Indwelling pleural catheters for non-malignant pleural effusions: report on a single centre’s 10 years of experience

Autor: Nikolaj Frost, Christoph Ruwwe-Glösenkamp, Matthias Raspe, Martin Brünger, Bettina Temmesfeld-Wollbrück, Norbert Suttorp, Martin Witzenrath
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: BMJ Open Respiratory Research, Vol 7, Iss 1 (2020)
Druh dokumentu: article
ISSN: 2052-4439
DOI: 10.1136/bmjresp-2019-000501
Popis: Background Recurrent pleural effusion is a common cause of dyspnoea, cough and chest pain during the course of infectious pleurisy and non-malignant diseases like congestive heart failure (CHF) or liver cirrhosis with hepatic hydrothorax (HH). With regard to the chronic character of the underlying diseases, indwelling pleural catheters (IPC) are increasingly used, not only assuring immediate symptom relief but also potentially leading to pleurodesis without sclerosing agents.Patients and methods In this single-centre retrospective observational study, patient characteristics, procedural variables and outcome in patients with IPC in non-malignant pleural effusion (NMPE) were evaluated and prognostic factors for pleurodesis were identified.Results From 2006 to 2017, 54 patients received 62 IPC, of whom 48.4% with CHF and 43.5% with HH. The median length of insertion was 1.5 months (IQR 0.6–2.9 months), the median survival time after insertion 3.2 months (IQR 1.1–16.0). An adequate symptom relief was achieved in 93.2% with no need for subsequent interventions. In patients surviving ≥30 days after IPC insertion, pleurodesis was observed in 45.9%, being associated to age (
Databáze: Directory of Open Access Journals