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Procedures: Student/Resident Case Report Poster - Procedures |

Blood Patch Pleurodesis: An Option in Persistent Air Leak for Patients With Advanced Lung Disease

Selma Demir, MD; Pavan Gorukanti, MD; Sushilkumar Gupta, MD; Mangalore Amith Shenoy, MD; Amit Agarwal, MD; Pavan Irukulla, MD; William Pascal, MD
Author and Funding Information

Maimonides Medical Center, Brooklyn, NY


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):1034A. doi:10.1016/j.chest.2016.08.1140
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SESSION TITLE: Student/Resident Case Report Poster - Procedures

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Structural lung diseases, such as idiopathic pulmonary fibrosis, can cause pneumothorax with the disease progression. Pneumothorax in this setting can be refractory and difficult to manage, as rigid lung parenchyma inhibits reexpansion, causing persistent air leak despite tube thoracostomy. Chemical pleurodesis may be an option in such cases, but is only effective if the lung expands after chest tube placement, and could actually worsen the underlying lung disease. The definitive treatment in this setting is surgical interventions like decortication. But due to poor respiratory reserve in advanced lung diseases, many patients are unable to tolerate surgery. Blood patch pleurodesis, first described by Dumire et al in 1992, is an option in these difficult patients.1

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