CSF, after pleurodesis brain edema must be a consequence of inversing this gradient. In conclusion, when there are any abnormalities about fluid volume or pressure in any of these cavities, we have to study other cavities.

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Long-term follow-up of thoracoscopic pleurodesis for hydrothorax complicating peritoneal dialysis

Cited by 32 publications

References 15 publications

The Use of a PleurX Catheter in the Management of Recurrent Benign Pleural Effusion: A Concise Review

The Use of a PleurX Catheter in the Management of Recurrent Benign Pleural Effusion: A Concise Review

Review Articles: Management Options for Hydrothorax Complicating Peritoneal Dialysis

An Unusual Transudative Pleural Effusion Succeeded by Pulmonary and Brain Edema and Death

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