Semin intervent Radiol 2007; 24(4): 398-408
DOI: 10.1055/s-2007-992328
© Thieme Medical Publishers

Percutaneous Management of Malignant Fluid Collections

LeAnn S. Stokes1
  • 1Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, Tennessee
Further Information

Publication History

Publication Date:
11 December 2007 (online)

ABSTRACT

The development of a pleural effusion or ascites in patients with underlying malignancy typically heralds end-stage disease and often results in a significant reduction in the patient&'s quality of life. The goal of treatment is the safe and effective palliation of symptoms with minimal inconvenience to the patient. Malignant fluid collections in the chest and abdomen are amenable to percutaneous management with either intermittent thoracentesis or paracentesis or by placement of temporary or permanent drainage catheters.

REFERENCES

  • 1 Pollak J S, Burdge C M, Rosenblatt M et al.. Treatment of malignant pleural effusions with tunneled long-term drainage catheters.  J Vasc Interv Radiol. 2001;  12 201-208
  • 2 Pollak J S. Malignant pleural effusions: treatment with tunneled long-term drainage catheters.  Curr Opin Pulm Med. 2002;  8 302-307
  • 3 Neragi-Miandoab S. Malignant pleural effusion, current and evolving approaches for its diagnosis and management.  Lung Cancer. 2006;  54 1-9
  • 4 Erasmus J J, Goodman Philip C, Patz Edward Jr F. Management of malignant pleural effusions and pneumothorax.  Radiol Clin North Am. 2000;  38 375-383
  • 5 Saffran L, Ost D E, Fein A M, Schiff M J. Outpatient pleurodesis of malignant pleural effusions using a small-bore pigtail catheter.  Chest. 2000;  118 417-421
  • 6 Dresler C M, Olak J, Herndon II J E et al.. Phase III intergroup study of talc poudrage vs. talc slurry sclerosis for malignant pleural effusion.  Chest. 2005;  127 909-915
  • 7 Tan C, Sedrakyah A, Browne J, Swift S, Treasure T. The evidence on the effectiveness of management for malignant pleural effusion: a systematic review.  Eur J Cardiothorac Surg. 2006;  29 829-838
  • 8 Musani A I, Haas A R, Seijo L, Wilby M, Sterman D H. Outpatient management of malignant pleural effusions with small-bore, tunneled pleural catheters.  Respiration. 2004;  71 559-566
  • 9 Tremblay A, Michaud G. Single-center experience with 250 tunnelled pleural catheter insertions for malignant pleural effusion.  Chest. 2006;  129 362-368
  • 10 Ohm C, Park D, Vogen M et al.. Use of an indwelling pleural catheter compared with thorascopic talc pleurodesis in the management of malignant pleural effusions.  Am Surg. 2003;  69 198-202
  • 11 Putnam Jr J B, Light R W, Rodriguez R M et al.. A randomized comparison of indwelling pleural catheter and doxycycline pleurodesis in the management of malignant pleural effusions.  Cancer. 1999;  86 1992-1999
  • 12 Pien G W, Gant M J, Washam C L, Sterman D H. Use of an implantable pleural catheter for trapped lung syndrome in patients with malignant pleural effusion.  Chest. 2001;  119 1641-1646
  • 13 Rosenberg S M. Palliation of malignant ascites.  Gastroenterol Clin North Am. 2006;  35 189-199
  • 14 Brooks R A, Herzog T J. Long-term semi-permanent catheter use for the palliation of malignant ascites.  Gynecol Oncol. 2006;  101 360-362
  • 15 Grabau C M, Crago S F, Hoff L K et al.. Performance standards for therapeutic abdominal paracentesis.  Hepatology. 2004;  40 484-488
  • 16 Rosenberg S, Courtney A, Nemcek A A, Omary R A. Comparison of percutaneous management techniques for recurrent malignant ascites.  J Vasc Interv Radiol. 2004;  15 1129-1131
  • 17 Ross G J, Kessler H B, Clair M R, Gatenby R A, Hartz W H, Ross L V. Sonographically guided paracentesis for palliation of symptomatic malignant ascites.  AJR Am J Roentgenol. 1989;  153 1309-1311
  • 18 Lee A, Lau T N, Yeong K Y. Indwelling catheters for the management of malignant ascites.  Support Care Cancer. 2000;  8 493-499
  • 19 Sartori S, Nielsen I, Trevisani L et al.. Sonographically guided peritoneal catheter placement in the palliation of malignant ascites in end-stage malignancies.  AJR Am J Roentgenol. 2002;  179 1618-1620
  • 20 Savader S J. Percutaneous radiologic placement of peritoneal dialysis catheters.  J Vasc Interv Radiol. 1999;  10 249-256
  • 21 Georgiades C S, Geschwind J F. Percutaneous peritoneal dialysis catheter placement for the management of end-stage renal disease: technique and comparison with the surgical approach.  Tech Vasc Interv Radiol. 2002;  5 103-107
  • 22 Barnett T D, Rubins J. Placement of a permanent tunneled peritoneal drainage catheter for palliation of malignant ascites: a simplified percutaneous approach.  J Vasc Interv Radiol. 2002;  13 379-383
  • 23 O'Neill M J, Weissleder R, Gervais D A, Hahn P F, Mueller P R. Tunneled peritoneal catheter placement under sonographic and fluoroscopic guidance in the palliative treatment of malignant ascites.  AJR Am J Roentgenol. 2001;  177 615-618
  • 24 Richard III H M, Coldwell D M, Boyd-Kranis R L et al.. Pleurx tunneled catheter in the management of malignant ascites.  J Vasc Interv Radiol. 2001;  12 373-375
  • 25 Savin M A, Kirsch M J, Romano W J et al.. Peritoneal ports for treatment of intractable ascites.  J Vasc Interv Radiol. 2005;  16 363-368
  • 26 Rosenblum D I, Geisinger M A, Newman J S et al.. Use of subcutaneous venous access ports to treat refractory ascites.  J Vasc Interv Radiol. 2001;  12 1343-1346
  • 27 Hussain F F, Meer Z F, Lopez A J. Peritoneovenous shunt insertion for intractable ascites: a district general hospital experience.  Cardiovasc Intervent Radiol. 2004;  27 325-328
  • 28 Park J S, Won J Y, Park S I et al.. Percutaneous peritoneovenous shunt creation for the treatment of benign and malignant refractory ascites.  J Vasc Interv Radiol. 2001;  12 1445-1448
  • 29 Orsi F, Francesco G R, Guido B et al.. Percutaneous peritoneovenous shunt positioning: technique and preliminary results.  Eur Radiol. 2002;  12 1188-1192
  • 30 Lorentzen T, Sengelov L, Nolsoe C P et al.. Ultrasonically guided insertion of a peritoneo-gastric shunt in patients with malignant ascites.  Acta Radiol. 1995;  36 481-484
  • 31 Rozenblit G N, Del Guercio L R, Rundback J H et al.. Peritoneal-urinary drainage for treatment of refractory ascites: a pilot study.  J Vasc Interv Radiol. 1998;  9 998-1005
  • 32 Wallace Michael and Swaim Mark . Transjugular intrahepatic portosystemic shunts through hepatic neoplasms.  J Vasc Interv Radiol. 2003;  14 501-507

LeAnn S StokesM.D. 

Department of Radiology and Radiological Sciences, Vanderbilt University Medical Center

1161 21st Avenue South, Nashville, TN 37232-2675

Email: leann.stokes@vanderbilt.edu

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