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Fractured indwelling pleural catheters.

Edward T H Fysh1, John M Wrightson2, Y C Gary Lee1

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This summary is machine-generated.

Indwelling pleural catheters (IPCs) removal can be complicated, sometimes causing fractures. However, retained catheter fragments in the pleural space are safe and do not require retrieval.

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Area of Science:

  • Pulmonology
  • Thoracic Surgery

Background:

  • Indwelling pleural catheters (IPCs) are widely used for malignant pleural effusions.
  • IPCs are intended for long-term placement but can be removed if drainage ceases.

Observation:

  • This case series analyzed 170 IPC insertions across two pleural centers.
  • Sixty-one IPCs (35.9%) were removed, with six removals (9.8%) experiencing complications.

Findings:

  • Complications included catheter fracture or iatrogenic severing during removal.
  • Four patients had retained catheter fragments, experiencing no adverse events like pain or infection.
  • Follow-up ranged from 113 to 1,119 days, with two patients receiving chemotherapy post-fragment retention.

Implications:

  • IPC removal can be technically challenging and lead to complications.
  • Retained catheter fragments appear safe and do not necessitate aggressive retrieval interventions.
  • Clinicians should be aware of potential removal issues and the safety of retained fragments.