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Efficacy and Safety of Combined Autologous Blood and Minocycline Pleurodesis for Intractable Pneumothorax in High‐Risk Non‐Surgical Patients: A Case Series

Eitetsu Koh, Yasuo Sekine

Respirology Case Reports, 2025

2 citations

Abstract

Pneumothorax in patients with interstitial lung disease (ILD), severe COPD, or other significant comorbidities poses a serious therapeutic challenge, especially when surgery is contraindicated. We report a case series of 22 high‐risk patients with intractable secondary spontaneous pneumothorax (SSP) managed with combined autologous blood and minocycline pleurodesis. This bedside, sequential and non‐mixed protocol terminated persistent air leak without major complications or recurrence during a 6‐month follow‐up. Our findings suggest that this simple and accessible approach may serve as a valuable non‐surgical alternative in medically inoperable patients.

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Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.

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