What are the possible complications of a medical thoracoscopy (pleuroscopy)?

Updated: Apr 18, 2019
  • Author: Rajiv Malhotra, DO, MS, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Answer

Complications of medical thoracoscopy are rare. [17] The mortality risk is 0.09%, with a major complication rate of 1.9% and a minor complication rate of 5.6%. [18] Complications with a rigid scope include prolonged air leak, hemorrhage, subcutaneous emphysema, postoperative fever, empyema, and seeding of chest wall from mesothelioma. Bleeding after a parietal pleural biopsy, lung perforation, and infections are the most prevalent complications about which the interventional pulmonologist is most concerned. In the case of pleurodesis, 30% of patients develop low grade fevers and may require short term hospitalization for observation.


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