Management of Spontaneous Pneumothorax and Postinterventional Pneumothorax: German S3-Guideline*

Jost Schnell; Meinrad Beer; Stephan Eggeling; Wolfgang Gesierich; Jens Gottlieb; Felix Herth; Hans-Stefan Hofmann; Berthold Jany; Michael Kreuter; Julia Ley-Zaporozhan; Robert Scheubel; Thorsten Walles; Sebastian Wiesemann; Heinrich Worth; Erich Stoelben

doi:10.1055/a-0588-4444

Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie, Table of Contents

Zentralbl Chir 2018; 143(S 01): S12-S43
DOI: 10.1055/a-0588-4444

Guideline/Leitlinie

Georg Thieme Verlag KG Stuttgart · New York

Management of Spontaneous Pneumothorax and Postinterventional Pneumothorax: German S3-Guideline^[*]

Article in several languages: English | deutsch

Jost Schnell

¹Lungenklinik Köln-Merheim, Lehrstuhl Thoraxchirurgie der Universität Witten-Herdecke

,

Meinrad Beer

²Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Ulm

,

Stephan Eggeling

³Klinik für Thoraxchirurgie, Vivantes Klinikum Neukölln, Berlin

,

Wolfgang Gesierich

⁴Klinik für Pneumologie, Asklepios-Fachkliniken München Gauting

,

Jens Gottlieb

⁵Klinik für Pneumologie, Medizinische Hochschule Hannover

,

Felix Herth

⁶Abteilung für Pneumologie und Beatmungsmedizin, Thoraxklinik Universitätsklinikum Heidelberg

,

Hans-Stefan Hofmann

⁷Abteilung für Thoraxchirurgie, Universitätsklinikum Regensburg

,

Berthold Jany

⁸Medizinische Klinik - Schwerpunkt Pneumologie und Beatmungsmedizin, KWM Missioklinik Würzburg

,

Michael Kreuter

⁶Abteilung für Pneumologie und Beatmungsmedizin, Thoraxklinik Universitätsklinikum Heidelberg

,

Julia Ley-Zaporozhan

⁹Klinik und Poliklinik für Radiologie, Klinikum der Ludwig-Maximilans-Universität München

,

Robert Scheubel

¹⁰Klinik für Thoraxchirurgie, Fachkliniken Wangen

,

Thorsten Walles

¹¹Abteilung Thoraxchirurgie, Universitätsklinik für Herz- und Thoraxchirurgie Magdeburg

,

Sebastian Wiesemann

¹²Klinik für Thoraxchirurgie, Universitätsklinikum Freiburg

,

Heinrich Worth

¹³Klinik für Herz- und Lungenerkrankungen, Klinikum Fürth

,

Erich Stoelben

¹Lungenklinik Köln-Merheim, Lehrstuhl Thoraxchirurgie der Universität Witten-Herdecke

› Author Affiliations

Abstract

In Germany, 10,000 cases of spontaneous pneumothorax are treated inpatient every year. The German Society for Thoracic Surgery (DGT), in co-operation with the German Society for Pulmonology (DGP), the German Radiological Society (DRG) and the German Society of Internal Medicine (DGIM) has developed an S3 guideline on spontaneous pneumothorax and postinterventional pneumothorax moderated by the German Association of Scientific Medical Societies (AWMF).

Method Based on the source guideline of the British Thoracic Society (BTS2010) for spontaneous pneumothorax, a literature search on spontaneous pneumothorax was carried out from 2008 onwards, for post-interventional pneumothorax from 1960 onwards. Evidence levels according to the Oxford Center for Evidence-Based Medicine (2011) were assigned to the relevant studies found. Recommendations according to GRADE (A: “we recommend”/“we do not recommend”, B: “we suggest”/“we do not suggest”) were determined in three consensus conferences by the nominal group process.

Results The algorithms for primary and secondary pneumothorax differ in the indication for CT scan as well as in the indication for chest drainage application and video-assisted thoracic surgery (VATS). Indication for surgery is recommended individually taking into account the risk of recurrence, life circumstances, patient preferences and procedure risks. For some forms of secondary pneumothorax, a reserved indication for surgery is recommended. Therapy of postinterventional spontaneous pneumothorax is similar to that of primary spontaneous pneumothorax.

Discussion The recommendations of the S3 Guideline provide assistance in managing spontaneous pneumothorax and post-interventional pneumothorax. Whether this will affect existing deviant diagnostic and therapeutic measures will be demonstrated by future epidemiological studies.

Key words

spontaneous pneumothorax - pneumothorax - primary spontaneous pneumothorax - secondary spontaneous pneumothorax - postinterventional pneumothorax - chest tube - VATS

