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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Unilateral pulmonary edema after talc pleurodesis
1Department of Radiology, SUNY Upstate Medical University, Syracuse, NY 13210, USA.
Journal of Thoracic Imaging
|April 9, 2001
Summary
Talc pleurodesis can cause a new transient lung issue. This interstitial process, seen on chest X-rays, may be due to endothelial damage and capillary leak, distinct from known complications.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Radiology
Background:
- Talc pleurodesis is a standard procedure following pleural space drainage to induce pleural symphysis.
- Known complications include reexpansion pulmonary edema, pneumonia, and adult respiratory distress syndrome.
Purpose of the Study:
- To identify and characterize a previously unappreciated complication of talc pleurodesis.
- To investigate the incidence and nature of radiographic findings post-talc pleurodesis.
Main Methods:
- Retrospective analysis of chest radiographs from 108 patients undergoing talc pleurodesis.
- Patients were categorized into three groups, with 89 receiving treatment for malignant pleural effusion.
Main Results:
- Approximately 16% of patients developed a transient interstitial process in the lung ipsilateral to the treated pleural space.
- This finding was not adequately explained by known complications or other interstitial lung diseases.
Conclusions:
- A novel complication of talc pleurodesis, characterized by a transient interstitial lung process, has been identified.
- The complication is likely caused by endothelial damage leading to a capillary leak pulmonary edema.
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