{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:58:29Z","timestamp":1785383909853,"version":"3.55.0"},"reference-count":6,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Spontaneous pneumothorax is a common complication of advanced interstitial and emphysematous lung disease. Chest tube drainage is the mainstay of pneumothorax management. Conventional insertion sites\u2014lateral placement in the 4th\u20136th intercostal space (B\u00fclau position) and anterior placement in the 2nd\u20133rd intercostal space (Monaldi position) are widely used but may be contraindicated in specific clinical scenarios. The suprascapular (posterior apical) approach represents a rarely utilised alternative. We report a 72\u2010year\u2010old male with COPD and emphysema who presented with a symptomatic apical pneumothorax. Computed tomography demonstrated minimal lateral pleural separation, making lateral access unsafe. The anterior route was also contraindicated due to a large postoperative wound following recent surgery. A suprascapular approach was therefore selected. Under local anaesthesia, an 8Fr pigtail catheter was inserted using anatomical landmarks and the pneumothorax was successfully evacuated with continuous negative pressure without complications. This case demonstrates that suprascapular chest tube placement can be a safe and effective alternative in selected patients with apical pneumothorax when standard insertion sites are contraindicated.<\/jats:p>","DOI":"10.1002\/rcr2.70644","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:48:08Z","timestamp":1784173688000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Suprascapular Chest Tube Placement for Symptomatic Spontaneous Pneumothorax: The Forgotten Access Point"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-5774-074X","authenticated-orcid":false,"given":"Sammy","family":"Onyancha","sequence":"first","affiliation":[{"name":"Department of Pulmonology St. Elisabethen Krankenhaus  Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bardia","family":"Amirmiran","sequence":"additional","affiliation":[{"name":"Department of Pulmonology St. Elisabethen Krankenhaus  Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanja","family":"Dieball","sequence":"additional","affiliation":[{"name":"Department of Pulmonology St. Elisabethen Krankenhaus  Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Eliseev","sequence":"additional","affiliation":[{"name":"Department of Pulmonology St. Elisabethen Krankenhaus  Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gernot","family":"Rohde","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Universit\u00e4tsklinikum Marburg  Marburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/thorax.58.suppl_2.ii53"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2072\u20101439.2014.09.23"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102005\u2010919071"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0003\u20104975(98)00963\u20101"},{"issue":"5","key":"e_1_2_9_6_1","first-page":"330","article-title":"Placement of an Apical Chest Tube by a Posterior Intercostal Approach","volume":"44","author":"Galvin I. F.","year":"1990","journal-title":"British Journal of Hospital Medicine"},{"issue":"6","key":"e_1_2_9_7_1","first-page":"1097","article-title":"Insertion of Apical Chest Tube","volume":"130","author":"Aslam P. A.","year":"1970","journal-title":"Surgery, Gynecology & Obstetrics"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70644","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70644","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70644","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T03:05:15Z","timestamp":1785380715000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70644"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":6,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/rcr2.70644"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70644","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-11-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70644"}}