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Pleurodesis through Pleural Catheterization in Patients with Symptomatic Malignant Pleural Effusions: Which One is better? Talc, Bleomycin or Tetracycline?| Abstract
ISSN: 2165-7386

Journal of Palliative Care & Medicine
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  • Review Article   
  • J Palliat Care Med 2018, Vol 8(2): 329
  • DOI: 10.4172/2165-7386.1000329

Pleurodesis through Pleural Catheterization in Patients with Symptomatic Malignant Pleural Effusions: Which One is better? Talc, Bleomycin or Tetracycline?

Türkmen Çiftçi1, Sercan Aksoy2, Çağdaş Topel1*, Devrim Akıncı1, Ilkay S. Idilman1, Umut Arslan3, Erhan Akpınar1, Bülent Erbil4, Mehmet Mahir Kunt4, Mehmet Ali Karaca4 and Okan Akhan1
1Departments of Radiology, School of Medicine, Hacettepe University, Turkey
2Medical Oncology, School of Medicine, Hacettepe University, Turkey
3Institute of Public Health, Hacettepe University, Turkey
4Emergency Medicine, School of Medicine, Hacettepe University, Turkey
*Corresponding Author : Çağdaş Topel, Department of Radiology, School of Medicine, Hacettepe University, Sıhhiye, Ankara, Turkey, Tel: +90 312 3052314, Email: [email protected]

Received Date: Feb 03, 2018 / Accepted Date: Feb 14, 2018 / Published Date: Feb 19, 2018

Abstract

Purpose: To analyze the results of pleurodesis through pleural catheterization using talc slurry, bleomycin, and tetracycline in patients with symptomatic malignant pleural effusion (MPE) and to compare the efficacy, reliability and outcomes of these agents.
Methods: Talc (4 g), bleomycin (60.000 U) or tetracycline (1 g) was used for chemical pleurodesis in 271 patients. Successful pleurodesis was defined as no fluid build up and lack of recurrence of symptoms within the first 30 days after treatment. Data were analyzed using SPSS 15.0 for Windows.
Results: Pleural catheterization was performed in a total of 368 patients. Eighteen patients were lost to follow-up. Seventy-nine patients were excluded due to either of the following factors; trapped lung syndrome or patient lost during the early post-catheterization period due to advanced disease. In 271 patients chemical pleurodesis was performed with talc slurry (17.3%), bleomycin (13.7%) or tetracycline (49.1%). In 19.9% of the patients, multiple chemical agents were used in different sessions as successful results were not obtained with one agent. Clinical and radiological success was achieved in 78.2% of patients. There was no significant difference among 4 groups (talc slurry, bleomycin, tetracycline and multiple agents) in terms of clinical success, complication rates and median symptom-free life periods.
Conclusion: Talc slurry, bleomycin, or tetracycline administration through percutaneous pleural catheterization have comparable efficacy rates and safety profiles. If pleurodesis failure with one agent occurs, the attempt with other agents may result in success.

Keywords: Malignant pleural effusion; Pleural catheterization pleurodesis; Talc slurry; Bleomycin; Tetracycline

Citation: Çiftçi T, Aksoy S, Topel C, Akinci D, Idilman IS, et al. (2018) Pleurodesis through Pleural Catheterization in Patients with Symptomatic Malignant Pleural Effusions: Which One is better? Talc, Bleomycin or Tetracycline?. J Palliat Care Med 8: 329. Doi: 10.4172/2165-7386.1000329

Copyright: ©2018 Çiftçi T, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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