Computed tomography-guided percutaneous drainage of tension pneumomediastinum

Barbosa, Paula Nicole Vieira Pinto; Stefanini, Flávio Scavone; Bitencourt, Almir Galvão Vieira; Gross, Jefferson Luiz; Chojniak, Rubens

doi:10.1590/0100-3984.2021.0065

Radiol Bras

2022

DOI: 10.1590/0100-3984.2021.0065

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Computed tomography-guided percutaneous drainage of tension pneumomediastinum

Paula Nicole Vieira Pinto Barbosa

Flávio Scavone Stefanini

Almir Galvão Vieira Bitencourt

et al.

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Cited by 4 publications

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Computed tomography imaging-guided parasternal approach drainage for children with tension pneumomediastinum: a case series

Hong,

Chen

et al. 2023

BMC Pediatr

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Purpose Tension pneumomediastinum is a rare and dangerous complication in children that can be fatal, and timely detection and treatment are critical. The aim of this study was to evaluate the safety and feasibility of computed tomography (CT) imaging-guided parasternal approach drainage for tension pneumomediastinum in children. Methods From June 2018 to February 2023, we consecutively enrolled 19 children with tension pneumomediastinum in our institution. A pigtail catheter was inserted into the anterior mediastinum by a CT imaging-guided parasternal approach. The catheter was connected to a negative-pressure water seal bottle to drain the pneumomediastinum. Clinical data and outcomes were summarized. Results The mean age was 3.1 ± 3.4 years, the mean weight was 15 ± 9.1 kg, the mean procedure time was 11.8 ± 2.4 min, and the drainage time was 6.7 ± 3.4 days. No major complications were identified, such as haemothorax, catheter displacement, or mediastinal infection. Effective drainage was obtained in all patients as assessed by comparing images and ventilatory parameters, and no additional surgical treatment was needed. There was no recurrence during the follow-up, which was more than 2 months. In our data, two children with COVID-19 were discharged from the hospital after effective drainage and other clinical treatment. Conclusion CT-guided parasternal approach drainage is safe, minimally invasive, and effective for children with tension pneumomediastinum.

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Computed tomography imaging-guided parasternal approach drainage for children with tension pneumomediastinum: a case series

Hong,

Chen

et al. 2023

BMC Pediatr

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Tension Pneumomediastinum in Anti-MDA5 Antibody-positive Dermatomyositis-associated Interstitial Lung Disease: A Case Report and Literature Review

Okabayashi,

Nakashima,

Fujino

et al. 2024

Intern. Med.

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A Case of Tension Pneumomediastinum Treated With Mediastinal Drainage Using a Semi-flexible Fiberscope via a Subxiphoid Approach

Matsumoto,

Mizuuchi,

Honjo

et al. 2024

Cureus

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Computed tomography-guided percutaneous drainage of tension pneumomediastinum

Cited by 4 publications

References 8 publications

Computed tomography imaging-guided parasternal approach drainage for children with tension pneumomediastinum: a case series

Computed tomography imaging-guided parasternal approach drainage for children with tension pneumomediastinum: a case series

Tension Pneumomediastinum in Anti-MDA5 Antibody-positive Dermatomyositis-associated Interstitial Lung Disease: A Case Report and Literature Review

A Case of Tension Pneumomediastinum Treated With Mediastinal Drainage Using a Semi-flexible Fiberscope via a Subxiphoid Approach

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