Interventional Procedures in the Pediatric Chest: Biopsy and Drainage

Jackson T. Norman III; James S. Donaldson

doi:10.1055/s-2002-25138

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2002; 19(1): 039-050
DOI: 10.1055/s-2002-25138

Interventional Procedures in the Pediatric Chest: Biopsy and Drainage

Jackson T. Norman, III¹ , James S. Donaldson²

¹Children's Health Care of Atlanta at Scottish Rite, Atlanta, Georgia and
²Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois

Abstract

ABSTRACT

Interventional procedures in the adult chest are well described and practiced. Many of the same procedures, although somewhat less commonly employed, also apply in pediatric settings. In the realm of chest intervention, probably the biggest impact in pediatric disease has been the percutaneous drainage of empyema and parenchymal abscesses. In this article, techniques, with emphasis on special applications in regard to children, and sedations appropriate for various intrathoracic procedures, highlighting percutaneous drainage, are discussed.

KEYWORD

Children - interventional procedure - thorax

Full Text

References

REFERENCES

1 Cotsen M R, Donaldson J S, Uejima T, Morello F P. Efficacy of ketamine hydrochloride sedation in children for interventional radiologic procedures. AJR Am J Roentgenol . 1997; 169 1019-1022
2 Light R W. Parapneumonic effusion and empyema. Clin Chest Med . 1985; 5 55-62
3 Handman H P, Reuman P D. The use of urokinase for loculated thoracic empyema in children. Pediatr Infect Dis J . 1993; 12 958-959
4 Krishnan S, Amin N, Dozor A J, Stringel G. Urokinase in the management of complicated parapneumonic effusions in children. Chest . 1997; 112 1579-1583
5 Kornecki A, Sivan Y. Treatment of loculated pleural effusion with intrapleural urokinase in children. J Pediatr Surg . 1997; 32 1473-1475
6 Stringel G, Hartman A R. Intrapleural instillation of urokinase in the treatment of loculated pleural effusions in children. J Pediatr Surg . 1994; 29 1539-1540
7 Stark D D, Federle M P, Goodman P C, Podrasky A E, Webb W R. Differentiating lung abscess and empyema. AJR Am J Roentgenol . 1983; 141 163-167
8 Tillet W S, Sherry S. The effects in patients of streptococcal fibrinolysin (streptokinase) and streptococcal deoxyribonuclease on fibrinous, purulent and sanguinous pleural effusion. J Clin Invest . 1949; 28 173-190
9 Berglin E, Ekroth R, Teger-Nilsson A C, William-Olsson G. Intrapleural instillation of streptokinase. Effects on systemic fibrinolysis. Thorac Cardiovasc Surg . 1981; 29 124-126
10 Hoffer F A, Bloom D A, Colin A A, Fishman S J. Lung abscess versus necrotizing pneumonia: implications for interventional therapy. Pediatr Radiol . 1999; 29 87-91
11 Braun M A. SCVIR 25th annual scientific meeting workshop handbook. 2000: 52-57
12 Van Sonnenberg E, D'Agostino H B, Casola G, Wittich G R, Varney R R, Harker C. Lung abscess: CT-guided drainage. Radiology 1991; 178 347-351
13 Cuestas R A, Kienzle G D, Armstrong J D. Percutaneous drainage of lung abscesses in infants. Pediatr Infect Dis J . 1989; 8 390-392
14 Ball W S, Bisset G S, Towbin R B. Percutaneous drainage of chest abscesses in children. Radiology . 1989; 171 431-434
15 Al-Salem A H, Ali E A. Computed tomography-guided percutaneous needle aspiration lung abscesses in neonates and children. Pediatr Surg Int . 1997; 12 417-419
16 Zuhdi M K, Spear R M, Worthen M H, Peterson B M. Percutaneous catheter drainage of tension pneumatocele, secondarily infected pneumatocele, and lung abscess in children. Crit Care Med . 1996; 24 330-333
17 Rice T W, Ginsberg R J, Todd T R. Tube drainage of lung abscesses. Ann Thorac Surg . 1987; 44 356-359
