Small bore catheter drainage and sclerotherapy for malignant pleural effusions.

Abstract:

:The accumulation of large amounts of fluid in the pleural space is a common sequela of disseminated carcinomatosis. Traditional management has included therapeutic thoracentesis or the placement of a large bore chest tube for drainage with the subsequent installation of a sclerosing agent in an attempt to achieve pleural symphysis. An evaluation of all patients treated in this manner during a 4-year period was undertaken to assess the degree of success obtained with a large bore standard chest tube versus a small pigtail catheter. A study group consisting of 20 patients with a total of 24 pleural effusions was treated with drainage and sclerotherapy. In this group, eight of 13 effusions were adequately treated with pigtail catheter drainage and sclerotherapy, compared with four of 11 effusions adequately treated with standard chest tube drainage and sclerotherapy. Although the numbers are small, it appears that pigtail catheter drainage and sclerosis is at least as successful as the more traditional drainage with the standard chest tube.

journal_name

Cancer

journal_title

Cancer

authors

Parker LA,Charnock GC,Delany DJ

doi

10.1002/1097-0142(19890915)64:6<1218::aid-cncr2820

subject

Has Abstract

pub_date

1989-09-15 00:00:00

pages

1218-21

issue

6

eissn

0008-543X

issn

1097-0142

journal_volume

64

pub_type

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