Efficacy and Safety of Tunneled Pleural Catheters in Adults with Malignant Pleural Effusions: A Systematic Review
TLDR
Based on low-quality evidence in the form of case series, the TIPC may improve symptoms for patients with MPE and does not appear to be associated with major complications.Abstract:
Background
Malignant pleural effusions (MPE) are a frequent cause of dyspnea and discomfort at the end of cancer patients' lives. The tunneled indwelling pleural catheter (TIPC) was approved by the FDA in 1997 and has been investigated as a treatment for MPE.read more
Citations
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Journal ArticleDOI
Effect of an indwelling pleural catheter vs chest tube and talc pleurodesis for relieving dyspnea in patients with malignant pleural effusion: the TIME2 randomized controlled trial.
Helen E. Davies,Eleanor K. Mishra,Brennan C Kahan,John M. Wrightson,Andrew E. Stanton,Anur Guhan,Christopher W. H. Davies,Jamal Grayez,Richard Harrison,Anjani Prasad,Nicola Crosthwaite,Y. C. Gary Lee,Robert J. O. Davies,Robert F. Miller,Najib M. Rahman +14 more
TL;DR: There was no significant difference between IPCs and talc pleurodesis at relieving patient-reported dyspnea among patients with malignant pleural effusion and no previous pleurodenis.
Journal ArticleDOI
ERS/EACTS statement on the management of malignant pleural effusions.
Anna C. Bibby,Anna C. Bibby,Patrick Dorn,Ioannis Psallidas,José M. Porcel,Julius Janssen,Marios Froudarakis,Dragan Subotic,P Astoul,Peter B. Licht,Ralph A. Schmid,Arnaud Scherpereel,Najib M. Rahman,Giuseppe Cardillo,Nick A Maskell,Nick A Maskell +15 more
TL;DR: The literature revealed that talc pleurodesis and indwelling pleural catheters effectively manage the symptoms of MPE and the LENT score was identified as a validated tool for predicting survival in MPE, with Brims' prognostic score demonstrating utility in mesothelioma prognostication.
Journal ArticleDOI
Effect of an Indwelling Pleural Catheter vs Talc Pleurodesis on Hospitalization Days in Patients With Malignant Pleural Effusion: The AMPLE Randomized Clinical Trial.
Rajesh Thomas,Rajesh Thomas,Edward T.H. Fysh,Edward T.H. Fysh,Nicola A Smith,Pyng Lee,Benjamin C. H. Kwan,Elaine Yap,Fiona C Horwood,Francesco Piccolo,David C.L. Lam,Luke A. Garske,Ranjan Shrestha,Christopher Kosky,Christopher Kosky,Catherine A. Read,Kevin Murray,Y. C. Gary Lee,Y. C. Gary Lee +18 more
TL;DR: Among patients with malignant pleural effusion, treatment with an indwelling pleural catheter vs talc pleurodesis resulted in fewer hospitalization days from treatment to death, but the magnitude of the difference is of uncertain clinical importance.
Journal ArticleDOI
Malignant pleural effusion: from bench to bedside.
Ioannis Psallidas,Ioannis Kalomenidis,José M. Porcel,Bruce W. S. Robinson,Georgios T. Stathopoulos +4 more
TL;DR: This article attempts to provide a comprehensive overview of current advances in MPE from bench to bedside, and highlights unanswered questions in current clinical practice and suggests future directions for basic and clinical research in the field.
Journal ArticleDOI
Randomized Trial of Pleural Fluid Drainage Frequency in Patients with Malignant Pleural Effusions. The ASAP Trial.
Momen M. Wahidi,Chakravarthy Reddy,Lonny Yarmus,David Feller-Kopman,Ali I. Musani,R. Wesley Shepherd,Hans J. Lee,Rabih Bechara,Carla Lamb,Scott Shofer,Kamran Mahmood,Gaetane Michaud,Jonathan Puchalski,Samaan Rafeq,Stephen M. Cattaneo,John J. Mullon,Steven Leh,Martin L. Mayse,Samantha M. Thomas,Bercedis Peterson,Richard W. Light +20 more
TL;DR: Among patients with malignant pleural effusion, daily drainage of pleural fluid via an indwelling pleural catheter led to a higher rate of autopleurodesis and faster time to liberty from catheter.
References
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