Evidence map›Paper›PMID 28267436›Full record

ReviewChest2017

Management of Persistent Air Leaks.

Karen C Dugan, Balaji Laxmanan, Septimiu Murgu, D Kyle Hogarth

2 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Chest, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 141 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
141citing papers in PubMed, 2 pooled it
13.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07184528 narecruitingnot on this mapstarted 2025, after this paper: background citation

PATCHVALVE Trial: A Prospective Evaluation of Blood Patch and Endobronchial Valves for Persistent Air Leaks - Pilot Study

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2025 to 2027Enrolled20ConditionsPersistent Air LeaksArmsEndobronchial Blood Patch, Spiration Valve System (SVS) Placement
NCT07548047 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Dextrose Pleurodesis Versus Standard of Care for the Management of Post-Operative Air Leak: A Single Center Prospective Trial

TypeinterventionalSponsorThomas Jefferson UniversityRan2026 to 2029Enrolled80ConditionsPost Operative Pulmonary Air LeakArms50% Dextrose Pleurodesis, Standard of Care Chest Drainage
3 · Its place in the literature

Who cites it

141 citing papers in PubMed, 2 syntheses or guidelines pooled it, 289 citations in OpenAlex.

  1. Pooled it
  2. Air leak with COVID-19 - A meta-summary.Asian cardiovascular & thoracic annals · 2022
    Pooled it
  3. Trial
  4. Trial
  5. Comparison of 40% Glucose Solution and Autologous Blood Patch Pleurodesis for the Treatment of Postoperative Air Leak After Lung Resections: A Prospective Randomized Controlled Study.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Trial
  6. Chest tube removal at different gas flows in prolonged air leak: a randomized non-inferiority trial.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

81 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Karen C DuganDepartment of Medicine, Section of Pulmonary and Critical Care, University of Chicago, Chicago, IL.
Balaji LaxmananDepartment of Medicine, Section of Pulmonary and Critical Care, University of Chicago, Chicago, IL.
Septimiu MurguDepartment of Medicine, Section of Pulmonary and Critical Care, University of Chicago, Chicago, IL.
D Kyle HogarthDepartment of Medicine, Section of Pulmonary and Critical Care, University of Chicago, Chicago, IL. Electronic address: dhogarth@uchicago.edu.
University of Chicago · US

Funding

RESEARCH TRAINING IN RESPIRATORY BIOLOGYT32HL007605 · NHLBI · UNIVERSITY OF CHICAGO · PI Yun Fang, Gokhan M. Mutlu · 1985 to 2026
$18.1M
NHLBI NIH HHS T32 HL007605
6 · The paper itself

Abstract

Alveolar-pleural fistulas causing persistent air leaks (PALs) are associated with prolonged hospital stays and high morbidity. Prior guidelines recommend surgical repair as the gold standard for treatment, albeit it is a solution with limited success. In patients who have recently undergone thoracic surgery or in whom surgery would be contraindicated based on the severity of illness, there has been a lack of treatment options. This review describes a brief history of treatment guidelines for PALs. In the past 20 years, newer and less invasive treatment options have been developed. Aside from supportive care, the literature includes anecdotal successful reports using fibrin sealants, ethanol injection, metal coils, and Watanabe spigots. More recently, larger studies have demonstrated success with chemical pleurodesis, autologous blood patch pleurodesis, and endobronchial valves. This manuscript describes these treatment options in detail, including postprocedural adverse events. Further research, including randomized controlled trials with comparison of these options, are needed, as is long-term follow-up for these interventions.

Indexed as

AirChest TubesChronic DiseaseFemaleHumansLung DiseasesMalePleural DiseasesPleurodesisPneumothoraxPractice Guidelines as TopicRespiratory Tract FistulaRisk FactorsSex Factorsbronchopleural fistulapersistent air leakpneumothorax

Identifiers

PMID28267436
PMCPMC6026238
OpenAlexW2594048965

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.