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1994-08-27
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34 lines
Document 0689
DOCN M9480689
TI [The percutaneous treatment of purulent intrathoracic fluid collections
in HIV+ patients]
DT 9410
AU Ambrogi C; Cianni R; Perona F; Barile A; Ferro C; Servizio di
Radiologia, Ospedale S. M. Goretti, Latina.
SO Radiol Med (Torino). 1994 Jun;87(6):833-6. Unique Identifier : AIDSLINE
MED/94316862
AB Eighteen HIV+ patients with purulent fluid intrathoracic collections (16
pleural empyemas and 2 lung abscesses) and persistent sepsis were
treated with percutaneous drainage; all patients had received
antibiotics for 5-7 days at least. Empyemas and lung abscesses were
cured (according to clinical and radiographic criteria) in all patients
(100%). One major complication was successfully treated--i.e., a
pneumothorax with a iatrogenic lesion of the internal mammary artery,
requiring selective embolization. In our experience, CT is the method of
choice to guide lesion puncture. Van Sonnenberg Sump catheters (12-16 F)
have been inserted in the last six months with the Trocar technique. The
maneuvers were successful in all cases, with good compliance and
management of patients in a 9-25 days' period (mean: 14 days). In our
experience, the percutaneous drainage of intrathoracic fluid collections
in HIV+ patients should be considered the method of choice.
DE Adolescence Adult AIDS-Related Opportunistic
Infections/RADIOGRAPHY/*THERAPY Drainage/INSTRUMENTATION/METHODS
Empyema, Pleural/RADIOGRAPHY/*THERAPY English Abstract Female Human
HIV Seropositivity/COMPLICATIONS/RADIOGRAPHY/*THERAPY HIV-1/*IMMUNOLOGY
Lung/RADIOGRAPHY Lung Abscess/RADIOGRAPHY/*THERAPY Male Tomography,
X-Ray Computed JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).