Tunneled Uncuffed Pigtail Drainage Catheter Placement in Patients with Refractory Ascites or Pleural Effusion: A Single-Center Experience

dc.authoridTürk, Yasar/0000-0001-6728-3664
dc.authoridDEVECIOGLU, ISMAIL/0000-0003-4119-617X
dc.authoridAribas, Bilgin/0000-0001-8218-1359
dc.authorwosidTürk, Yasar/N-5682-2018
dc.authorwosidDEVECIOGLU, ISMAIL/H-4523-2018
dc.authorwosidAribas, Bilgin/C-6517-2014
dc.contributor.authorTürk, Yaşar
dc.contributor.authorDevecioğlu, İsmail
dc.contributor.authorYıldızhan, İshak
dc.contributor.authorArslan, Barış Can
dc.contributor.authorArıbaş, Bilgin Kadri
dc.date.accessioned2023-04-20T08:01:20Z
dc.date.available2023-04-20T08:01:20Z
dc.date.issued2022
dc.departmentFakülteler, Çorlu Mühendislik Fakültesi, Biyomedikal Mühendisliği Bölümü
dc.description.abstractPurpose No evidence exists to support the use of tunneled non-cuffed pigtail drainage catheters in patients with refractory ascites or pleural effusion. The purpose of this study was to determine the feasibility of non-cuffed tunneled pigtail drainage catheters in patients with refractory ascites or pleural effusions. Materials and Methods Between October 5, 2020 and May 25, 2021, 34 pigtail catheters were implanted in 27 patients (17 males, 10 females; average age: 65.66 +/- 12.04 years) under either ultrasound or computed-tomography guidance (19 catheters for ascites, 15 catheters for pleural effusion). Twenty-eight catheters (82.35%) were implanted for malignant etiologies, and 6 catheters (17.65%) were implanted for benign etiologies. The catheters (size: 8-14 French) were implanted through a subcutaneous tunnel. Complication rate and factors related to complications were analyzed. Catheter lifetime was analyzed with Kaplan-Meier method. Results Patency ranged from 3 to 211 days. None of the patients experienced a major complication (e.g., peritonitis and empyema). Meanwhile, 8 minor complications were observed including 3 catheter occlusion, 3 ascites leakage, 1 peri-catheter local skin infection, 1 peri-catheter local skin reaction. None of the etiologies were related to the catheter complications. However, the 8-F catheter was associated with a significantly higher complication rate (odds = 5.5, p = 0.044). The estimated mean [CI] dwelling time of a catheter was 59.18 [32.97, 85.39] days. Conclusions Image-guided insertion of tunneled peritoneal or pleural pigtail external drainage catheters achieved with a 100% technical success rate and resulted in an acceptable complication rate and catheter lifetime for the management of refractory ascites or pleural effusion.
dc.identifier.doi10.1007/s00270-022-03248-2
dc.identifier.issn0174-1551
dc.identifier.issn1432-086X
dc.identifier.pmid35945349
dc.identifier.scopus2-s2.0-85135629821
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1007/s00270-022-03248-2
dc.identifier.urihttps://hdl.handle.net/20.500.11776/10879
dc.identifier.wosWOS:000837925100004
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorDevecioğlu, İsmail
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofCardiovascular and Interventional Radiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAscites
dc.subjectMalignant
dc.subjectPigtail Catheter
dc.subjectPigtail
dc.subjectPleural Effusion
dc.subjectOutpatient Management
dc.subjectMalignant Ascites
dc.subjectIndwelling Catheters
dc.subjectPleurodesis
dc.titleTunneled Uncuffed Pigtail Drainage Catheter Placement in Patients with Refractory Ascites or Pleural Effusion: A Single-Center Experience
dc.typeArticle

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