A National Evaluation of Intercostal Chest Drain Removal Strategies

Our results indicate that recurrent pneumothorax after ICD removal is a common complication. Clamping trials are safe but do not appear to be associated with reduced rates of recurrent pneumothorax. An ultracautious approach using digital air leak devices in combination with clamping could represent a viable strategy in selected patients.

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Publication Details

Journal
CHEST Journal
Published
2025-11-04
DOI
https://doi.org/10.1016/j.chest.2025.10.027
Primary Topic
Pleural and Pulmonary Diseases
Type
article
Field-Weighted Citation Impact
0.00
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article

A National Evaluation of Intercostal Chest Drain Removal Strategies

Daniel Mitchell, Steven Walker, David Henshall, Osei Kankam et al.
CHEST Journal
Pleural and Pulmonary Diseases
article

A National Evaluation of Intercostal Chest Drain Removal Strategies

Daniel Mitchell, Steven Walker, David Henshall, Osei Kankam, Catharine Pearce, Jennifer Cheng, Paul de Souza, James M. Hyman, Beenish Iqbal, Daniel Morrow, Ahmed Salih, Eleanor Barton, James Quinn, Christie K.M. Ho, Richard Thorley, Katherine R. Smith, Anthony W. Martinelli, Matthew W. Mitchell, Dheeraj Sethi, Jürgen Herre, Richard M. Crooks, Paul Minnis, Benjamin Pippard, Lewis Standing, Rob Hallifax, Anand Sundaralingam, Monsy Sam, Najib Mahboob Rahman, Clive Holmes, Matthew R. Hayes, M Salman Rashid, Akhilesh Jha, B C Rowlands, Karl Jackson, Kay Por Yip, Stefan John Marciniak, Swapan Kumar Paul, Ben Probyn, Irfan Saleem, Avinash Aujayeb, S Bosence, Elizabeth Thompson, Yiwen Soo, Allison M. Hodge, Andrew Griffiths, Asim Mehmood, Wei Hann Ong, Mohamed Gadallah, Abid Khan, Waleed Mohammad, R. Bhat, John P. Corcoran, Abeer Saad, Abdullah Huda, Jennifer Kerks, Tobias Smitherman-Cairns, Richard Westley, Vern Tee, Author List Niki Veale, Eve Lynn Koh, Fatima Al-Arrayed, Sam Trewick, Patrick Goodley, Jonathan Oldershaw, Khaing Zar Mon
article en

Abstract

Our results indicate that recurrent pneumothorax after ICD removal is a common complication. Clamping trials are safe but do not appear to be associated with reduced rates of recurrent pneumothorax. An ultracautious approach using digital air leak devices in combination with clamping could represent a viable strategy in selected patients.

CHEST JournalVol. 169(3)
North Tees and Hartlepool NHS Foundation Trust (GB), North Bristol NHS Trust (GB), University Hospitals Birmingham NHS Foundation Trust (GB), Maidstone and Tunbridge Wells NHS Trust (GB), Royal Free London NHS Foundation Trust (GB), Central and North West London NHS Foundation Trust (GB), Royal Devon & Exeter NHS Foundation Trust (GB), County Durham and Darlington NHS Foundation Trust (GB), Norfolk and Norwich University Hospitals NHS Foundation Trust (GB), South Essex Partnership University Foundation NHS Trust (GB), Northumbria Healthcare NHS Foundation Trust (GB), Newcastle upon Tyne Hospitals NHS Foundation Trust (GB), Aneurin Bevan University Health Board (GB), Oxford Health NHS Foundation Trust (GB), Cambridge University Hospitals NHS Foundation Trust (GB), Calderdale and Huddersfield NHS Foundation Trust (GB), United Lincolnshire Hospitals NHS Trust (GB), Northern Health and Social Care Trust (GB), North Cumbria Integrated Care NHS Foundation Trust (GB), Manchester University NHS Foundation Trust (GB), Sheffield Teaching Hospitals NHS Foundation Trust (GB), Papworth Hospital NHS Foundation Trust (GB), Mid Essex Hospital Services NHS Trust (GB), George Eliot Hospital NHS Trust (GB), South Tyneside and Sunderland NHS Foundation Trust (GB), James Paget University Hospitals NHS Foundation Trust (GB), East Sussex Healthcare NHS Trust (GB), Oxford BioMedica (United Kingdom) (GB), Oxford University Hospitals NHS Trust (GB), Mid Yorkshire Hospitals NHS Trust (GB), University Hospitals Plymouth NHS Trust (GB), University of Birmingham (GB)
Openalex Percentile: Top 54%
Pleural and Pulmonary Diseases
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