Full Text

References

References/Literatur
1 MacDuff A, Arnold A, Harvey J. et al. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010; 65 (Suppl. 02) ii18-31
2 Laennec R. Traité du diagnostique des maladies des poumons et du coeur. Paris: Brosson & Chaude; 1819
3 Kjærgaard H. Spontaneous pneumothorax in the apparently healthy. Acta Med Scand (Suppl ) 1932; 43: 1e159
4 Donahue DM, Wright CD, Viale G. et al. Resection of pulmonary blebs and pleurodesis for spontaneous pneumothorax. Chest 1993; 104: 1767-1769
5 Lesur O, Delorme N, Fromaget JM. et al. Computed tomography in the etiologic assessment of idiopathic spontaneous pneumothorax. Chest 1990; 98: 341-347
6 Noppen M, Dekeukeleire T, Hanon S. et al. Fluorescein-enhanced autofluorescence thoracoscopy in patients with primary spontaneous pneumothorax and normal subjects. Am J Respir Crit Care Med 2006; 174: 26-30
7 Tanaka F, Itoh M, Esaki H. et al. Secondary spontaneous pneumothorax. Ann Thorac Surg 1993; 55: 372-376
8 Norris RM, Jones JG, Bishop JM. Respiratory gas exchange in patients with spontaneous pneumothorax. Thorax 1968; 23: 427-433
9 Mathur R, Cullen J, Kinnear WJ. et al. Time course of resolution of persistent air leak in spontaneous pneumothorax. Respir Med 1995; 89: 129-132
10 Brown SG, Ball EL, Macdonald SP. et al. Spontaneous pneumothorax; a multicentre retrospective analysis of emergency treatment, complications and outcomes. Intern Med J 2014; 44: 450-457
11 Bobbio A, Dechartres A, Bouam S. et al. Epidemiology of spontaneous pneumothorax: gender-related differences. Thorax 2015; 70: 653-658
12 Schnell J, Koryllos A, Lopez-Pastorini A. et al. Spontaneous pneumothorax. Dtsch Arztebl Int 2017; 114: 739-744
13 Noppen M. Spontaneous pneumothorax: epidemiology, pathophysiology and cause. Eur Respir Rev 2010; 19: 217-219
14 Videm V, Pillgram-Larsen J, Ellingsen O. et al. Spontaneous pneumothorax in chronic obstructive pulmonary disease: complications, treatment and recurrences. Eur J Respir Dis 1987; 71: 365-371
15 Ota H, Kawai H, Matsuo T. Treatment outcomes of pneumothorax with chronic obstructive pulmonary disease. Asian Cardiovasc Thorac Ann 2014; 22: 448-454
16 Nakajima J, Takamoto S, Murakawa T. et al. Outcomes of thoracoscopic management of secondary pneumothorax in patients with COPD and interstitial pulmonary fibrosis. Surg Endosc 2009; 23: 1536-1540
17 Kioumis IP, Zarogoulidis K, Huang H. et al. Pneumothorax in cystic fibrosis. J Thorac Dis 2014; 6 (Suppl. 04) S480-S487
18 Porpodis K, Zarogoulidis K, Spyratos D. et al. Pneumothorax and asthma. J Thorac Dis 2014; 6 (Suppl. 01) S152-S161
19 Coker RJ, Moss F, Peters B. et al. Pneumothorax in patients with AIDS. Respir Med 1993; 87: 43-47
20 Terzi E, Zarogoulidis K, Kougioumtzi I. et al. Acute respiratory distress syndrome and pneumothorax. J Thorac Dis 2014; 6 (Suppl. 04) S435-S442
21 Shamaei M, Tabarsi P, Pojhan S. et al. Tuberculosis-associated secondary pneumothorax: a retrospective study of 53 patients. Respir Care 2011; 56: 298-302
22 Ueyama M, Asakura T, Morimoto K. et al. Pneumothorax associated with nontuberculous mycobacteria: A retrospective study of 69 patients. Medicine (Baltimore) 2016; 95: e4246
23 Tazi A. Adult pulmonary Langerhansʼ cell histiocytosis. Eur Respir J 2006; 27: 1272-1285
24 Johnson SR. Lymphangioleiomyomatosis. Eur Respir J 2006; 27: 1056-1065
25 Toro JR, Pautler SE, Stewart L. et al. Lung cysts, spontaneous pneumothorax, and genetic associations in 89 families with Birt-Hogg-Dubé syndrome. Am J Respir Crit Care Med 2007; 175: 1044-1053
26 Johannesma PC, Reinhard R, Kon Y. et al. Prevalence of Birt-Hogg-Dubé syndrome in patients with apparently primary spontaneous pneumothorax. Eur Respir J 2015; 45: 1191-1194
27 Manika K, Kioumis I, Zarogoulidis K. et al. Pneumothorax in sarcoidosis. J Thorac Dis 2014; 6 (Suppl. 04) S466-S469
28 Gradica F, Gradica F, Rexha V. et al. P1.32: Primary lung cancer presenting as pneumothorax: track: advanced NSCLC. J Thorac Oncol 2016; 11 (10 Suppl.): S201-S202
29 Seo JB, Im JG, Goo JM. et al. Atypical pulmonary metastases: spectrum of radiologic findings. Radiographics 2001; 21: 403-417
30 Korom S, Canyurt H, Missbach A. et al. Catamenial pneumothorax revisited: clinical approach and systematic review of the literature. J Thorac Cardiovasc Surg 2004; 128: 502-508
31 Alifano M, Jablonski C, Kadiri H. et al. Catamenial and noncatamenial, endometriosis-related or nonendometriosis-related pneumothorax referred for surgery. Am J Respir Crit Care Med 2007; 176: 1048-1053
32 Rousset-Jablonski C, Alifano M, Plu-Bureau G. et al. Catamenial pneumothorax and endometriosis-related pneumothorax: clinical features and risk factors. Hum Reprod 2011; 26: 2322-2329
33 Terndrup TE, Bosco SF, McLean ER. Spontaneous pneumothorax complicating pregnancy–case report and review of the literature. J Emerg Med 1989; 7: 245-248
34 Noppen M, Alexander P, Driesen P. et al. Manual aspiration versus chest tube drainage in first episodes of primary spontaneous pneumothorax: a multicenter, prospective, randomized pilot study. Am J Respir Crit Care Med 2002; 165: 1240-1244
35 Olesen WH, Lindahl-Jacobson R, Katballe N. et al. recurrent primary spontaneous pneumothorax is common following chest tube and conservative treatment. World J Surg 2016; 40: 2163-2170
36 Chen JS, Chan WK, Tsai KT. et al. Simple aspiration and drainage and intrapleural minocycline pleurodesis versus simple aspiration and drainage for the initial treatment of primary spontaneous pneumothorax: an open-label, parallel-group, prospective, randomised, controlled trial. Lancet 2013; 381: 1277-1282
37 Lippert HL, Lund O, Blegvad S. et al. Independent risk factors for cumulative recurrence rate after first spontaneous pneumothorax. Eur Respir J 1991; 4: 324-331
38 Miller A. Spontaneous Pneumothorax. In: Light RW, Lee YCG. eds. Textbook of pleural diseases. 2nd edn.. London: Arnold Press; 2008: 445e63
39 OʼHara VS. Spontaneous pneumothorax. Mil Med 1978; 143: 32-35
40 Wait MA, Estrera A. Changing clinical spectrum of spontaneous pneumothorax. Am J Surg 1992; 164: 528-531
41 Vail WJ, Alway AE, England NJ. Spontaneous pneumothorax. Dis Chest 1960; 38: 512-515
42 Seremetis MG. The management of spontaneous pneumothorax. Chest 1970; 57: 65-68
