Ambulatory Intrapleural Fibrinolytic Therapy in Highly Viscous Recurrent Malignant Pleural Effusion

Author:

Foo Chuan Tai,Herre Jurgen

Abstract

Malignant pleural effusion (MPE) is common in lung cancer. We report a case of highly viscous recurrent MPE associated with lung cancer. The viscosity prohibited gravity-dependent drainage initially with a 6-Fr aspiration catheter and subsequently with a 12-Fr intercostal drain. The effusion was eventually evacuated after a single dose of intrapleural fibrinolytic therapy. This process was repeated a total of 13 times over a 12-month period in an ambulatory setting. No bleeding complications were observed. This case highlights the feasibility and safety of repeated intrapleural fibrinolysis in the management of highly viscous recurrent MPE in an ambulatory setting.

Publisher

S. Karger AG

Subject

Oncology

Reference8 articles.

1. Bibby AC, Dorn P, Psallidas I, Porcel JM, Janssen J, Froudarakis M, et al. ERS/EACTS statement on the management of malignant pleural effusions. Eur J Cardiothorac Surg. 2019;55(1):116–32.

2. Feller-Kopman DJ, Reddy CB, DeCamp MM, Diekemper RL, Gould MK, Henry T, et al. Management of malignant pleural effusions. An official ATS/STS/STR clinical practice guideline. Am J Respir Crit Care Med. 2018;198(7):839–49.

3. Chang LC, Hua CC, Liu YC, Chu CM, Chen HJ, Lee N. Pleural fluid viscosity may help identifying malignant pleural effusions. Respirology. 2008;13(3):341–5.

4. Yetkin O, Tek I, Kaya A, Ciledag A, Numanoglu N. A simple laboratory measurement for discrimination of transudative and exudative pleural effusion: pleural viscosity. Respir Med. 2006;100(7):1286–90.

5. Cheah HM, Fitzgerald D, Louw A, Creaney J, Lee YCG. Hyaluronic acid in viscous malignant mesothelioma pleural effusion. Respirol Case Rep. 2021;9(1):e00694.

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