https://doi.org/10.4081/monaldi.2022.2400
Intracavitary fibrinolysis directly under vision during medical thoracoscopy: a case report
Submitted: August 8, 2022
Accepted: October 12, 2022
Published: November 2, 2022
Accepted: October 12, 2022
Abstract Views: 934
PDF: 184
Publisher's note
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Medical thoracoscopy is a minimally invasive single-port endoscopic technique that allows for direct visualization of the pleural surface as well as diagnostic and therapeutic procedures. When fibrous adhesions are extensive, its utility is limited. In patients with malignant pleural effusion and loculated effusion, fibrinolytics have been used through chest drainage to break down septations to relieve breathlessness and to improve pleurodesis success We described the use of intrapleural fibrinolytics during a medical thoracoscopy to break the septations and perform pleural biopsies in a patient with multiloculated pleural effusion. To the best of our knowledge, no studies on this subject have been published in the literature, only case reports. We believe that direct instillation of fibrinolytics during medical thoracoscopy is safe and has the potential to increase both the therapeutic and diagnostic capacity of medical thoracoscopy and fibrinolysis.
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How to Cite
Stirpe, Emanuele, Floriana Bardaro, and Johanna Köhl. 2022. “Intracavitary Fibrinolysis Directly under Vision During Medical Thoracoscopy: A Case Report”. Monaldi Archives for Chest Disease 93 (3). https://doi.org/10.4081/monaldi.2022.2400.
Copyright (c) 2022 The Author(s)
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