43 Leigh-Smith S, Harris T. Tension pneumothorax–time for a re-think?. Emerg Med J 2005; 22: 8-16
44 Tay CK, Yee YC, Asmat A. Spontaneous hemopneumothorax: our experience with surgical management. Asian Cardiovasc Thorac Ann 2015; 23: 308-310
45 Bense L, Eklund G, Wiman LG. Smoking and the increased risk of contracting spontaneous pneumothorax. Chest 1987; 92: 1009-1012
46 Cheng YL, Huang TW, Lin CK. et al. The impact of smoking in primary spontaneous pneumothorax. J Thorac Cardiovasc Surg 2009; 138: 192-195
47 Hobbs BD, Foreman MG, Bowler R. et al. Pneumothorax risk factors in smokers with and without chronic obstructive pulmonary disease. Ann Am Thorac Soc 2014; 11: 1387-1394
48 Chang PY, Wong KS, Lai JY. et al. Rapid increase in the height and width of the upper chest in adolescents with primary spontaneous pneumothorax. Pediatr Neonatol 2015; 56: 53-57
49 Linder A. Thoraxdrainagen und Drainagesysteme – Moderne Konzepte. Bremen: UNI-Med; 2014
50 Brunelli A, Beretta E, Cassivi SD. et al. Consensus definitions to promote an evidence-based approach to management of the pleural space. A collaborative proposal by ESTS, AATS, STS, and GTSC. Eur J Cardiothorac Surg 2011; 40: 291-297
51 Bense L, Wiman LG, Hedenstierna G. Onset of symptoms in spontaneous pneumothorax: correlations to physical activity. Eur J Respir Dis 1987; 71: 181-186
52 Taveira-DaSilva AM, Burstein D, Hathaway OM. et al. Pneumothorax after air travel in lymphangioleiomyomatosis, idiopathic pulmonary fibrosis, and sarcoidosis. Chest 2009; 136: 665-670
53 Hu X, Cowl CT, Bagir M. et al. Air travel and pneumothorax. Chest 2014; 145: 688-694
54 Ozpolat B, Gözübüyük A, Koçer B. et al. Meteorological conditions related to the onset of spontaneous pneumothorax. Tohoku J Exp Med 2009; 217: 329-334
55 Haga T, Kurihara M, Kataoka H. et al. Influence of weather conditions on the onset of primary spontaneous pneumothorax: positive association with decreased atmospheric pressure. Ann Thorac Cardiovasc Surg 2013; 19: 212-215
56 Lee SH, Choi H, Kim S. et al. Association between anger and first-onset primary spontaneous pneumothorax. Gen Hosp Psychiatry 2008; 30: 331-336
57 Eryigit H, Ozkorumak E, Unaldi M. et al. Are there any psychological factors in male patients with primary spontaneous pneumothorax?. Int J Clin Exp Med 2014; 7: 1105-1109
58 Haga T, Kurihara M, Kataoka H. Risk for re-expansion pulmonary edema following spontaneous pneumothorax. Surg Today 2014; 44: 1823-1827
59 British Thoracic Society Standards of Care Commitee. Managing passengers with respiratory disease planning air travel: British Thoracic Society recommendations. Thorax 2002; 57: 289-304
60 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). S3-Leitlinie „Screening, Diagnostik und Behandlung des schädlichen und abhängigen Tabakkonsums“. Im Internet: http://www.awmf.org/uploads/tx_szleitlinien/076-006l_S3_Tabak_2015-02.pdf Stand: 09.02.2015
61 Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (AWMF). Tabakentwöhnung bei COPD. S3-Leitlinie der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin, 2014. Im Internet: http://www.awmf.org/uploads/tx_szleitlinien/020-005l_S3_Tabakentwöhnung_bei_COPD_2014-03.pdf Stand: 01.01.2014
62 Ziser A, Vaananen A, Melamed Y. Diving and chronic spontaneous pneumothorax. Chest 1985; 87: 264-265
63 British Thoracic Society Fitness to Dive Group. British Thoracic Society guidelines on respiratory aspects of fitness for diving. Thorax 2003; 58: 3-13
64 Seow A, Kazerooni EA, Pernicano PG. et al. Comparison of upright inspiratory and expiratory chest radiographs for detecting pneumothoraces. AJR Am J Roentgenol 1996; 166: 313-316
65 Thomsen L, Natho O, Feigen U. et al. Value of digital radiography in expiration in detection of pneumothorax. Rofo 2014; 186: 267-273
66 Glazer HS, Anderson DJ, Wilson BS. et al. Pneumothorax: appearance on lateral chest radiographs. Radiology 1989; 173: 707-711
67 Schramel FM, Wagenaar M, Sutedja TG. et al. [Diagnosis of pneumothorax not improved by additional roentgen pictures of the thorax in the expiration phase]. Ned Tijdschr Geneeskd 1995; 139: 131-133
68 Schramel FM, Golding RP, Haakman CD. et al. Expiratory chest radiographs do not improve visibility of small apical pneumothoraces by enhanced contrast. Eur Respir J 1996; 9: 406-409
69 Tocino IM, Miller MH, Fairfax WR. Distribution of pneumothorax in the supine and semirecumbent critically ill adult. AJR Am J Roentgenol 1985; 144: 901-905
70 Beres RA, Goodman LR. Pneumothorax: detection with upright versus decubitus radiography. Radiology 1993; 186: 19-22
71 Gordon R. The deep sulcus sign. Radiology 1980; 136: 25-27
72 Kong A. The deep sulcus sign. Radiology 2003; 228: 415-416
73 Oh JK, Ahn MI, Kim HL. et al. Retrodiaphragmatic portion of the lung: how deep is the posterior costophrenic sulcus on posteroanterior chest radiography?. Clin Radiol 2009; 64: 786-791
74 Sartori S, Tombesi P, Trevisani L. et al. Accuracy of transthoracic sonography in detection of pneumothorax after sonographically guided lung biopsy: prospective comparison with chest radiography. AJR Am J Roentgenol 2007; 188: 37-41
75 Alrajab S, Youssef AM, Akkus NI. et al. Pleural ultrasonography versus chest radiography for the diagnosis of pneumothorax: review of the literature and meta-analysis. Crit Care 2013; 17: R208
76 Alrajhi K, Woo MY, Vaillancourt C. Test characteristics of ultrasonography for the detection of pneumothorax: a systematic review and meta-analysis. Chest 2012; 141: 703-708
77 Ding W, Shen Y, Yang J. et al. Diagnosis of pneumothorax by radiography and ultrasonography: a meta-analysis. Chest 2011; 140: 859-866
78 Jalli R, Sefidbakht S, Jafari SH. Value of ultrasound in diagnosis of pneumothorax: a prospective study. Emerg Radiol 2013; 20: 131-134
79 Shostak E, Brylka D, Krepp J. et al. Bedside sonography for detection of postprocedure pneumothorax. J Ultrasound Med 2013; 32: 1003-1009
80 Vezzani A Brusasco C, Palermo S. et al. Ultrasound localization of central vein catheter and detection of postprocedural pneumothorax: an alternative to chest radiography. Crit Care Med 2010; 38: 533-538
