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Ann Thorac Surg 1988;45:43-47
© 1988 The Society of Thoracic Surgeons

Articles

Indwelling Transbronchial Catheter Drainage of Pulmonary Abscess

Gregory S. Schmitt, M.D., Jill M. Ohar, M.D., Kirk R. Kanter, M.D., Keith S. Naunheim, M.D.*

From the Departments of Surgery and Medicine, St. Louis University Medical Center, St. Louis, MO

Accepted for publication August 24, 1987.

* Address reprint requests to Dr. Naunheim, Department of Surgery, St. Louis University Medical Center, 1325 S Grand Blvd, St. Louis, MO 63104

Adequate cavitary drainage is of paramount importance in the treatment of pulmonary abscesses. Occasionally this cannot be achieved despite vigorous chest physical therapy and the utilization of bronchoscopy. Intermittent transbronchial catheterization under fluoroscopic guidance has been suggested as a method to facilitate drainage.

We have modified this technique by placing an indwelling intracavitary catheter, which allows irrigation and drainage over a prolonged period. This report describes this technique and our experience with 3 patients managed in this fashion.




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