title: Successful use of central venous catheters in the management of recurrent malignant pleural effusions: one new option.
abstract: BACKGROUND
  Malignant pleural effusion (MPE) is a common clinical problem in patients with malignancy. To date, placement of various catheters has been suggested as an effective alternative method for traditional treatment of recurrent MPE. In this study, we report our experience in managing treatment of recurrent MPE by placing a central vein catheter without a radiologic guide.
  
  
  METHODS
  Patients with recurrent MPE who underwent triple-lumen central vein catheter insertion (2010-2013) were retrospectively reviewed. Clinical, procedural, complication, and outcome details were analyzed. Patients were carefully selected, and the central catheters were inserted as a palliative measure. We assessed the quality of life of patients using the EORTC QLQ-C30.
  
  
  RESULTS
  A total of 84 patients with recurrent MPE were enrolled in this study. Fifty-six males and 28 females with mean age of 57.8 ± 12.4 years old underwent the procedure. There were no preoperative or postoperative complications related to the procedure. The EORTC QLQ-C30 questionnaire showed a significant improvement following catheter placement in symptom scales at 30 days (p = 0.01) and at 60 days (p = 0.002).
  
  
  CONCLUSIONS
  Triple-lumen central catheter insertion is a simple, noninvasive option in patients with recurrent MPE that can be performed the patient's bedside. Further research is needed to confirm the results and to assess the impact of central catheter insertion on the quality of life of these patients.
authors.affiliation: Department of Internal Medicine, Imam Khomeini Hospital, Ardabil University of Medical Sciences, Ardabil, Iran, a.yazdanbod@arums.ac.ir.
authors.forename: Abbas
authors.initials: A
authors.lastname: Yazdanbod
authors.forename: Azita
authors.initials: A
authors.lastname: Salehifar
authors.forename: Nasrollah
authors.initials: N
authors.lastname: Maleki
authors.forename: Shahram
authors.initials: S
authors.lastname: Habibzadeh
authors.forename: Zahra
authors.initials: Z
authors.lastname: Tavosi
mesh_terms: D000328:Adult; D000368:Aged; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods; D002408:Catheters, Indwelling; D062905:Central Venous Catheters; D004322:Drainage / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016066:Pleural Effusion, Malignant / Q000628:therapy*; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D012189:Retrospective Studies; D011795:Surveys and Questionnaires