Authors: Lui MM, Thomas R, Lee YC Abstract The growing utilisation of indwelling pleural catheters (IPCs) has put forward a new era in the management of recurrent symptomatic pleural effusions. IPC use is safe compared to talc pleurodesis, though complications can occur. Pleural infection affects <5% of patients, and is usually responsive to antibiotic treatment without requiring catheter removal or surgery. Pleural loculations develop over time, limiting drainage in 10% of patients, which can be improved with intrapleural fibrinolytic therapy. Catheter tract metastasis can occur with most tumours but is more common in mesothelioma. The metastases usually respond to analgaesics and/or external radiotherapy. Long-term intermittent drainage of exudative effusions or chylothorax ca...
from MedWorm: Mesothelioma http://www.medworm.com/index.php?rid=165896054&cid=c_409_40_f&fid=28719&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpubmed%2F26870384%3Fdopt%3DAbstract
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