Use catheter insertion instead of surgery to close cavity - possible?

Posted by helen1000 @helen1000, Oct 25 10:56pm

Happen to see this from website and did some research.
It looks like catheter insertion can put the med into lungs directly to close the cavity. After 2 week's treatment, the cavity was closed by itself! Though this is for TB patients, but this approach is innovative and may be applied to MAC cavitary patients? Any input?
https://www.sciencedirect.com/science/article/pii/S2405579420300048.
A pig-tail catheter was inserted into the cavity immediately and the procedure was guided by CT. The cavity was rinsed with 100 ml of saline once per day, after which 0.4 g of amikacin was administered directly to control the bacterium burden. This may only require local anesthesia.

Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.

Endoscopic drainage and valve placement: In this procedure, a doctor uses a bronchoscope (a thin, flexible tube) to enter the airways.
Drainage: A catheter can be inserted into the cavity through the bronchoscope to drain the infection.

Radiotherapy: This treatment uses high-energy radiation to shrink the cavity. It is an option for certain conditions, like aspergilloma, particularly when surgical removal is not possible.

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This needs to discuss with your health provider. As these approaches are not widely used and may impose infection risk, etc.

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