81 Volpicelli G, Boero E, Sverzellati N. et al. Semi-quantification of pneumothorax volume by lung ultrasound. Intensive Care Med 2014; 40: 1460-1467
82 Xirouchaki N, Magkanas E, Vaporidi K. et al. Lung ultrasound in critically ill patients: comparison with bedside chest radiography. Intensive Care Med 2011; 37: 1488-1493
83 Kreuter M, Mathis G. Emergency ultrasound of the chest. Respiration 2014; 87: 89-97
84 Lee KH, Kim KW, Kim EY. et al. Detection of blebs and bullae in patients with primary spontaneous pneumothorax by multi-detector CT reconstruction using different slice thicknesses. J Med Imaging Radiat Oncol 2014; 58: 663-667
85 Laituri CA, Valusek PA, Rivard DC. et al. The utility of computed tomography in the management of patients with spontaneous pneumothorax. J Pediatr Surg 2011; 46: 1523-1525
86 Casali C, Stefani A, Ligabue G. et al. Role of blebs and bullae detected by high-resolution computed tomography and recurrent spontaneous pneumothorax. Ann Thorac Surg 2013; 95: 249-255
87 AG Thoraxdiagnostik in der Deutschen Röntgengesellschaft. Stellungnahmen und Empfehlungen. Protokollempfehlungen für die Computertomographie der Lunge: Konsensus der Arbeitsgemeinschaft Thoraxdiagnostik der DRG. Im Internet: http://www.ag-thorax.drg.de/de-DE/376/stellungnahmen-und-empfehlungen Stand: 28.06.2016
88 Collins CD, Lopez A, Mathie A. et al. Quantification of pneumothorax size on chest radiographs using interpleural distances: regression analysis based on volume measurements from helical CT. AJR Am J Roentgenol 1995; 165: 1127-1130
89 Sayar A, Kök A, Citak N. et al. Size of pneumothorax can be a new indication for surgical treatment in primary spontaneous pneumothorax: a prospective study. Ann Thorac Cardiovasc Surg 2014; 20: 192-197
90 Ryu KM, Seo PW, Park S. et al. Complete atelectasis of the lung in patients with primary spontaneous pneumothorax. Ann Thorac Surg 2009; 87: 875-879
91 [Anonymous] Conservative management of spontaneous pneumothorax. Lancet 1984; 1: 687-689
92 Stradling P, Poole G. Conservative management of spontaneous pneumothorax. Thorax 1966; 21: 145-149
93 Hart GJ, Stokes TC, Couch AH. Spontaneous pneumothorax in Norfolk. Br J Dis Chest 1983; 77: 164-170
94 OʼRourke JP, Yee ES. Civilian spontaneous pneumothorax. Treatment options and long-term results. Chest 1989; 96: 1302-1306
95 Chiu CY, Chen TP, Wang CJ. et al. Factors associated with proceeding to surgical intervention and recurrence of primary spontaneous pneumothorax in adolescent patients. Eur J Pediatr 2014; 173: 1483-1490
96 Ashby M, Haug G, Mulcahy P. et al. Conservative versus interventional management for primary spontaneous pneumothorax in adults. Cochrane Database Syst Rev 2014; (12) CD010565
97 Chadha TS, Cohn MA. Noninvasive treatment of pneumothorax with oxygen inhalation. Respiration 1983; 44: 147-152
98 Kircher jr. LT, Swartzel RL. Spontaneous pneumothorax and its treatment. J Am Med Assoc 1954; 155: 24-29
99 Kelly AM, Loy J, Tsang AY. et al. Estimating the rate of re-expansion of spontaneous pneumothorax by a formula derived from computed tomography volumetry studies. Emerg Med J 2006; 23: 780-782
100 Northfield TC. Oxygen therapy for spontaneous pneumothorax. Br Med J 1971; 4: 86-88
101 Massongo M, Leroy S, Scherpereel A. et al. Outpatient management of primary spontaneous pneumothorax: a prospective study. Eur Respir J 2014; 43: 582-590
102 Karasaki T, Shintomi S, Nomura Y. et al. Outcomes of outpatient treatment for primary spontaneous pneumothorax using a small-bore portable thoracic drainage device. Thorac Cardiovasc Surg 2014; 62: 516-520
103 Voisin F, Sohier L, Rochas Y. et al. Ambulatory management of large spontaneous pneumothorax with pigtail catheters. Ann Emerg Med 2014; 64: 222-228
104 Ho KK, Ong ME, Koh MS. et al. A randomized controlled trial comparing minichest tube and needle aspiration in outpatient management of primary spontaneous pneumothorax. Am J Emerg Med 2011; 29: 1152-1157
105 Aslam MI, Martin-Ucar AE, Nakas A. et al. Surgical management of pneumothorax: significance of effective admission or communication strategies between the district general hospitals and specialized unit. Interact Cardiovasc Thorac Surg 2011; 13: 494-498
106 Harvey J, Prescott RJ. Simple aspiration versus intercostal tube drainage for spontaneous pneumothorax in patients with normal lungs. British Thoracic Society Research Committee. BMJ 1994; 309: 1338-1339
107 Ayed AK, Chandrasekaran C, Sukumar M. Aspiration versus tube drainage in primary spontaneous pneumothorax: a randomised study. Eur Respir J 2006; 27: 477-482
108 Masood I, Ahmad Z, Pandey DK. et al. Role of simple needle aspiration in the management of spontaneous pneumothorax. J Assoc Physicians India 2007; 55: 628-629
109 Devanand A, Koh MS, Ong TH. et al. Simple aspiration versus chest-tube insertion in the management of primary spontaneous pneumothorax: a systematic review. Respir Med 2004; 98: 579-590
110 Zehtabchi S, Rios CL. Management of emergency department patients with primary spontaneous pneumothorax: needle aspiration or tube thoracostomy?. Ann Emerg Med 2008; 51: 91-100.e1
111 Wakai A, OʼSullivan RG, McCabe G. Simple aspiration versus intercostal tube drainage for primary spontaneous pneumothorax in adults. Cochrane Database Syst Rev 2007; (01) CD004479
112 Vedam H, Barnes DJ. Comparison of large- and small-bore intercostal catheters in the management of spontaneous pneumothorax. Intern Med J 2003; 33: 495-499
113 Aguinagalde B, Zabaleta J, Fuentes M. et al. Percutaneous aspiration versus tube drainage for spontaneous pneumothorax: systematic review and meta-analysis. Eur J Cardiothorac Surg 2010; 37: 1129-1135
114 Nishiuma T Ohnishi H, Katsurada N. et al. Evaluation of simple aspiration therapy in the initial treatment for primary spontaneous pneumothorax. Intern Med 2012; 51: 1329-1333
115 Iepsen UW, Ringbaek T. Small-bore chest tubes seem to perform better than larger tubes in treatment of spontaneous pneumothorax. Dan Med J 2013; 60: A4644
116 Benton IJ, Benfield GF. Comparison of a large and small-calibre tube drain for managing spontaneous pneumothoraces. Respir Med 2009; 103: 1436-1440
117 Carson-Chahhoud KV, Wakai A, van Agteren JE. et al. Simple aspiration versus intercostal tube drainage for primary spontaneous pneumothorax in adults. Cochrane Database Syst Rev 2017; (09) CD004479
