Simple technique of talc delivery for video-assisted talc pleurodesis.

It has been proven that talc is the sclerosant of choice for pleurodesis, especially for malignant effusions. Uniform talc deposition on the visceral pleura is often difficult, resulting in clump deposition with the use of an atomizer or bladder syringe delivery apparatus. We have devised a simple sterile apparatus that allows the operator to retain full control over the talc delivery rate and coat the lung uniformly under direct vision using a pressurized system.