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
Chestjournal_title
Chestauthors
Ahmed L,Ip H,Rao D,Patel N,Noorzad Fdoi
10.1378/chest.14-0394subject
Has Abstractpub_date
2014-12-01 00:00:00pages
e190-e194issue
6eissn
0012-3692issn
1931-3543pii
S0012-3692(15)51549-3journal_volume
146pub_type
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