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Indwelling pleural catheter for non-malignant effusions pleurex

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By Jason Mann No BS pulmonary critical care fellow
Alex Chee, Alain Tremblay
PURPOSE OF REVIEW: Tunneled pleural catheters (TPCs) have become a popular therapeutic tool for chronic pleural effusions. Although the main indication for a TPC has been recurrent, symptomatic, malignant pleural effusion, there are increasing reports of TPC usage in other medical conditions. This article will address the utility of TPCs in malignant pleural effusions, other reported uses, potential complications and catheter maintenance. RECENT FINDINGS: The efficacy of TPCs has been well established in the setting of malignant pleural effusions and this option is now included in the guidelines addressing treatment of this condition...
July 2011: Current Opinion in Pulmonary Medicine
Rahul Bhatnagar, Elaine D Reid, John P Corcoran, Jessamy D Bagenal, Sandra Pope, Amelia O Clive, Natalie Zahan-Evans, Peter O Froeschle, Douglas West, Najib M Rahman, Sumit Chatterji, Pasupathy R Sivasothy, Nick A Maskell
Indwelling pleural catheters (IPCs) are commonly used in the management of malignant pleural effusion (MPE). There is little data on their use in non-malignant conditions. All IPC insertions for non-malignant cases from five large UK centres were found using prospectively maintained databases. Data were collected on 57 IPC insertions. The commonest indications were hepatic hydrothorax (33%) and inflammatory pleuritis (26%). The mean weekly fluid output was 2.8 L (SD 2.52). 48/57 (84%) patients had no complications...
October 2014: Thorax
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