Pigtail placement: introduce the catheter over the wire guide until all the portholes are inside the skin and pleural cavity. Guide wire removal: slowly remove the guide wire. The pigtail catheter will now curl up. Learn more on CTSNet: https://www. Pigtail catheters are an effective, reliable and possibly less traumatic way of treating pneumothoraces and draining pleural fluid compared to traditional chest drains. Alexander Ednie, thoracic surgeon, describes his approach to insertion of percutaneous pig tail catheters and chest tubes. As mentioned in the video, the “thal quick” comes in various sizes. Adults: Trauma carts should be stocked with 28Fr, 24Fr, 20Fr standard chest tubes and 14Fr pigtail catheter kits. Disclaimer The information and views presented on.