Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis

Aguinagalde, Borja; Zabaleta, Jon; Fuentes, Marta; Bazterargui, Nerea; Hernández, Carlos Javier; Izquierdo, José Miguel; Pijuán, Jose I.; Emparanza, José Ignacio

doi:10.1016/j.ejcts.2009.12.008

Cited by 30 publications

(19 citation statements)

References 13 publications

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“…However, two meta-analyses (8,9) concluded that simple aspiration treatment showed rates of success equivalent to the chest tube drainage for the initial treatment of PSP. Ayed et al (10) published a randomized study comparing simple aspiration with tube thoracostomy in 137 patients with a first episode of PSP; 1-week success rates were 89% and 88%, and 1-year recurrence rates were 22% and 24%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Simple Aspiration Therapy in the Initial Treatment for Primary Spontaneous Pneumothorax

et al. 2012

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Objective A retrospective evaluation of the effectiveness of simple aspiration therapy in primary spontaneous pneumothorax was carried out. Methods We enrolled 143 patients with mild and moderate primary spontaneous pneumothorax between June 2006 and October 2010. Clinical backgrounds and therapeutic results from 92 patients that underwent simple aspiration therapy were assessed. Results All patients were treated safely without any serious complications. With the exception of one patient with an unknown result, the initial success rate after three days was 72.5% (66 out of 91 patients). Chest X-ray analysis at the first medical examination showed that the success rate was significantly low in patients with a larger vertical rim between the apex and top of the lung and a higher collapsed area ratio; in particular, the success rate was markedly decreased in cases that exceeded 8 cm and 50%, respectively. No significant difference was observed in the aspiration volume, however, the success rate was lower when the aspiration volume was more than 1,500 mL. The recurrence rate at one year was 36.4% (24 out of 66 successfully treated patients). Conclusion Our results are nearly identical to previous reports from other countries and show that simple aspiration has proved to be a safe and effective therapy.

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Section: Discussionmentioning

confidence: 99%

Evaluation of Simple Aspiration Therapy in the Initial Treatment for Primary Spontaneous Pneumothorax

et al. 2012

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“…Chest tube drainage referred to the placements of one or more intercostal drainage tubes connected to water seal system or suction system, which yielded maintenance until air leak disappeared and the chest X-ray showed complete lung expansion (48). Generally speaking, chest tube drainages were usually applied for patients suffering from pneumothorax who should be admitted to hospital following the failure of needle aspiration (3).…”

Section: Discussionmentioning

confidence: 99%

Chest tube drainage versus needle aspiration for primary spontaneous pneumothorax: which is better?

et al. 2017

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Background: Needle aspiration and chest tube drainages are two main treatments for primary spontaneous pneumothorax (PSP). However, the application of needle aspiration or chest tube drainages has not reached a consensus. The aim of this study is to compare the needle aspiration with chest tube drainages in patients suffering with PSP and therefore help offer suggestions for clinical practice. and risk ratio (RR) respectively, and each with 95% confidence intervals (CIs). We used the fixed effect or random effect model to perform quantitative synthesis.Results: A total of 6 RCTs recruiting 458 participants were included in our analysis. On the basis of the six studies, our results indicated that compared with chest tube drainage applying needle aspiration shortened the hospital stay (WMD: -1.67 days; 95% CI: -2.25 to 1.08; P<0.001) and decreased hospitalization rate (RR: 0.40; 95% CI: 0.22-0.75; P=0.004). However, there was no difference regarding immediate success rate (RR: 1.01; 95% CI: 0.70-1.46; P=0.96) and one-year recurrence rate (RR: 0.89; 95% CI: 0.58-1.38; P=0.61). Conclusions:In the light of this present research, it is necessary to apply needle aspiration into treating PSP to reduce hospitalization rate and shorten hospital stay. However, the two treatments have no significant difference with respect to immediate success rate, one-year recurrence rate, one-week success rate, three-month recurrence rate or complication rate.

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“…are established procedures in the treatment of a PSP. Both procedures have been examined in several prospective randomized studies [34,104,[106][107][108], systematic review articles [109,111,113], and meta-analyses [110,113]. In a current Cochrane Review [117] of 6 RCTs, the primary treatment method (needle aspiration or small-lumen chest drain) showed a better primary success rate of drain application, while the hospitalization time following aspiration is shorter.…”

Section: Literature: Consensus Of Expertsmentioning

confidence: 99%

Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

et al. 2018

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In Germany, 10,000 cases of spontaneous pneumothorax are treated inpatient every year. The German Society for Thoracic Surgery, in co-operation with the German Society for Pulmonology, the German Radiological Society, and the German Society of Internal Medicine has developed an S3 guideline on spontaneous pneumothorax and post-interventional pneumothorax moderated by the German Association of Scientific Medical Societies. Method: Based on the source guideline of the British Thoracic Society (2010) for spontaneous pneumothorax, a literature search on spontaneous pneumothorax was carried out from 2008 onwards, for post-interventional pneumothorax from 1960 onwards. Evidence levels according to the Oxford Center for Evidence-Based Medicine (2011) were assigned to the relevant studies found. Recommendations according to grade (A: “we recommend”/“we do not recommend,” B: “we suggest”/“we do not suggest”) were determined in 3 consensus conferences by the nominal group process. Results: The algorithms for primary and secondary pneumothorax differ in the indication for CT scan as well as in the indication for chest drainage application and video-assisted thoracic surgery. Indication for surgery is recommended individually taking into account the risk of recurrence, life circumstances, patient preferences, and procedure risks. For some forms of secondary pneumothorax, a reserved indication for surgery is recommended. Therapy of post-interventional spontaneous pneumothorax is similar to that of primary spontaneous pneumothorax. Discussion: The recommendations of the S3 Guideline provide assistance in managing spontaneous pneumothorax and post-interventional pneumothorax. Whether this will affect existing deviant diagnostic and therapeutic measures will be demonstrated by future epidemiological studies.

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Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis

Cited by 30 publications

References 13 publications

Evaluation of Simple Aspiration Therapy in the Initial Treatment for Primary Spontaneous Pneumothorax

Evaluation of Simple Aspiration Therapy in the Initial Treatment for Primary Spontaneous Pneumothorax

Chest tube drainage versus needle aspiration for primary spontaneous pneumothorax: which is better?

Management of Spontaneous Pneumothorax and Post-Interventional Pneumothorax: German S3 Guideline

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