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Implantation of permanent pleural catheter for palliation of malignant pleural effusion

Authors Meier M, Mortensen MR, Larsen LU

Received 3 March 2016

Accepted for publication 29 August 2016

Published 8 November 2016 Volume 2016:8 Pages 129—133


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Kenan Onel

Michelle Meier,1 Marie Riis Mortensen,1 Lene Unmack Larsen2

1Department of Surgical Gastroenterology, 2Department of Radiology, Aarhus University Hospital, Aarhus, Denmark

Purpose: Malignant pleural effusion (MPE) is a disabling condition caused in most instances by far-advanced cancer. The treatment is palliative and should ideally be minimally invasive. The aim of this retrospective study was to evaluate the effectiveness of implantation of a permanent PleurX catheter in the treatment of recurrent MPE in patients with terminal cancer disease.
Patients and methods:
Eighteen consecutive patients with terminal cancer and MPE, who had a permanent PleurX catheter implanted in the period from February 2014 to August 2015, were retrospectively evaluated. Medical records were reviewed for data on procedures and patients.
Results: Twenty-two PleurX catheters were implanted in the pleural cavity of 18 patients. The technical success rate was 100%. All patients had relief of symptoms. Catheter patency was 91%. Six patients experienced minor adverse events (AEs) and two patients experienced moderate-to-severe AEs. The median survival time for the 14 patients who died during follow-up was 45 days.
Conclusion: Implantation of a permanent PleurX catheter is a safe procedure with a high success rate and only few AEs. The procedure has the potential to serve as an effective procedure for palliation of recurrent MPE in terminal cancer patients.

Keywords: malignant pleural effusion, permanent catheter, terminal cancer

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