Document Detail


Pleurovenous shunting in the treatment of nonmalignant pleural effusion.
MedLine Citation:
PMID:  12842547     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The goals of treatment of chronic nonmalignant pleural effusion are relief of dyspnea and improved quality of life. Treatment options include needle thoracentesis, tube thoracostomy chemical pleurodesis, and pleurectomy. Pleurovenous shunting (PVS) represents an alternative, minimally invasive method. METHODS: Since 1999, 12 patients underwent pleurovenous shunting for right-sided pleural effusion in our center. Indications were hepatic hydrothorax (n = 6, one as bridging to liver transplantation), nephrotic syndrome (n = 4), and chylothorax (n = 2, one as bridging to lung transplantation). All patients received Denver shunt systems from the pleural cavity to either the subclavian or jugular vein. RESULTS: Shunt occlusion was observed in one case (chylothorax) 4 weeks after implantation. There was one early death, which was not related to the procedure (hepatic failure). No air embolism or infection was observed. All systems were patent throughout the observation period of 1 to 40 months (mean = 13.3 months), and none of the patients required further treatment for pleural effusion. CONCLUSION: Pleurovenous shunting offers an efficient, minimally invasive alternative to other surgical methods for treatment of recurrent nonmalignant pleural effusion.
Authors:
Omeros Artemiou; Gabriel-Mihai Marta; Walter Klepetko; Ernst Wolner; Michael-Rolf Müller
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  76     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-04     Completed Date:  2003-10-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  231-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiothoracic Surgery, University of Vienna, Vienna, Austria. omeros.artemiou@univie.ac.at
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MeSH Terms
Descriptor/Qualifier:
Aged
Drainage / instrumentation,  methods*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Pleural Effusion / pathology*,  surgery*
Probability
Radiography, Thoracic
Risk Assessment
Sampling Studies
Severity of Illness Index
Surgical Procedures, Minimally Invasive / methods
Thoracic Surgical Procedures / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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