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Semin Respir Crit Care Med 2018; 39(06): 713-719
DOI: 10.1055/s-0038-1676648
DOI: 10.1055/s-0038-1676648
Review Article
Indwelling Pleural Catheter Placement for Nonmalignant Pleural Effusions
Weitere Informationen
Publikationsverlauf
Publikationsdatum:
14. Januar 2019 (online)
Abstract
Pleural effusions account for significant symptoms and morbidity. Recent studies demonstrate a high mortality in patients with “benign” pleural effusions, now better characterized as nonmalignant pleural effusions (NMPEs) based on their prognosis. The most common nonmalignant clinical conditions with recurrent pleural effusions are congestive heart failure and hepatic hydrothorax, although many other diseases exist in isolation or as comorbid conditions. When conventional therapy fails, thoracentesis is often performed for relief of dyspnea. Many times, however, the effusions recur despite maximal medical therapy. Placement of tunneled or indwelling pleural catheters provides an effective therapeutic strategy for recurrent NMPEs when other medical therapy fails.
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