Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy
Medical thoracoscopy, also called “local anesthetic thoracoscopy” and “pleuroscopy,” is a minimally invasive single‐port endoscopic technique that provides direct visualization of the pleural surfaces and channels to conduct diagnostic and therapeutic procedures. However, this technique is not helpf...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.498 |
| _version_ | 1819169179264090112 |
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| author | Satoshi Terashita Hiroaki Kawachi Tomoko Tajiri Susumu Noguchi Tatsuyoshi Ikeue Takakazu Sugita |
| author_facet | Satoshi Terashita Hiroaki Kawachi Tomoko Tajiri Susumu Noguchi Tatsuyoshi Ikeue Takakazu Sugita |
| author_sort | Satoshi Terashita |
| collection | DOAJ |
| description | Medical thoracoscopy, also called “local anesthetic thoracoscopy” and “pleuroscopy,” is a minimally invasive single‐port endoscopic technique that provides direct visualization of the pleural surfaces and channels to conduct diagnostic and therapeutic procedures. However, this technique is not helpful when substantial fibrous adhesions exist. We reported the first case of intrapleural urokinase directly under medical thoracoscopy for the diagnosis of malignant pleural mesothelioma with severe multiloculated pleural effusions in 2019. This is the second report regarding the efficacy of intrapleural urokinase directly under medical thoracoscopy for the diagnosis of multiloculated pleural effusions. Urokinase‐induced intrapleural fibrinolysis, which removed the fibrous septa, consequently improved the field of view under endoscopy within only 10 min. Fibrinolytic effect appeared very rapidly. This technique is available for tuberculous pleurisy with severe multiloculated pleural effusion. |
| first_indexed | 2024-12-22T19:15:23Z |
| format | Article |
| id | doaj.art-55d6ace05f9a4de8862316d9e0ca8685 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-12-22T19:15:23Z |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-55d6ace05f9a4de8862316d9e0ca86852022-12-21T18:15:32ZengWileyRespirology Case Reports2051-33802020-01-0181n/an/a10.1002/rcr2.498Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisySatoshi Terashita0Hiroaki Kawachi1Tomoko Tajiri2Susumu Noguchi3Tatsuyoshi Ikeue4Takakazu Sugita5Department of Respiratory Medicine Japanese Red Cross Wakayama Medical Center Wakayama JapanDepartment of Respiratory Medicine Japanese Red Cross Wakayama Medical Center Wakayama JapanDepartment of Respiratory Medicine Japanese Red Cross Wakayama Medical Center Wakayama JapanDepartment of Respiratory Medicine Japanese Red Cross Wakayama Medical Center Wakayama JapanDepartment of Respiratory Medicine Japanese Red Cross Wakayama Medical Center Wakayama JapanDepartment of Respiratory Medicine Japanese Red Cross Wakayama Medical Center Wakayama JapanMedical thoracoscopy, also called “local anesthetic thoracoscopy” and “pleuroscopy,” is a minimally invasive single‐port endoscopic technique that provides direct visualization of the pleural surfaces and channels to conduct diagnostic and therapeutic procedures. However, this technique is not helpful when substantial fibrous adhesions exist. We reported the first case of intrapleural urokinase directly under medical thoracoscopy for the diagnosis of malignant pleural mesothelioma with severe multiloculated pleural effusions in 2019. This is the second report regarding the efficacy of intrapleural urokinase directly under medical thoracoscopy for the diagnosis of multiloculated pleural effusions. Urokinase‐induced intrapleural fibrinolysis, which removed the fibrous septa, consequently improved the field of view under endoscopy within only 10 min. Fibrinolytic effect appeared very rapidly. This technique is available for tuberculous pleurisy with severe multiloculated pleural effusion.https://doi.org/10.1002/rcr2.498Intrapleural fibrinolysismedical thoracoscopypleural effusionstuberculous pleurisyurokinase |
| spellingShingle | Satoshi Terashita Hiroaki Kawachi Tomoko Tajiri Susumu Noguchi Tatsuyoshi Ikeue Takakazu Sugita Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy Respirology Case Reports Intrapleural fibrinolysis medical thoracoscopy pleural effusions tuberculous pleurisy urokinase |
| title | Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy |
| title_full | Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy |
| title_fullStr | Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy |
| title_full_unstemmed | Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy |
| title_short | Intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy |
| title_sort | intrapleural urokinase directly under medical thoracoscopy for the diagnosis of tuberculous pleurisy |
| topic | Intrapleural fibrinolysis medical thoracoscopy pleural effusions tuberculous pleurisy urokinase |
| url | https://doi.org/10.1002/rcr2.498 |
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