Safety and Effectiveness of Palliative Tunneled Peritoneal Drainage Catheters in the Management of Refractory Malignant and Non-malignant Ascites
| Autor: | Chad J. Fleming, Andrew H. Stockland, Haraldur Bjarnason, David A. Woodrum, Melissa J. Neisen, Scott M. Thompson, Jennifer A. Knight, Emily C. Bendel, Newton B. Neidert |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Bacterial Peritonitis Technical success Non malignant 03 medical and health sciences Catheters Indwelling 0302 clinical medicine Risk Factors Peritoneal drainage Ascites medicine Humans Radiology Nuclear Medicine and imaging Peritoneal Cavity Ultrasonography Interventional Aged Retrospective Studies Groin business.industry Palliative Care Mean age Middle Aged Surgery Catheter Treatment Outcome medicine.anatomical_structure Fluoroscopy 030220 oncology & carcinogenesis Drainage Female 030211 gastroenterology & hepatology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | CardioVascular and Interventional Radiology. 41:753-761 |
| ISSN: | 1432-086X 0174-1551 |
| Popis: | To determine the safety and effectiveness of tunneled peritoneal catheters in the management of refractory malignant and non-malignant ascites. An IRB-approved retrospective review was undertaken of patients who underwent ultrasound and fluoroscopy-guided tunneled peritoneal catheter placement for management of refractory malignant or non-malignant ascites between January 1, 2009, and March 14, 2014. A total of 137 patients (76 M/61 F, mean age 62.9 years) underwent tunneled peritoneal catheter placement for refractory malignant (N = 119; 86.9%) or non-malignant (N = 18; 13.1%) ascites. Technical success was 100% with no immediate complications. Nineteen patients (13.9%) experienced a total of 11 minor and 12 major complications. Nine patients developed a catheter-associated infection. The remaining complications included leakage at the dermatotomy site (N = 8), catheter dislodgement (N = 2), obstruction (N = 2), and groin pain (N = 2). Patients who developed a catheter-associated infection had a significantly longer catheter dwell time compared to those who did not develop an infection (median, 96.5 vs. 20 days; p |
| Databáze: | OpenAIRE |
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