Source: Annual Congress 2009 - Treatment of lung cancer
Disease area: Thoracic oncology

Abstract

Antecedents:Drainage by tunneled pleural catheter (TPC) has stand out among new symptomatic therapeutic options in management of malignant pleural effusion(MPE)
Objective:evolution and efficiency in symptoms control of TPC in patients with MPE
Material and methods:revision March 2008-February 2009.Studied sociodemographic characteristics,basis tumor,symptoms control and complications
Results:Total 8 patients.Medium age 57.75 years.5 men and 3 women.All had ECOG 1-2.50% smokers or ex
Etiology (tumor basis):

Drainage Frecuency:

DRAINAGE FRECUENCY

< 1 week	1 week	2 weeks	Not Done
3 patients	3 patients	1 patient	1 patient

All had unilateral MPE (5 left and 3 right) with histopathological confirmation,2 (33,3%) had pulmonary entrapment.4 (50%) had an ambulatory placement. Radiological improvement in 6(75%),2 unkown because of premature exitus and removal of TPC.All symptomatic improvement
Complications:2 pain after placement,1pleural empyema 2º to soft tissue infection in the insertion area.1 fissure of TPC
Global survival:4(50%) died and 4 were alive. Average survival since MPE diagnosis of the deceased patients 6.3 months.
Conclusions:
TPC is a realistic alternative to the classical procedures in the management of patients with MPE
Placement of TPC does not need the hospitalization
Comfortable and easy device
Associated with low incidence of complications
Useful in hospitals which are not equipped with thoracic surgical service.

Rating:

Share or cite this content

Citations should be made in the following way:
I. Vidal Garcia, J. Ortiz de Saracho y Bobo, E. Juarez Moreno, E. Castro Rodriguez, R. Castrodeza Sanz (Ponferrada, Spain). Malignant pleural effusion management by tunneled pleural catheter. Eur Respir J 2009; 34: Suppl. 53, 2653

Member's Comments

No comment yet.

Related content which might interest you: Talc pelurodesis vs tunneled pleural drainage in the malignant pleural effusion Source: International Congress 2017 – Pleural interventions and transthoracic ultrasound (TUS) Year: 2017 Ultrasonographic predictors of spontaneous pleurodesis in malignant pleural effusion with pleural tunnelled catheters Source: International Congress 2017 – Pleural disease and mesothelioma: from the bench to the bedside Year: 2017 Effectiveness and safety of tunneled pleural catheter placement in patients with malignant pleural effusions Source: International Congress 2019 – Interventional pulmonology: current pleural practice Year: 2019 Malignant pleural disease in primary lung cancer Source: Eur Respir Mon; 2009: 44: 318–335 Year: 2009 Indwelling pleural catheters vs. pleurodesis for malignant pleural effusions: a meta-analysis Source: International Congress 2018 – Pleural interventions Year: 2018 Utility of indwelling pleural catheters in benign pleural effusions: A single centre experience Source: International Congress 2017 – Pleural interventions and transthoracic ultrasound (TUS) Year: 2017 The use of the PleurX catheter in the management of recurrent non-malignant pleural effusions Source: Annual Congress 2010 - Novel approach in diagnosis and treatment of pleural effusions Year: 2010 Malignant pleural effusion: drainage, talc and beyond Source: International Congress 2019 – PG15 Management of pleural disease in 2019: applying the evidence Year: 2019 Use of transthoracic ultrasonography, indwelling pleural catheter and thoracoscopy for the management of malignant pleural effusion Source: International Congress 2019 – PG9 Interventional pulmonology Year: 2019 Value of pleural puncture in pleural effusions Source: School Course 2014 - Medical Thoracoscopy Year: 2014 Efficacy and complications of small-bore catheters in the management of malignant pleural effusions Source: Eur Respir J 2007; 30: Suppl. 51, 103s Year: 2007 Management of malignant pleural effusion Source: Eur Respir J 2001; 18: Suppl. 33, 397s Year: 2001 Novel mouse model of indwelling pleural catheter in mice with malignant pleural effusion Source: ERJ Open Res, 5 (2) 00226-2018; 10.1183/23120541.00226-2018 Year: 2019 The value of small-bore catheter thoracostomy in the treatment of malignant pleural effusions Source: Eur Respir J 2001; 18: Suppl. 33, 319s Year: 2001 The use of untunneled indwelling pleural catheters for non-malignant pleural effusions in the outpatient Source: International Congress 2018 – Pleural effusions, infections and tumours Year: 2018 An analysis of indwelling pleural catheter (IPC) insertions for malignant pleural effusions Source: Annual Congress 2011 - Pleural and mediastinal malignancies: management and rare clinical cases Year: 2011 Loculated pleural effusion Source: ERS Skills Course 2018 - Thoracoscopy and pleural techniques Year: 2018 Pleurodesis for malignant pleural effusion Source: School Course 2014 - Medical Thoracoscopy Year: 2014 Pleurodesis for malignant pleural effusion Source: ERS Course 2016 - Skills course on medical thoracoscopy Year: 2016