118 Akowuah E, Ho EC, George R. et al. Less pain with flexible fluted silicone chest drains than with conventional rigid chest tubes after cardiac surgery. J Thorac Cardiovasc Surg 2002; 124: 1027-1028
119 Kuo HC, Lin YJ, Huang CF. et al. Small-bore pigtail catheters for the treatment of primary spontaneous pneumothorax in young adolescents. Emerg Med J 2013; 30: e17
120 Almind M, Lange P, Viskum V. Spontaneous pneumothorax: comparison of simple drainage, talc pleurodesis, and tetracycline pleurodesis. Thorax 1989; 44: 627-630
121 Light RW, OʼHara VS, Moritz TE. et al. Intrapleural tetracycline for the prevention of recurrent spontaneous pneumothorax. Results of a Department of Veterans Affairs cooperative study. JAMA 1990; 264: 2224-2230
122 Agarwal R, Khan A, Aggarwal AN. et al. Efficacy & safety of iodopovidone pleurodesis: a systematic review & meta-analysis. Indian J Med Res 2012; 135: 297-304
123 How CH, Tsai TM, Kuo SW. et al. Chemical pleurodesis for prolonged postoperative air leak in primary spontaneous pneumothorax. J Formos Med Assoc 2014; 113: 284-290
124 Chambers A, Routledge T, Billè A. et al. Is blood pleurodesis effective for determining the cessation of persistent air leak?. Interact Cardiovasc Thorac Surg 2010; 11: 468-472
125 So SY, Yu DY. Catheter drainage of spontaneous pneumothorax: suction or no suction, early or late removal?. Thorax 1982; 37: 46-48
126 Sharma TN, Agnihotri SP, Jain NK. et al. Intercostal tube thoracostomy in pneumothorax–factors influencing re-expansion of lung. Indian J Chest Dis Allied Sci 1988; 30: 32-35
127 Reed MF, Lyons JM, Luchette FA. et al. Preliminary report of a prospective, randomized trial of underwater seal for spontaneous and iatrogenic pneumothorax. J Am Coll Surg 2007; 204: 84-90
128 Marquette CH, Marx A, Leroy S. et al. Simplified stepwise management of primary spontaneous pneumothorax: a pilot study. Eur Respir J 2006; 27: 470-476
129 Munnell ER. Thoracic drainage. Ann Thorac Surg 1997; 63: 1497-1502
130 Jablonski S, Brocki M, Wawrzycki M. et al. Efficacy assessment of the drainage with permanent airflow measurement in the treatment of pneumothorax with air leak. Thorac Cardiovasc Surg 2014; 62: 509-515
131 Matsuura Y, Nomimura T, Murakami H. et al. Clinical analysis of reexpansion pulmonary edema. Chest 1991; 100: 1562-1566
132 Mahfood S Hix WR, Aaron BL. et al. Reexpansion pulmonary edema. Ann Thorac Surg 1988; 45: 340-345
133 Luh SP, Tsao TC. Video-assisted thoracic surgery for spontaneous haemopneumothorax. Respirology 2007; 12: 443-447
134 Hwong TM, Ng CS, Lee TW. et al. Video-assisted thoracic surgery for primary spontaneous hemopneumothorax. Eur J Cardiothorac Surg 2004; 26: 893-896
135 Chou SH, Li HP, Lee JY. et al. Is prophylactic treatment of contralateral blebs in patients with primary spontaneous pneumothorax indicated?. J Thorac Cardiovasc Surg 2010; 139: 1241-1245
136 Tat LC. Shorter symptoms onset to emergency department presentation time predicts failure of needle aspiration in primary spontaneous pneumothorax. Hong Kong J Emerg Med 2014; 21: 16-22
137 Ganesalingam R, OʼNeil RA, Shadbolt B. et al. Radiological predictors of recurrent primary spontaneous pneumothorax following non-surgical management. Heart Lung Circ 2010; 19: 606-610
138 Passlick B, Born C, Sienel W. et al. Incidence of chronic pain after minimal-invasive surgery for spontaneous pneumothorax. Eur J Cardiothorac Surg 2001; 19: 355-358
139 Sihoe AD, Au SS, Cheung ML. et al. Incidence of chest wall paresthesia after video-assisted thoracic surgery for primary spontaneous pneumothorax. Eur J Cardiothorac Surg 2004; 25: 1054-1058
140 Granke K, Fischer CR, Gago O. et al. The efficacy and timing of operative intervention for spontaneous pneumothorax. Ann Thorac Surg 1986; 42: 540-542
141 Chee CB, Abisheganaden J, Yeo JK. et al. Persistent air-leak in spontaneous pneumothorax–clinical course and outcome. Respir Med 1998; 92: 757-761
142 Barker A, Maratos EC, Edmonds L. et al. Recurrence rates of video-assisted thoracoscopic versus open surgery in the prevention of recurrent pneumothoraces: a systematic review of randomised and non-randomised trials. Lancet 2007; 370: 329-335
143 Vohra HA, Adamson L, Weeden DF. Does video-assisted thoracoscopic pleurectomy result in better outcomes than open pleurectomy for primary spontaneous pneumothorax?. Interact Cardiovasc Thorac Surg 2008; 7: 673-677
144 Thévenet F, Gamondès JP, Bodzongo D. et al. [Spontaneous and recurrent pneumothorax. Surgical treatment. Apropos of 278 cases]. Ann Chir 1992; 46: 165-169
145 Weeden D, Smith GH. Surgical experience in the management of spontaneous pneumothorax, 1972–82. Thorax 1983; 38: 737-743
146 Körner H, Andersen KS, Stangeland L. et al. Surgical treatment of spontaneous pneumothorax by wedge resection without pleurodesis or pleurectomy. Eur J Cardiothorac Surg 1996; 10: 656-659
147 Thomas P, Le Mee F, Le Hors H. et al. [Results of surgical treatment of persistent or recurrent pneumothorax]. Ann Chir 1993; 47: 136-140
148 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: 1790-1796
149 Chen JS, Hsu HH, Huang PM. et al. Thoracoscopic pleurodesis for primary spontaneous pneumothorax with high recurrence risk: a prospective randomized trial. Ann Surg 2012; 255: 440-445
150 Cran IR, Rumball CA. Survey of spontaneous pneumothoraces in the Royal Air Force. Thorax 1967; 22: 462-465
151 Sihoe AD, Yim AP, Lee TW. et al. Can CT scanning be used to select patients with unilateral primary spontaneous pneumothorax for bilateral surgery?. Chest 2000; 118: 380-383
152 Schramel FM, Postmus PE, Vanderschueren RG. Current aspects of spontaneous pneumothorax. Eur Respir J 1997; 10: 1372-1379
153 Sahn SA, Heffner JE. Spontaneous pneumothorax. N Engl J Med 2000; 342: 868-874
154 Jain SK, Al-Kattan KM, Hamdy MG. Spontaneous pneumothorax: determinants of surgical intervention. J Cardiovasc Surg (Torino) 1998; 39: 107-111
155 Pagès PB Delpy JP, Falcoz PE. et al. Videothoracoscopy versus thoracotomy for the treatment of spontaneous pneumothorax: a propensity score analysis. Ann Thorac Surg 2015; 99: 258-263
