| Pleurovenous shunting in the treatment of nonmalignant pleural effusion. | |
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MedLine Citation:
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PMID: 12842547 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Omeros Artemiou; Gabriel-Mihai Marta; Walter Klepetko; Ernst Wolner; Michael-Rolf Müller |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 76 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2003 Jul |
Date Detail:
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Created Date: 2003-07-04 Completed Date: 2003-10-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: United States |
Other Details:
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Languages: eng Pagination: 231-3 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiothoracic Surgery, University of Vienna, Vienna, Austria. omeros.artemiou@univie.ac.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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