استفاده موفقیت آمیز از کاتترهای وریدی مرکزی در درمان افیوژن پلورال بدخیم به عنوان یک گزینه جدید درمانی

یزدانبد, عباس and صالحی فر, آزیتا and ملکی, نصراله and حبیب زاده, شهرام and طاووسی, زهرا (1394) استفاده موفقیت آمیز از کاتترهای وریدی مرکزی در درمان افیوژن پلورال بدخیم به عنوان یک گزینه جدید درمانی. Supportive Care in Cancer ــ 23 (8). pp. 2267-2271. شاپا 0941-4355

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Successful use of central venous catheters in the management of recurrent malignant pleural effusions: one new option

English Abstract

Background Malignant pleural effusion (MPE) is a common clinical problem in patients with malignancy. To date, placement of various catheters has been suggested as an effective alternative method for traditional treatment of recurrent MPE. In this study, we report our experience in managing treatment of recurrent MPE by placing a central vein catheter without a radiologic guide. Methods Patients with recurrent MPE who underwent triplelumen central vein catheter insertion (2010–2013) were retrospectively reviewed. Clinical, procedural, complication, and outcome details were analyzed. Patients were carefully selected, and the central catheters were inserted as a palliative measure. We assessed the quality of life of patients using the EORTC QLQ-C30. Results A total of 84 patients with recurrent MPE were enrolled in this study. Fifty-six males and 28 females with mean age of 57.8±12.4 years old underwent the procedure. There were no preoperative or postoperative complications related to the procedure. The EORTC QLQ-C30 questionnaire showed a significant improvement following catheter placement in symptom scales at 30 days (p=0.01) and at 60 days (p= 0.002). Conclusions Triple-lumen central catheter insertion is a simple, noninvasive option in patients with recurrent MPE that can be performed the patient’s bedside. Further research is needed to confirm the results and to assess the impact of central catheter insertion on the quality of life of these patients.

Item Type:Article
زبان سند : انگلیسی
نویسنده اول :عباس یزدانبد
نویسنده :آزیتا صالحی فر
نویسنده مسئول :نصراله ملکی
نویسنده :شهرام حبیب زاده
نویسنده :زهرا طاووسی
Additional Information:Impact Factor:(2014)2.364 Indexed in: ISI,PubMed/Medline, Scopus
کلیدواژه ها (انگلیسی):Malignancy . Pleural effusion . Paracentesis . Catheter
Subjects:WB Practice of Medicine
Divisions:Faculty of Medicine > Department of Internal Medicine , Cardiology , Infectious
ID Code:6834
Deposited By: Dr Shahram Habibzadeh
Deposited On:06 May 1394 05:43
Last Modified:20 Feb 1399 15:26

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