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                    0 => array:1 [
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                        "tituloSerie" => "Clin Chest Med"
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                        "paginaInicial" => "113"
                        "paginaFinal" => "125"
                        "link" => array:1 [
                          0 => array:2 [
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                          "autores" => array:2 [
                            0 => "FH Hausheer"
                            1 => "JW Yarbro"
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                        ]
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                    ]
                  ]
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                    0 => array:1 [
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                        "tituloSerie" => "Semin Oncol"
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                        "paginaInicial" => "54"
                        "paginaFinal" => "75"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2579439"
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                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
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                        "paginaFinal" => "389S"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7681744"
                            "web" => "Medline"
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                        "tituloSerie" => "Semen Oncol"
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                        "paginaFinal" => "63"
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                    0 => array:1 [
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                        "paginaFinal" => "922"
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                    0 => array:1 [
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                        "tituloSerie" => "Ann Intern Med"
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                        "paginaInicial" => "208"
                        "paginaFinal" => "209"
                        "link" => array:1 [
                          0 => array:2 [
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                          "autores" => array:2 [
                            0 => "CJ Grodzin"
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                        "paginaFinal" => "988"
                        "link" => array:1 [
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Journal Information
Vol. 42. Issue 12.
Pages 660-662 (December 2006)
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Vol. 42. Issue 12.
Pages 660-662 (December 2006)
Case Reports
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Outpatient Management of Malignant Pleural Effusion Using a Tunneled Pleural Catheter: Preliminary Experience
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10072
Luis Seijo
Corresponding author
lmseijo@unav.es

Correspondence: Dr. L. Seijo Departamento de Neumología. Clínica Universitaria de Navarra. Avda. Pío XII, 36. 31008 Pamplona. Navarra
, Arantza Campo, Ana Belén Alcaide, María del Mar Lacunza, Ana Carmen Armendáriz, Javier J. Zulueta
Departamento de Neumología, Clínica Universitaria, Universidad de Navarra, Pamplona, Navarra, Spain
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Inpatient management of malignant pleural effusion includes the placement of a conventional thoracostomy tube for drainage and talc slurry pleurodesis and/or a surgical approach consisting of video-assisted thoracoscopic talc insufflation. Both techniques require prolonged hospital stays of up to 1 week. Unfortunately, life expectancy in patients with this disease does not usually exceed 6 months, and so the primary aim of any palliative intervention intended to improve quality of life should be to avoid hospital admissions and to relieve pain as far as possible.

Of the few outpatient alternatives to hospital management the most frequently used is repeated thoracentesis. We describe the outpatient management of malignant pleural effusion by placement of a tunneled pleural catheter in a patient with stage IIIB lung adenocarcinoma. In our opinion, the use of this catheter offers a viable alternative to conventional therapy and is better tolerated.

Key words:
Malignant pleural effusion
Tunneled catheter
Outpatient

El manejo hospitalario del derrame pleural maligno in-cluye la colocación de un tubo de toracostomía convencio-nal, drenaje y esclerosis mediante talcaje, y/o el abordaje quirúrgico mediante videotoracoscopia. Ambas técnicas re-quieren ingresos prolongados, de hasta una semana de duración. Lamentablemente, la esperanza de vida en pacientes con esta enfermedad no suele superar los 6 meses, motivo por el que toda intervención paliativa destinada a mejorar la calidad de vida debe tener como objetivo primordial el evitar, en la medida de lo posible, el ingreso hospitalario y aliviar el dolor.

Hay pocas alternativas ambulatorias al manejo hospitalario. De ellas, la toracocentesis de repetición es la más fre-cuentemente utilizada. Describimos el uso de un catéter tunelizado en el manejo ambulatorio del derrame pleural maligno de un paciente con adenocarcinoma de pulmón en estadio IIIB. Consideramos que este catéter ofrece una al-ternativa viable y mejor tolerada que el tratamiento convencional.

Palabras clave:
Derrame pleural maligno
Catéter tunelizado
Manejo ambulatorio
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REFERENCES
[1]
SA Sahn.
Malignant pleural effusions.
Clin Chest Med, 6 (1985), pp. 113-125
[2]
FH Hausheer, JW Yarbro.
Diagnosis and management of malignant pleural effusion.
Semin Oncol, 12 (1985), pp. 54-75
[3]
TJ Lynch Jr.
Management of malignant pleural effusions.
Chest, 103 (1993), pp. 385S-389S
[4]
JC Ruckdeschel.
Management of malignant pleural effusions.
Semen Oncol, 22 (1995), pp. 58-63
[5]
CB Anderson, GW Philipott, TB Ferguson.
The treatment of malignant pleural effusions.
Cancer, 33 (1974), pp. 916-922
[6]
RS Leff, B Eisenberg, CE Baisden, et al.
Drainage of recurrent pleural effusion via an implanted port and intrapleural catheter.
Ann Intern Med, 104 (1986), pp. 208-209
[7]
L van Le, LA Parker, LR de Mars, et al.
Pleural effusions: outpatient management with pigtail catheter chest tubes.
Gynecol Oncol, 54 (1994), pp. 215-217
[8]
DC Zeldin, RM Rodríguez.
Management of refractory malignant pleural effusions with a chronic indwelling pleural catheter.
Chest, 100 (1991), pp. 87S
[9]
CJ Grodzin, RA Balk.
Indwelling small pleural catheter needle thoracentesis in the management of large pleural effusions.
Chest, 111 (1997), pp. 981-988
[10]
JB Putnam, RW Light, RM Rodríguez, et al.
A randomized comparison of indwelling pleural catheter and doxycycline pleurodesis in the management of malignant pleural effusions.
Cancer, 86 (1999), pp. 1992-1999
[11]
P Clementsen, T Evaid, G Grode, et al.
Treatment of malignant pleural effusion: pleurodesis using a small percutaneous catheter. A prospective randomized study.
Respir Med, 92 (1998), pp. 593-596
[12]
LA Parker, GC Charnock, DJ Delany.
Small bore catheter drainage and sclerotherapy for malignant pleural effusions.
Cancer, 64 (1989), pp. 1218-1221
[13]
AI Musani, AR Haas, LM Seijo, et al.
Outpatient management of malignant pleural effusions with small-bore, tunneled pleural catheters.
Respiration, 71 (2004), pp. 559-566
[14]
JB Putnam Jr, GL Walsh, SG Swisher, et al.
Outpatient management of malignant pleural effusion by a chronic indwelling pleural catheter.
Ann Thorac Surg, 69 (2000), pp. 369-375
Copyright © 2006. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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