Indwelling pleural catheters for malignancy related pleural effusions
Abstract ObjectivesThe incidence of malignancy related pleural effusions (MPE) is increasing. MPE carry significant morbidity and mortality. Indwelling pleural catheters (IPCs) have become the cornerstone in management and are supported by established international guidance. Large case reviews add to the evidence base regarding safety and efficacy. Methods168 patients had an IPC insertion between January 2012 and December 2018 in a large pleural centre in the North East of England. Data on outcomes and complications were obtained from the patients’ notes, electronic records, laboratory, and radiographic findings. Descriptive statistical methodology was applied. Results168 IPCs were inserted in a predominantly male population by experienced pleural practitioners. Overall complication rate is 13% and the incidence of any individual complications such as infection, metastatic seeding, drain displacement and loculations are much less than previously quoted in the literature. ConclusionThis case review adds to the large body of evidence that IPCs are safe and have minimal complications in the palliation of symptoms of malignant pleural effusion.