156 Foroulis CN, Anastasiadis K, Charokopos N. et al. A modified two-port thoracoscopic technique versus axillary minithoracotomy for the treatment of recurrent spontaneous pneumothorax: a prospective randomized study. Surg Endosc 2012; 26: 607-614
157 Joshi V, Kirmani B, Zacharias J. Thoracotomy versus VATS: is there an optimal approach to treating pneumothorax?. Ann R Coll Surg Engl 2013; 95: 61-64
158 Chou SH, Chuang IC, Huang MF. et al. Comparison of needlescopic and conventional video-assisted thoracic surgery for primary spontaneous pneumothorax. Minim Invasive Ther Allied Technol 2012; 21: 168-172
159 Czerny M, Salat A, Fleck T. et al. Lung wedge resection improves outcome in stage I primary spontaneous pneumothorax. Ann Thorac Surg 2004; 77: 1802-1805
160 Al-Tarshihi MI. Comparison of the efficacy and safety of video-assisted thoracoscopic surgery with the open method for the treatment of primary pneumothorax in adults. Ann Thorac Med 2008; 3: 9-12
161 Inderbitzi RG, Leiser A, Furrer M. et al. Three yearsʼ experience in video-assisted thoracic surgery (VATS) for spontaneous pneumothorax. J Thorac Cardiovasc Surg 1994; 107: 1410-1415
162 Deslauriers J, Beaulieu M, Després JP. et al. Transaxillary pleurectomy for treatment of spontaneous pneumothorax. Ann Thorac Surg 1980; 30: 569-574
163 Waller DA, Forty J, Morritt GN. Video-assisted thoracoscopic surgery versus thoracotomy for spontaneous pneumothorax. Ann Thorac Surg 1994; 58: 372-376
164 Sedrakyan A, van der Meulen J, Lewsey J. et al. Video assisted thoracic surgery for treatment of pneumothorax and lung resections: systematic review of randomised clinical trials. BMJ 2004; 329: 1008
165 Dumont P, Diemont F, Massard G. et al. Does a thoracoscopic approach for surgical treatment of spontaneous pneumothorax represent progress?. Eur J Cardiothorac Surg 1997; 11: 27-31
166 Mouroux J, Elkaïm D, Padovani B. et al. Video-assisted thoracoscopic treatment of spontaneous pneumothorax: technique and results of one hundred cases. J Thorac Cardiovasc Surg 1996; 112: 385-391
167 Bertrand PC, Regnard JF, Spaggiari L. et al. Immediate and long-term results after surgical treatment of primary spontaneous pneumothorax by VATS. Ann Thorac Surg 1996; 61: 1641-1645
168 Gebhard FT, Becker HP, Gerngross H. et al. Reduced inflammatory response in minimal invasive surgery of pneumothorax. Arch Surg 1996; 131: 1079-1082
169 Cole jr. FH, Cole FH, Khandekar A. et al. Video-assisted thoracic surgery: primary therapy for spontaneous pneumothorax?. Ann Thorac Surg 1995; 60: 931-933
170 Sekine Y, Miyata Y, Yamata K. et al. Video-assisted thoracoscopic surgery does not deteriorate postoperative pulmonary gas exchange in spontaneous pneumothorax patients. Eur J Cardiothorac Surg 1999; 16: 48-53
171 Balduyck B, Hendriks J, Lauwers P. et al. Quality of life evolution after surgery for primary or secondary spontaneous pneumothorax: a prospective study comparing different surgical techniques. Interact Cardiovasc Thorac Surg 2008; 7: 45-49
172 Nakanishi K. Long-term effect of a thoracoscopic stapled bullectomy alone for preventing the recurrence of primary spontaneous pneumothorax. Surg Today 2009; 39: 553-557
173 Sepehripour AH, Nasir A, Shah R. Does mechanical pleurodesis result in better outcomes than chemical pleurodesis for recurrent primary spontaneous pneumothorax?. Interact Cardiovasc Thorac Surg 2012; 14: 307-311
174 Ingolfsson I, Gyllstedt E, Lillo-Gil R. et al. Reoperations are common following VATS for spontaneous pneumothorax: study of risk factors. Interact Cardiovasc Thorac Surg 2006; 5: 602-607
175 Freixinet JL, Canalís E, Juliá G. et al. Axillary thoracotomy versus videothoracoscopy for the treatment of primary spontaneous pneumothorax. Ann Thorac Surg 2004; 78: 417-420
176 Kim KH, Kim HK, Han JT. et al. Transaxillary minithoracotomy versus video-assisted thoracic surgery for spontaneous pneumothorax. Ann Thorac Surg 1996; 61: 1510-1512
177 Rena O, Massera F, Papalia E. et al. Surgical pleurodesis for Vanderschuerenʼs stage III primary spontaneous pneumothorax. Eur Respir J 2008; 31: 837-841
178 Chung WJ, Jo WM, Lee SH. et al. Effects of additional pleurodesis with dextrose and talc-dextrose solution after video assisted thoracoscopic procedures for primary spontaneous pneumothorax. J Korean Med Sci 2008; 23: 284-287
179 Massard G, Thomas P, Wihlm PM. Minimally invasive management for first and recurrent pneumothorax. Ann Thorac Surg 1998; 66: 592-599
180 Kennedy L, Sahn SA. Talc pleurodesis for the treatment of pneumothorax and pleural effusion. Chest 1994; 106: 1215-1222
181 Tschopp JM, Brutsche M, Frey JG. Treatment of complicated spontaneous pneumothorax by simple talc pleurodesis under thoracoscopy and local anaesthesia. Thorax 1997; 52: 329-332
182 Olsen PS, Andersen HO. Long-term results after tetracycline pleurodesis in spontaneous pneumothorax. Ann Thorac Surg 1992; 53: 1015-1017
183 Rinaldo JE, Owens GR, Rogers RM. Adult respiratory distress syndrome following intrapleural instillation of talc. J Thorac Cardiovasc Surg 1983; 85: 523-526
184 Maskell NA, Lee YC, Gleeson FV. et al. Randomized trials describing lung inflammation after pleurodesis with talc of varying particle size. Am J Respir Crit Care Med 2004; 170: 377-382
185 Schoenenberger RA, Haefeli WE, Weiss P. et al. Timing of invasive procedures in therapy for primary and secondary spontaneous pneumothorax. Arch Surg 1991; 126: 764-766
186 OʼDriscoll BR, Howard LS, Davison AG. et al. BTS guideline for emergency oxygen use in adult patients. Thorax 2008; 63 (Suppl. 06) vi1-68
187 Brims FJ, Maskell NA. Ambulatory treatment in the management of pneumothorax: a systematic review of the literature. Thorax 2013; 68: 664-669
188 Ichinose J, Nagayama K, Hino H. et al. Results of surgical treatment for secondary spontaneous pneumothorax according to underlying diseases. Eur J Cardiothorac Surg 2016; 49: 1132-1136
189 Tsai WK, Chen W, Lee JC. et al. Pigtail catheters vs. large-bore chest tubes for management of secondary spontaneous pneumothoraces in adults. Am J Emerg Med 2006; 24: 795-800
190 Contou D, Razazi K, Katsahian S. et al. Small-bore catheter versus chest tube drainage for pneumothorax. Am J Emerg Med 2012; 30: 1407-1413
