Intrapleural instillation of autologous blood for persistent air leak in spontaneous pneumothorax- is it as effective as it is safe?

• Published in: Journal of cardiothoracic surgery Vol. 5; no. 1; p. 61
• Main Authors: Karangelis, Dimos, Tagarakis, Georgios I, Daskalopoulos, Marios, Skoumis, Georgios, Desimonas, Nicholaos, Saleptsis, Vasileios, Koufakis, Theocharis, Drakos, Athanasios, Papadopoulos, Dimitrios, Tsilimingas, Nikolaos B
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 17.08.2010; BioMed Central; BMC
• Subjects: Adult; Aged; Air; Blood Transfusion, Autologous; Care and treatment; Chest Tubes; Female; Health aspects; Hospitalization; Humans; Male; Mortality; Patient outcomes; Pleurodesis; Pneumothorax; Pneumothorax - complications; Pneumothorax - therapy; Prospective Studies; Study Protocol; Surgery; Thoracic surgery; Thoracostomy; Young Adult; Greece
• ISSN: 1749-8090; 1749-8090
• DOI: 10.1186/1749-8090-5-61

The aim of the present study was to evaluate the efficacy of autologous blood pleurodesis in the management of persistent air leak in spontaneous pneumothorax. A number of 15 patients (10 male and 5 female) were included in this prospective study between March 2005 and December 2009. The duration of the air leak exceeded 7 days in all patients. The application of blood pleurodesis was used as the last preoperative conservative method of treatment in 12 patients. One patient refused surgery and two were ineligible for operation due to their comorbidities. A blood sample of 50 ml was obtained from the patient's femoral vein and immediately introduced into the chest tube. A success rate of 27% was observed having the air leak sealed in 4 patients in less than 24 hours. Despite our disappointingly poor outcome, the authors believe that the procedure's safety, convenience and low cost establish it as a worth trying method of conservative treatment for patients with the aforementioned pathology for whom no other alternative than surgery would be a choice.