Document Detail


Ambulatory sclerotherapy for malignant pleural effusions.
MedLine Citation:
PMID:  8633136     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine the feasibility of ambulatory drainage and sclerotherapy in malignant pleural effusions. MATERIALS AND METHODS: Nineteen consecutive patients with symptomatic malignant pleural effusions were enrolled. None of the patients previously underwent sclerotherapy. A fluoroscopically placed 10.3-F catheter was connected to a closed gravity drainage bag system. Sclerotherapy was performed with bleomycin when daily drainage was less than 100 mL. Radiographic response was graded at 30 days. All patients were examined for symptomatic response and for complications. RESULTS: The tubes remained in place 2-11 days (mean, 5.1 days). Total pleural drainage ranged from 950 to 3,925 mL (mean, 1,647 mL); all 19 patients had improvement of symptoms. At 30 days, 10 (53%) patients had a complete response, five (26%) had a partial response, and four (21%) had progressive disease. CONCLUSION: Ambulatory sclerotherapy is a safe, viable alternative to conventional inpatient treatment of malignant pleural effusions.
Authors:
E F Patz; H P McAdams; P C Goodman; S Blackwell; J Crawford
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Radiology     Volume:  199     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-06-28     Completed Date:  1996-06-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  133-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care
Bleomycin / therapeutic use*
Chest Tubes
Drainage / instrumentation,  methods
Feasibility Studies
Female
Humans
Male
Middle Aged
Pilot Projects
Pleural Effusion, Malignant / therapy*
Sclerosing Solutions / therapeutic use*
Sclerotherapy / instrumentation,  methods*
Time Factors
Chemical
Reg. No./Substance:
0/Sclerosing Solutions; 11056-06-7/Bleomycin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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