191 Aihara K, Handa T, Nagai S. et al. Efficacy of blood-patch pleurodesis for secondary spontaneous pneumothorax in interstitial lung disease. Intern Med 2011; 50: 1157-1162
192 Cao GQ, Kang J, Wang F. et al. Intrapleural instillation of autologous blood for persistent air leak in spontaneous pneumothorax in patients with advanced chronic obstructive pulmonary disease. Ann Thorac Surg 2012; 93: 1652-1657
193 Ng CK, Ko FW, Chan JW. et al. Minocycline and talc slurry pleurodesis for patients with secondary spontaneous pneumothorax. Int J Tuberc Lung Dis 2010; 14: 1342-1346
194 Travaline JM, McKenna jr. RJ, De Giacomo T. et al. Treatment of persistent pulmonary air leaks using endobronchial valves. Chest 2009; 136: 355-360
195 Jiang L, Jiang G, Zhu Y. et al. Risk factors predisposing to prolonged air leak after video-assisted thoracoscopic surgery for spontaneous pneumothorax. Ann Thorac Surg 2014; 97: 1008-1013
196 Park KT. The usefulness of two-port video-assisted thoracosopic surgery in low-risk patients with secondary spontaneous pneumothorax compared with open thoracotomy. Ann Thorac Med 2014; 9: 29-32
197 Isaka M, Asai K, Urabe N. Surgery for secondary spontaneous pneumothorax: risk factors for recurrence and morbidity. Interact Cardiovasc Thorac Surg 2013; 17: 247-252
198 Zhang Y, Jiang G, Chen C. et al. Surgical management of secondary spontaneous pneumothorax in elderly patients with chronic obstructive pulmonary disease: retrospective study of 107 cases. Thorac Cardiovasc Surg 2009; 57: 347-352
199 Shigemura N, Bhama J, Gries CJ. et al. Lung transplantation in patients with prior cardiothoracic surgical procedures. Am J Transplant 2012; 12: 1249-1255
200 Qureshi R, Nugent A, Hayat J. et al. Should surgical pleurectomy for spontaneous pneumothorax be always thoracoscopic?. Interact Cardiovasc Thorac Surg 2008; 7: 569-572
201 Lee P, Yap WS, Pek WY. et al. An audit of medical thoracoscopy and talc poudrage for pneumothorax prevention in advanced COPD. Chest 2004; 125: 1315-1320
202 Kim SJ, Lee HS, Kim HS. et al. Outcome of video-assisted thoracoscopic surgery for spontaneous secondary pneumothorax. Korean J Thorac Cardiovasc Surg 2011; 44: 225-228
203 Lal A, Anderson G, Cowen M. et al. Pneumothorax and pregnancy. Chest 2007; 132: 1044-1048
204 Ayyappan AP, Souza CA, Seely J. et al. Ultrathin fine-needle aspiration biopsy of the lung with transfissural approach: does it increase the risk of pneumothorax?. AJR Am J Roentgenol 2008; 191: 1725-1729
205 Chakrabarti B, Earis JE, Pandey R. et al. Risk assessment of pneumothorax and pulmonary haemorrhage complicating percutaneous co-axial cutting needle lung biopsy. Respir Med 2009; 103: 449-455
206 De Filippo M, Saba L, Silva M. et al. CT-guided biopsy of pulmonary nodules: is pulmonary hemorrhage a complication or an advantage?. Diagn Interv Radiol 2014; 20: 421-425
207 Asai N, Kawamura Y, Yamazaki I. et al. Is emphysema a risk factor for pneumothorax in CT-guided lung biopsy?. Springerplus 2013; 2: 196
208 Gupta S, Hicks WE, Wallace MJ. et al. Outpatient management of postbiopsy pneumothorax with small-caliber chest tubes: factors affecting the need for prolonged drainage and additional interventions. Cardiovasc Intervent Radiol 2008; 31: 342-348
209 Hiraki T, Mimura H, Gobara H. et al. Incidence of and risk factors for pneumothorax and chest tube placement after CT fluoroscopy-guided percutaneous lung biopsy: retrospective analysis of the procedures conducted over a 9-year period. AJR Am J Roentgenol 2010; 194: 809-814
210 Khan MF, Straub R, Moghaddam SR. et al. Variables affecting the risk of pneumothorax and intrapulmonal hemorrhage in CT-guided transthoracic biopsy. Eur Radiol 2008; 18: 1356-1363
211 Nakamura M, Yoshizako T, Koyama S. et al. Risk factors influencing chest tube placement among patients with pneumothorax because of CT-guided needle biopsy of the lung. J Med Imaging Radiat Oncol 2011; 55: 474-478
212 Vatrella A, Galderisi A, Nicoletta C. et al. Age as a risk factor in the occurrence of pneumothorax after transthoracic fine needle biopsy: our experience. Int J Surg 2014; 12 (Suppl. 02) S29-S32
213 Accordino MK, Wright JD, Buono D. et al. Trends in use and safety of image-guided transthoracic needle biopsies in patients with cancer. J Oncol Pract 2015; 11: e351-e359
214 Anderson CL, Crespo JC, Lie TH. Risk of pneumothorax not increased by obstructive lung disease in percutaneous needle biopsy. Chest 1994; 105: 1705-1708
215 Choi CM, Um SW, Yoo CG. et al. Incidence and risk factors of delayed pneumothorax after transthoracic needle biopsy of the lung. Chest 2004; 126: 1516-1521
216 Covey AM, Gandhi R, Brody LA. et al. Factors associated with pneumothorax and pneumothorax requiring treatment after percutaneous lung biopsy in 443 consecutive patients. J Vasc Interv Radiol 2004; 15: 479-483
217 Fish GD, Stanley JH, Miller KS. et al. Postbiopsy pneumothorax: estimating the risk by chest radiography and pulmonary function tests. AJR Am J Roentgenol 1988; 150: 71-74
218 García-Río F, Pino JM, Casadevall J. et al. Use of spirometry to predict risk of pneumothorax in CT-guided needle biopsy of the lung. J Comput Assist Tomogr 1996; 20: 20-23
219 Geraghty PR, Kee ST, McFarlane G. et al. CT-guided transthoracic needle aspiration biopsy of pulmonary nodules: needle size and pneumothorax rate. Radiology 2003; 229: 475-481
220 Kim JI, Park CM, Lee SM. et al. Rapid needle-out patient-rollover approach after cone beam CT-guided lung biopsy: effect on pneumothorax rate in 1,191 consecutive patients. Eur Radiol 2015; 25: 1845-1853
221 Topal U, Ediz B. Transthoracic needle biopsy: factors effecting risk of pneumothorax. Eur J Radiol 2003; 48: 263-267
222 Vitulo P, Dore R, Cervini I. et al. The role of functional respiratory tests in predicting pneumothorax during lung needle biopsy. Chest 1996; 109: 612-615
223 Huang CT, Ruan SY, Liao WY. et al. Risk factors of pneumothorax after endobronchial ultrasound-guided transbronchial biopsy for peripheral lung lesions. PLoS One 2012; 7: e49125
224 Izbicki G, Shitrit D, Yarmolovsky A. et al. Is routine chest radiography after transbronchial biopsy necessary? A prospective study of 350 cases. Chest 2006; 129: 1561-1564
