Abstract

INTRODUCTION

In this study over a 6-year period, a comparison was made of the efficacy of chemical pleurodesis applied with different catheters to patients with malignant pleural effusion.

METHODS

Thoracostomy was applied with a 28F catheter to one group and with an 8F catheter to the other and chemical pleurodesis was performed with tetracycline. The groups were compared in respect of the duration and success of the treatment.

RESULTS

A total of 80 patients were evaluated. In the patients applied with 28F catheter, success in the first adminstration of sclerosing agent to the thoracic cavity was obtained in 90% and in 100% in the second adminstration. For the group applied with 8F catheter these rates were calculated as 60% and 100%. Recurrence was seen at the rate of 15% in the 8F catheter group.

DISCUSSION AND CONCLUSION

Pleurodesis was obtained in a shorter time and with a higher success rate with applications made with a 28F catheter compared to the 8F catheter. This success can be considered due to the provision of easier drainage with the larger diameter catheter and an earlier and wider area of contact of the pleural membranes.