Drainage of Recurrent Pleural Effusion Via an Implanted Port and Intrapleural Catheter

Abstract

Brief Reports1 February 1986Drainage of Recurrent Pleural Effusion Via an Implanted Port and Intrapleural CatheterRICHARD S. LEFF, M.D., BURTON EISENBERG, M.D., CLINTON E. BAISDEN, M.D., KATHERINE R. MOSLEY, R.N., M.S.N, GERALD L MESSERSCHMIDT, M.D.RICHARD S. LEFF, M.D.Search for more papers by this author, BURTON EISENBERG, M.D.Search for more papers by this author, CLINTON E. BAISDEN, M.D.Search for more papers by this author, KATHERINE R. MOSLEY, R.N., M.S.NSearch for more papers by this author, GERALD L MESSERSCHMIDT, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-104-2-208 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPleural effusions associated with malignancy are a common problem encountered in clinical practice. Generally, 85% of these effusions are controlled by tube thoracostomy drainage and intrapleural instillation of various sclerosing or chemotherapeutic agents (1-3). However, these manipulations fail to control 5% to 15% of malignant pleural effusions and result in repeated chest tube drainage or percutaneous aspirations. The morbidity of infection and pneumothorax associated with these procedures can be high. We report the case of a patient with adenocarcinoma of the lung with associated recurrent pleural effusion unresponsive to instillation of tetracycline. The pleural effusion was easily controlled by placement...References1. AUSTINFLYE EM. The treatment of recurrent malignant pleural effusion. Ann Thorac Surg. 1979;28:190-203. CrossrefMedlineGoogle Scholar2. FRIEDMANSLATER ME. Malignant pleural effusions. Cancer Treat Rev. 1978;5:49-66. CrossrefMedlineGoogle Scholar3. SAHN S. Pleural effusion in lung cancer. Clin Chest Med. 1982;3:443-52. MedlineGoogle Scholar4. ANDERSONPHILPOTTFERGUSON CGT. The treatment of malignant pleural effusions. Cancer. 1974;33:916-22. CrossrefMedlineGoogle Scholar5. GREENWALDPHILLIPSBENNETT DCJ. Management of malignant pleural effusion. J Surg Onc. 1978;10:361-8. CrossrefMedlineGoogle Scholar6. POLLOCK A. The treatment of resistant malignant ascites by insertion of a peritoneo-atrial Holter valve. Br J Surg. 1975;62:104-7. CrossrefMedlineGoogle Scholar7. WEESESCHOUTEN JJ. Pleural peritoneal shunts for the treatment of malignant pleural effusions. Surg Gynecol Obstet. 1982;154:391-2. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Wilford Hall USAF Medical Center San Antonio, Texas PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByAABIP Indwelling Pleural Catheter GuidelinesThe Evolving Role of the Indwelling Tunneled Pleural Catheter. A Means to an EndPermanent Indwelling Catheters in the Management of Pleural EffusionsTreatment options for malignant pleural effusionEmerging paradigms in the management of malignant pleural effusionsManagement of Malignant Pleural EffusionsOutpatient Management of Malignant Pleural Effusion Using a Tunneled Pleural Catheter: Preliminary ExperienceManejo ambulatorio del derrame pleural maligno mediante colocación de un catéter de drenaje tunelizado. Experiencia preliminarOutpatient Management of Malignant Pleural Effusions with Small-Bore, Tunneled Pleural CathetersPleurodesis for the Therapy of Malignant Pleural EffusionsMalignant pleural effusions: treatment with tunneled long-term drainage cathetersUse of an Implantable Pleural Catheter for Trapped Lung Syndrome in Patients With Malignant Pleural EffusionTreatment of Malignant Pleural Effusions with Tunneled Long-term Drainage CathetersInitial Experiences with a Long-term Indwelling Tunnelled Pleural Catheter for the Management of Malignant Pleural EffusionA randomized comparison of indwelling pleural catheter and doxycycline pleurodesis in the management of malignant pleural effusionsSubcutaneous access ports with fenestrated catheters for improved management of recurrent pleural effusions 1 February 1986Volume 104, Issue 2Page: 208-209KeywordsAdenocarcinomaCathetersChemotherapeutic agentsLungsMorbidityPleural effusionTetracyclinesThorax Issue Published: 1 February 1986 PDF DownloadLoading ...