18 Lee S K, Morris R E, Cramer B. Percutaneous needle aspiration of neonatal lung abscesses. Pediatr Radiol . 1991; 21 254-257
19 Klein J S, Schultz S, Heffner J E. Interventions radiology of the chest: image-guided percutaneous drainage of pleural effusions, lung abscess and pneumothorax. AJR Am J Roentgenol . 1995; 164 581-588
20 Genc A, Ozcan C, Erdener A, Mutaf O. Management of pneumothorax in children. J Cardiovasc Surg (Torino) . 1998; 39 849-851
21 Connolly B L, Chait P G, Duncan D S, Taylor G. CT-guided percutaneous needle biopsy of small lung nodules in children. Pediatr Radiol . 1999; 29 342-346
22 Klein J S. Interventional techniques in the thorax. Clin Chest Med . 1999; 20 805-824
23 Ikezoe J, Morimoto S, Kozuka T. Sonographically guided needle biopsy of thoracic lesions. Semin Intervent Radiol . 1991; 8 15-22
24 De Sanctis T J, Mueller P R. Thoracic interventions: the role of ultrasound guidance for diagnostic and therapeutic procedures. Semin Intervent Radiol . 1997; 14 429-441
25 Diament M J, Stanley P, Taylor S. Percutaneous fine needle biopsy in pediatrics. Pediatr Radiol . 1985; 15 409-411
26 Buchino J J, Jones V F. Fine needle aspiration in the evaluation of children with lymphadenopathy. Arch Pediatr Adolesc Med . 1994; 148 1327-1330
27 Taylor S R, Nunez C. Fine-needle aspiration biopsy in a pediatric population. Report of 64 consecutive cases. Cancer . 1984; 54 1449-1453
28 McGahey B E, Moriarty A T, Nelson W A, Hull M T. Fine-needle aspiration biopsy of small round blue cell tumors of childhood. Cancer . 1992; 69 1067-1073
29 Vergeguer A, Castel V, Torres V. Fine-needle aspiration biopsy in children: experience in 70 cases. Med Pediatr Oncol . 1988; 16 98-100
30 Frostad B, Tani E, Kogner P, Maeda S, Bjork O, Skoog L. The clinical use of fine needle aspiration cytology for the diagnosis and management of children with neuroblastic tumors. Eur J Cancer . 1998; 34 529-536
31 Andrews N C, Parker E F, Shaw R R, Wilson N J, Webb W R. Management of nontuberculous empyema: a statement of the subcommittee on surgery. Am Rev Respir Dis . 1962; 85 935-936
32 Lee-Chiong T L. Treating empyema without surgery: how to choose the best candidates. Empyema . 1997; 101 195-204
33 Chan W, Keyser-Gauvin E, Davis G M, Nguyen L T, Laberge J M. Empyema thoracis in children: a 26-year review of the Montreal Children's Hospital experience. J Pediatr Surg . 1997; 32 870-872
34 Robinson L A, Moulton A L, Fleming W H, Alonso A, Galbraith T A. Intrapleural fibrinolytic treatment of multiloculated thoracic empyemas. Ann Thorac Surg . 1994; 57 803-814
35 Moulton J S, Benkert R E, Weisiger K H, Chambers J A. Treatment of complicated pleural fluid collections with image-guided drainage and intracavitary urokinase. Chest . 1995; 108 1251-1259
36 Temes R L, Follis F, Kessler R M, Pett S B, Wernly J A. Intrapleural fibrinolytics in management of empyema thoracis. Chest . 1996; 110 102-106
37 Pollak J S, Passik C S. Intrapleural urokinase in the treatment of loculated pleural effusions. Chest . 1994; 105 868-873
38 Lee K S, Im J, Kim Y H, Hwang S H, Bae W K, Lee B H. Treatment of thoracic multiloculated empyemas with intracavitary urokinase. Radiology . 1991; 179 771-775
39 Bouros D, Schiza S, Patsourakis G, Chalkiadakis G, Panagou P, Siafakas N M. Intrapleural streptokinase versus urokinase in the treatment of complicated parapneumonic effusions. Am J Respir Crit Care Med . 1997; 155 291-295
40 De Gregorio A M, Ruiz C, Alfonso E R, Fernandez J A, Medrano J, Arino I. Transcatheter intracavitary fibrinolysis of loculated pleural effusions. Cardiovasc Intervent Radiol . 1999; 22 114-118