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The Annals of Thoracic Surgery, Vol 45, 43-47, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Indwelling transbronchial catheter drainage of pulmonary abscess

GS Schmitt, JM Ohar, KR Kanter and KS Naunheim
Department of Surgery, St. Louis University Medical Center, 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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