CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2021; 10(01): e36-e38
DOI: 10.1055/s-0041-1723950
Case Report: Thoracic

Pleurabrade: A Spiral Brush for Mechanical Pleurodesis and a Review of the Literature

1   Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United States
,
1   Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United States
,
Emily Polhemus
1   Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United States
,
Raphael Bueno
1   Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, United States
› Author Affiliations

Abstract

Background While the optimal treatment for primary spontaneous pneumothorax remains unclear, mechanical pleurodesis is a well-established treatment. The Pleurabrade is a spiral brush designed for mechanical pleurodesis during thoracoscopy. We present two patients who underwent mechanical pleurodesis with the Pleurabrade.

Case Description Two patients with spontaneous pneumothorax underwent operative intervention including mechanical pleurodesis with the Pleurabrade. Chest tubes were removed within 48 hours postoperatively and they were discharged home. Both patients remain recurrence free at 11 and 22 months, respectively.

Conclusion While further testing is needed, these case reports and operative video highlight the Pleurabrade as an efficient device for thoracoscopic mechanical pleurodesis.



Publication History

Received: 20 July 2020

Accepted: 16 November 2020

Article published online:
15 October 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Melton III LJ, Hepper NG, Offord KP. Incidence of spontaneous pneumothorax in Olmsted County, Minnesota: 1950 to 1974. Am Rev Respir Dis 1979; 120 (06) 1379-1382
  • 2 MacDuff A, Arnold A, Harvey J. BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010; 65 (Suppl. 02) ii18-ii31
  • 3 Brown SGA, Ball EL, Perrin K. et al; PSP Investigators. Conservative versus interventional treatment for spontaneous pneumothorax. N Engl J Med 2020; 382 (05) 405-415
  • 4 Ng C, Maier HT, Kocher F. et al. VATS partial pleurectomy versus VATS pleural abrasion: significant reduction in pneumothorax recurrence rates after pleurectomy. World J Surg 2018; 42 (10) 3256-3262
  • 5 Coosemans W, Lerut TE, Van Raemdonck DE. Thoracoscopic surgery: the Belgian experience. Ann Thorac Surg 1993; 56 (03) 721-730
  • 6 Maier A, Anegg U, Renner H. et al. Four-year experience with pleural abrasion using a rotating brush during video-assisted thoracoscopy. Surg Endosc 2000; 14 (01) 75-78
  • 7 Olesen WH, Katballe N, Sindby JE. et al. Surgical treatment versus conventional chest tube drainage in primary spontaneous pneumothorax: a randomized controlled trial. Eur J Cardiothorac Surg 2018; 54 (01) 113-121
  • 8 Rodriguez-Panadero F, Montes-Worboys A. Mechanisms of pleurodesis. Respiration 2012; 83 (02) 91-98
  • 9 Min X, Huang Y, Yang Y. et al. Mechanical pleurodesis does not reduce recurrence of spontaneous pneumothorax: a randomized trial. Ann Thorac Surg 2014; 98 (05) 1790-1796 , discussion 1796
  • 10 Sim SKR, Nah SA, Loh AHP, Ong LY, Chen Y. Mechanical versus chemical pleurodesis after bullectomy for primary spontaneous pneumothorax: a systemic review and meta-analysis. Eur J Pediatr Surg 2019; s-0039-s-1697959
  • 11 Gossot D, Galetta D, Stern JB. et al. Results of thoracoscopic pleural abrasion for primary spontaneous pneumothorax. Surg Endosc 2004; 18 (03) 466-471
  • 12 Kurzweg FT, Williamson JW, Daron PB, Danna SJ. Brush pleurodesis. Am Surg 1976; 42 (08) 581