225 Kreuter M, Eberhardt R, Wenz H. et al. [Diagnostic value of transthoracic ultrasound compared to chest radiography in the detection of a post-interventional pneumothorax]. Ultraschall Med 2011; 32 (Suppl. 02) E20-E23
226 Kumar S, Agarwal R, Aggarwal AN. et al. Role of ultrasonography in the diagnosis and management of pneumothorax following transbronchial lung biopsy. J Bronchology Interv Pulmonol 2015; 22: 14-19
227 Reissig A, Kroegel D. Accuracy of transthoracic sonography in excluding post-interventional pneumothorax and hydropneumothorax. Comparison to chest radiography. Eur J Radiol 2005; 53: 463-470
228 Casoni GL, Tomassetti S, Cavazza A. et al. Transbronchial lung cryobiopsy in the diagnosis of fibrotic interstitial lung diseases. PLoS One 2014; 9: e86716
229 Ault MJ, Rosen BT, Scher J. et al. Thoracentesis outcomes: a 12-year experience. Thorax 2015; 70: 127-132
230 Colt HG, Brewer N, Barbur E. Evaluation of patient-related and procedure-related factors contributing to pneumothorax following thoracentesis. Chest 1999; 116: 134-138
231 Doyle JJ, Hnatiuk OW, Torrington KG. et al. Necessity of routine chest roentgenography after thoracentesis. Ann Intern Med 1996; 124: 816-820
232 Pihlajamaa K, Bode MK, Puumalainen T. et al. Pneumothorax and the value of chest radiography after ultrasound-guided thoracocentesis. Acta Radiol 2004; 45: 828-832
233 Shieh L, Go M, Gessner D. et al. Improving and sustaining a reduction in iatrogenic pneumothorax through a multifaceted quality-improvement approach. J Hosp Med 2015; 10: 599-607
234 Harrington KJ, Pandha HS, Hollyer JS. et al. Risk factors for pneumothorax during percutaneous Hickman line insertion in patients with solid and haematological tumours. Clin Oncol (R Coll Radiol) 1995; 7: 373-376
235 Kirkfeldt RE, Johansen JB, Nohr EA. et al. Pneumothorax in cardiac pacing: a population-based cohort study of 28,860 Danish patients. Europace 2012; 14: 1132-1138
236 Kirkfeldt RE, Johansen JB, Nohr EA. et al. Complications after cardiac implantable electronic device implantations: an analysis of a complete, nationwide cohort in Denmark. Eur Heart J 2014; 35: 1186-1194
237 Davey C, Zoumot Z, Jordan S. et al. Bronchoscopic lung volume reduction with endobronchial valves for patients with heterogeneous emphysema and intact interlobar fissures (the BeLieVeR-HIFi study): a randomised controlled trial. Lancet 2015; 386: 1066-1073
238 Klooster K, ten Hacken NH, Hartman JE. et al. Endobronchial valves for emphysema without interlobar collateral ventilation. N Engl J Med 2015; 373: 2325-2335
239 Herth FJ, Eberhardt R, Gompelmann D. et al. Radiological and clinical outcomes of using Chartis^™ to plan endobronchial valve treatment. Eur Respir J 2013; 41: 302-308
240 Valipour A, Slebos DJ, Herth F. et al. Endobronchial valve therapy in patients with homogeneous emphysema. Results from the IMPACT study. Am J Respir Crit Care Med 2016; 194: 1073-1082
241 Shah PL, Zoumot Z, Singh S. et al. Endobronchial coils for the treatment of severe emphysema with hyperinflation (RESET): a randomised controlled trial. Lancet Respir Med 2013; 1: 233-240
242 Deslée G, Mal H, Dutau H. et al. Lung volume reduction coil treatment vs. usual care in patients with severe emphysema: the REVOLENS randomized clinical trial. JAMA 2016; 315: 175-184
243 Sciurba FC, Criner GJ, Strange C. et al. Effect of endobronchial coils vs. usual care on exercise tolerance in patients with severe emphysema: the RENEW randomized clinical trial. JAMA 2016; 315: 2178-2189
244 Herth FJ, Valipour A, Shah PL. et al. Segmental volume reduction using thermal vapour ablation in patients with severe emphysema: 6-month results of the multicentre, parallel-group, open-label, randomised controlled STEP-UP trial. Lancet Respir Med 2016; 4: 185-193
245 Perlmutt LM, Braun SD, Newman GE. et al. Timing of chest film follow-up after transthoracic needle aspiration. AJR Am J Roentgenol 1986; 146: 1049-1050
246 Byrd jr. RP, Fields-Ossorio C, Roy TM. Delayed chest radiographs and the diagnosis of pneumothorax following CT-guided fine needle aspiration of pulmonary lesions. Respir Med 1999; 93: 379-381
247 Gompelmann D, Lim HJ, Eberhardt R. et al. Predictors of pneumothorax following endoscopic valve therapy in patients with severe emphysema. Int J Chron Obstruct Pulmon Dis 2016; 11: 1767-1773
248 Du Rand IA, Blaikley J, Booton R. et al. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE. Thorax 2013; 68 (Suppl. 01) i1-i44
249 Izbicki G, Romem A, Arish N. et al. Avoiding routine chest radiography after transbronchial biopsy is safe. Respiration 2016; 92: 176-181
250 Garofalo G, Busso M, Peretto F. et al. Ultrasound diagnosis of pneumothorax. Radiol Med 2006; 111: 516-525
251 Nour-Eldin NE, Naguib NN, Saeed AS. et al. Risk factors involved in the development of pneumothorax during radiofrequency ablation of lung neoplasms. AJR Am J Roentgenol 2009; 193: W43-W48
252 Nour-Eldin NE, Naguib NN, Tawfik AM. et al. Outcomes of an algorithmic approach to management of pneumothorax complicating thermal ablation of pulmonary neoplasms. J Vasc Interv Radiol 2011; 22: 1279-1286
253 Malone LJ, Stanfill RM, Wang H. et al. Effect of intraparenchymal blood patch on rates of pneumothorax and pneumothorax requiring chest tube placement after percutaneous lung biopsy. AJR Am J Roentgenol 2013; 200: 1238-1243
254 Yamagami T, Terayama K, Yoshimatsu R. et al. Role of manual aspiration in treating pneumothorax after computed tomography-guided lung biopsy. Acta Radiol 2009; 50: 1126-1133
255 Havelock T, Teoh R, Laws D. et al. Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax 2010; 65 (Suppl. 02) ii61-ii76
256 Abbasi S, Farsi D, Hafezimoghadam P. et al. Accuracy of emergency physician-performed ultrasound in detecting traumatic pneumothorax after a 2-h training course. Eur J Emerg Med 2013; 20: 173-177
257 Refaat R, Abdurrahman LA. The diagnostic performance of chest ultrasonography in the up-to-date work-up of the critical care setting. Egyptian J Radiol Nucl Med 2013; 44: 779-789

Management of Spontaneous Pneumothorax and Postinterventional Pneumothorax: German S3-Guideline[*]

Management of Spontaneous Pneumothorax and Postinterventional Pneumothorax: German S3-Guideline^[*]