Author/Editor		Nemanič, Tiva; Marc-Malovrh, Mateja
Title		Uporaba trajnega drenažnega plevralnega katetra pri malignih plevralnih izlivih ‐ naše izkušnje
Translated title		ndwelling pleural catheter for malignant pleural effusions ‐ our experience
Type		članek
Vol. and No.		Letnik 91, št. 5/6
Publication year		2022
Volume		str. 177-184
ISSN		1318-0347 - Zdravniški vestnik : glasilo Slovenskega zdravniškega društva : Slovenian medical journal
Language		slv
Abstract		Background: An indwelling pleural catheter (IPC) is a definitive palliative treatment option for symptomatic malignant pleural effusion (MPE). The purpose of our study was to analyze the applicability and safety of IPC in our patients with recurrent MPE. Methods: In this single-centre retrospective cohort study, we included 105 patients with MPE, in whom IPC was inserted between April 2009 and July 2017 at the University Clinic Golnik. We analyzed patients’ characteristics, indications for IPC insertion, post-interventional complications, and the occurrence of pleurodesis. Results: The most common aetiologies of MPE in our patients were lung cancer (59.0%), mesothelioma (9.5%), breast cancer (6.7%), and ovarian cancer (4.8%). The indications for choosing IPC over pleurodesis were lung entrapment in 50 (47.6%) cases, poor performance status, short life expectancy or comorbidities in 50 (47.6%) cases, and patients with prior talc pleurodesis failure in 5 (4.8%) cases. Complications occurred in 14 (13.3%) patients: catheter blockage in 7, dislodgement in 3, peri-catheter leakage in 2, and infection in 2 patients (empyema in one patient and cellulitis in one patient). Pleurodesis with subsequent catheter removal was achieved in 10 (9.5%) patients. Conclusion: IPC is a safe and efficient option for a definitive palliative treatment of MPE.
Keywords		karcinomatoza plevre dispneja zapleti pleural carcinomatosis dyspnea complications