Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?

<i>Background:</i> There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study...

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Main Authors: Konstantinos Grapatsas, Vasileios Leivaditis, Benjamin Ehle, Anastasia Papaporfyriou
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Tomography
Subjects:
Online Access:https://www.mdpi.com/2379-139X/8/4/175
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author Konstantinos Grapatsas
Vasileios Leivaditis
Benjamin Ehle
Anastasia Papaporfyriou
author_facet Konstantinos Grapatsas
Vasileios Leivaditis
Benjamin Ehle
Anastasia Papaporfyriou
author_sort Konstantinos Grapatsas
collection DOAJ
description <i>Background:</i> There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. <i>Methods:</i> An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. <i>Results:</i> Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. <i>Conclusions:</i> The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory.
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spelling doaj.art-cb9a9ad64fa04ec39d42a5b3aef4450b2023-11-23T12:59:27ZengMDPI AGTomography2379-13812379-139X2022-08-01842083209210.3390/tomography8040175Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?Konstantinos Grapatsas0Vasileios Leivaditis1Benjamin Ehle2Anastasia Papaporfyriou3Department of Thoracic Surgery, Klinikum Bielefeld, 33647 Bielefeld, GermanyDepartment of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, 67655 Kaiserslautern, GermanyDepartment of Thoracic Surgery, Medical Center-University of Freiburg, Faculty of Medicine, 79098 Freiburg, GermanyDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria<i>Background:</i> There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. <i>Methods:</i> An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. <i>Results:</i> Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. <i>Conclusions:</i> The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory.https://www.mdpi.com/2379-139X/8/4/175chest XRchest ultrasoundpostoperative complications
spellingShingle Konstantinos Grapatsas
Vasileios Leivaditis
Benjamin Ehle
Anastasia Papaporfyriou
Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
Tomography
chest XR
chest ultrasound
postoperative complications
title Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_full Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_fullStr Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_full_unstemmed Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_short Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
title_sort can chest ultrasound replace chest x ray in thoracic surgery
topic chest XR
chest ultrasound
postoperative complications
url https://www.mdpi.com/2379-139X/8/4/175
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