Allogenic Blood Patch Pleurodesis for Continuous Pneumothorax in Three Cats

Overview

Journal JFMS Open Rep

Date 2020 Sep 18

PMID 32944268

Citations 2

Authors

Alexa M Bersenas

Katie L Hoddinott

Affiliations

Soon will be listed here.

Abstract

Case Series Summary: Following diaphragmatic herniorrhaphy, three cats developed a continuous pneumothorax. All three cats required continuous suction to evacuate air from the thoracic cavity. Despite continuous suction, the pneumothorax persisted for all cats and blood patch pleurodesis (BPP) was performed using blood donor cats. All three cats had resolution of their pneumothorax within 24 h of BPP.

Relevance And Novel Information: This is the first report of BPP used in feline patients. More recently autologous BPP has been reported for use in dogs and humans, with a reportedly high success rate. BPP may allow timely resolution of continuous pneumothorax in cats and provide an alternative treatment option to prolonged medical management or surgical intervention. Allogenic blood from a donor cat may be necessitated in feline BPP when cardiovascular instability is appreciated in these small patients.

Citing Articles

Successful resolution of a continuous pneumothorax using canine xeno-blood patch pleurodesis in a cat.

Thyen A, Riggs A, Her J, Yaxley P JFMS Open Rep. 2024; 10(2):20551169241265227.

PMID: 39091488 PMC: 11292699. DOI: 10.1177/20551169241265227.

Allogenic blood patch pleurodesis for management of pneumothorax in a Cavalier King Charles Spaniel puppy with multiple pulmonary blebs and bullae.

Moloney C, Puggioni A, McKenna M J Vet Intern Med. 2022; 36(4):1460-1465.

PMID: 35751404 PMC: 9308431. DOI: 10.1111/jvim.16465.

References

Jerram R, Fossum T, Berridge B, Steinheimer D, Slater M . The efficacy of mechanical abrasion and talc slurry as methods of pleurodesis in normal dogs. Vet Surg. 1999; 28(5):322-32. DOI: 10.1111/j.1532-950x.1999.00322.x. View

MacDuff A, Arnold A, Harvey J . Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax. 2010; 65 Suppl 2:ii18-31. DOI: 10.1136/thx.2010.136986. View

French D, Plourde M, Henteleff H, Mujoomdar A, Bethune D . Optimal management of postoperative parenchymal air leaks. J Thorac Dis. 2018; 10(Suppl 32):S3789-S3798. PMC: 6258660. DOI: 10.21037/jtd.2018.10.05. View

Robinson C . Autologous blood for pleurodesis in recurrent and chronic spontaneous pneumothorax. Can J Surg. 1987; 30(6):428-9. View

Minihan A, Berg J, Evans K . Chronic diaphragmatic hernia in 34 dogs and 16 cats. J Am Anim Hosp Assoc. 2004; 40(1):51-63. DOI: 10.5326/0400051. View

Mitchem R, Herndon B, Fiorella R, Molteni A, Battie C, Reisz G . Pleurodesis by autologous blood, doxycycline, and talc in a rabbit model. Ann Thorac Surg. 1999; 67(4):917-21. DOI: 10.1016/s0003-4975(99)00160-5. View

Shackcloth M, Poullis M, Jackson M, Soorae A, Page R . Intrapleural instillation of autologous blood in the treatment of prolonged air leak after lobectomy: a prospective randomized controlled trial. Ann Thorac Surg. 2006; 82(3):1052-6. DOI: 10.1016/j.athoracsur.2006.04.015. View

Mooney E, Rozanski E, King R, Sharp C . Spontaneous pneumothorax in 35 cats (2001-2010). J Feline Med Surg. 2012; 14(6):384-91. PMC: 10822593. DOI: 10.1177/1098612X12439947. View

Butler W . Use of a flutter valve in treatment of pneumothorax in dogs and cats. J Am Vet Med Assoc. 1975; 166(5):473-6. View

10.

Manley K, Coonar A, Wells F, Scarci M . Blood patch for persistent air leak: a review of the current literature. Curr Opin Pulm Med. 2012; 18(4):333-8. DOI: 10.1097/MCP.0b013e32835358ca. View

11.

Lillegard J, Kennedy R, Ishitani M, Zarroug A, Feltis B . Autologous blood patch for persistent air leak in children. J Pediatr Surg. 2013; 48(9):1862-6. DOI: 10.1016/j.jpedsurg.2012.12.040. View

12.

Williams P, Laing R . Tension pneumothorax complicating autologous "blood patch" pleurodesis. Thorax. 2005; 60(12):1066-7. PMC: 1747275. DOI: 10.1136/thx.2004.027854. View

13.

Chambers A, Routledge T, Bille A, Scarci M . Is blood pleurodesis effective for determining the cessation of persistent air leak?. Interact Cardiovasc Thorac Surg. 2010; 11(4):468-72. DOI: 10.1510/icvts.2010.234559. View

14.

Andreetti C, Venuta F, Anile M, De Giacomo T, Diso D, Di Stasio M . Pleurodesis with an autologous blood patch to prevent persistent air leaks after lobectomy. J Thorac Cardiovasc Surg. 2007; 133(3):759-62. DOI: 10.1016/j.jtcvs.2006.10.042. View

15.

Pawloski D, Broaddus K . Pneumothorax: a review. J Am Anim Hosp Assoc. 2010; 46(6):385-97. DOI: 10.5326/0460385. View

16.

Ibrahim I, Abd Elaziz M, El-Hag-Aly M . Early Autologous Blood-Patch Pleurodesis versus Conservative Management for Treatment of Secondary Spontaneous Pneumothorax. Thorac Cardiovasc Surg. 2018; 67(3):222-226. DOI: 10.1055/s-0038-1642028. View

17.

Ozpolat B, Gazyagci S, Gozubuyuk A, Ayva S, Atinkaya C . Autologous blood pleurodesis in rats to elucidate the amounts of blood required for reliable and reproducible results. J Surg Res. 2009; 161(2):228-32. DOI: 10.1016/j.jss.2009.01.027. View

18.

Dugan K, Laxmanan B, Murgu S, Hogarth D . Management of Persistent Air Leaks. Chest. 2017; 152(2):417-423. PMC: 6026238. DOI: 10.1016/j.chest.2017.02.020. View

19.

Oppenheimer N, Klainbart S, Merbl Y, Bruchim Y, Milgram J, Kelmer E . Retrospective evaluation of the use of autologous blood-patch treatment for persistent pneumothorax in 8 dogs (2009-2012). J Vet Emerg Crit Care (San Antonio). 2014; 24(2):215-20. DOI: 10.1111/vec.12152. View

20.

Oliveira F, Cataneo D, Ruiz Jr R, Cataneo A . Persistent pleuropulmonary air leak treated with autologous blood: results from a university hospital and review of literature. Respiration. 2009; 79(4):302-6. DOI: 10.1159/000226277. View