Talc pleurodesis through indwelling pleural catheters for malignant pleural effusions: retrospective case series of a novel clinical pathway.

Abstract:

:Malignant pleural effusions cause significant morbidity, but there is no gold standard minimally invasive treatment. A new therapeutic approach combines talc pleurodesis and indwelling pleural catheters (IPCs) to enable outpatient management. This case series summarizes the safety and efficacy data of all patients (24) with a symptomatic malignant pleural effusion who underwent talc pleurodeses via IPCs between December 2010 and July 2013. Successful pleurodesis was achieved in 22 procedures (92%). There was one empyema, one hydropneumothorax, one recurrent effusion, and two minor complications: one drain site wound infection and one complaint of chest pain. Twenty-two procedures (92%) were performed in the outpatient setting. This report confirms the safety and efficacy of administering talc slurry through IPCs in an outpatient setting. Studies in a larger cohort are necessary to define the role of this novel approach in the treatment algorithm of patients with this condition.

journal_name

Chest

journal_title

Chest

authors

Ahmed L,Ip H,Rao D,Patel N,Noorzad F

doi

10.1378/chest.14-0394

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

e190-e194

issue

6

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)51549-3

journal_volume

146

pub_type

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