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  • Title
  • Animation
  • 1. Introduction
  • 2. Patient Preparation
  • 3. Selection of Entry and Exit Sites for PleurX Catheter
  • 4. Injection of Local Anesthetic
  • 5. Elements of PleurX Kit
  • 6. Incisions
  • 7. Create Tunnel and Pass the PleurX Catheter Between the Two Sites
  • 8. Enter Pleural Space with Insertion Sheath
  • 9. Guidewire Insertion Through Sheath Followed by Sheath Removal
  • 10. Dilation of Tract over Guidewire
  • 11. Breakaway Sheath Placement over the Guidewire
  • 12. Removal of the Guidewire and Inner Part of Breakaway Sheath
  • 13. PleurX Catheter Insertion Through Breakaway Sheath and into Pleural Space
  • 14. Drain Pleural Effusion and Collect Samples
  • 15. Closure and Securing the PleurX Catheter

Article type:Descriptions of Clinical and Surgical Procedures

Insertion of a Right-Sided PleurX Catheter for Palliation of a Malignant Pleural Effusion

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Andrew S. Chung, MD, PhD; Hugh G. Auchincloss, MD, MPH
Massachusetts General Hospital

Thoracic SurgeryPulmonology

Manuscript Format: Full Text

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Patient Preparation
      1. 3. Selection of Entry and Exit Sites for PleurX Catheter
        1. 4. Injection of Local Anesthetic
          1. 5. Elements of PleurX Kit
            1. 6. Incisions
              1. 7. Create Tunnel and Pass the PleurX Catheter Between the Two Sites
                1. 8. Enter Pleural Space with Insertion Sheath
                  1. 9. Guidewire Insertion Through Sheath Followed by Sheath Removal
                    1. 10. Dilation of Tract over Guidewire
                      1. 11. Breakaway Sheath Placement over the Guidewire
                        1. 12. Removal of the Guidewire and Inner Part of Breakaway Sheath
                          1. 13. PleurX Catheter Insertion Through Breakaway Sheath and into Pleural Space
                            1. 14. Drain Pleural Effusion and Collect Samples
                              1. 15. Closure and Securing the PleurX Catheter

                                1. Introduction

                                2. Patient Preparation

                                3. Selection of Entry and Exit Sites for PleurX Catheter

                                4. Injection of Local Anesthetic

                                5. Elements of PleurX Kit

                                6. Incisions

                                7. Create Tunnel and Pass the PleurX Catheter Between the Two Sites

                                8. Enter Pleural Space with Insertion Sheath

                                9. Guidewire Insertion Through Sheath Followed by Sheath Removal

                                10. Dilation of Tract over Guidewire

                                11. Breakaway Sheath Placement over the Guidewire

                                12. Removal of the Guidewire and Inner Part of Breakaway Sheath

                                13. PleurX Catheter Insertion Through Breakaway Sheath and into Pleural Space

                                14. Drain Pleural Effusion and Collect Samples

                                15. Closure and Securing the PleurX Catheter

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                                Authors

                                Filmed At:

                                Massachusetts General Hospital

                                Article Information

                                Publication Date
                                Article ID419
                                Production ID0419
                                Volume2024
                                Issue419
                                DOI
                                https://doi.org/10.24296/jomi/419