title: Use of indwelling pleural catheters for the definitive treatment of malignant pleural effusion.
abstract: To evaluate the safety and feasibility of the use of indwelling pleural catheters (IPCs) in patients with malignant pleural effusion (MPE).
  We prospectively collected data from patients with MPE undergoing IPC placement between January of 2014 and July of 2015. All patients submitted to IPC placement had a life expectancy > 30 days, in accordance with the MPE treatment guidelines established by the British Thoracic Society. The data collected included gender, age, body mass index, primary cancer site, duration of IPC drainage, IPC-related complications, length of hospital stay, pleural effusion recurrence, and occurrence of spontaneous pleurodesis.
  A total of 19 patients underwent IPC placement during the study period. Median overall survival after IPC insertion was 145 days. The median follow-up among the surviving patients was 125 days (range, 53-485 days), and the median time between catheter insertion and removal was 31 days (range, 2-126 days). There were IPC-related complications in 5 patients (26.2%), and spontaneous pleurodesis was achieved in 8 (42.0%). Among those 8 patients, the IPC was removed between days 30 and 126 in 4, and spontaneous pleurodesis occurred within the first 30 days in 4.
  The use of IPCs seems to be feasible and safe in patients with MPE.
  Avaliar a segurança e a viabilidade do uso de cateter pleural de longa permanência (CPLP) em pacientes com derrame pleural neoplásico (DPN).
  Dados referentes a pacientes com DPN que receberam CPLP entre janeiro de 2014 e julho de 2015 foram colhidos prospectivamente. Todos os pacientes que receberam CPLP tinham expectativa de vida > 30 dias, em conformidade com as diretrizes de tratamento de DPN da Sociedade Torácica Britânica. Foram colhidos dados sobre sexo, idade, índice de massa corporal, local do câncer primário, tempo de drenagem com o CPLP, complicações relacionadas com o CPLP, tempo de internação hospitalar, recidiva do derrame pleural e ocorrência de pleurodese espontânea.
  Dezenove pacientes receberam CPLP durante o período de estudo. A mediana de sobrevida global após a inserção do CPLP foi de 145 dias. A mediana de tempo de acompanhamento dos pacientes sobreviventes foi de 125 dias (variação: 53-485 dias), e a mediana de tempo decorrido entre a inserção e a remoção do cateter foi de 31 dias (variação: 2-126 dias). Houve complicações relacionadas com o CPLP em 5 pacientes (26,2%) e pleurodese espontânea em 8 (42,0%). Nesses 8 pacientes, o CPLP foi retirado entre os dias 30 e 126 em 4, e a pleurodese espontânea ocorreu nos primeiros 30 dias em 4.
  O uso de CPLP parece ser viável e seguro em pacientes com DPN.
authors.affiliation: . Departamento de Cirurgia Torácica, Hospital Santa Marcelina, São Paulo (SP) Brasil.|. Centro de Oncologia, Hospital Alemão Oswaldo Cruz, São Paulo (SP) Brasil.
authors.forename: Fernando Conrado
authors.initials: FC
authors.lastname: Abrão
authors.affiliation: . Departamento de Cirurgia Torácica, Hospital Santa Marcelina, São Paulo (SP) Brasil.|. Centro de Oncologia, Hospital Alemão Oswaldo Cruz, São Paulo (SP) Brasil.
authors.forename: Igor Renato Louro Bruno de
authors.initials: IR
authors.lastname: Abreu
authors.affiliation: . Departamento de Cirurgia Torácica, Hospital Santa Marcelina, São Paulo (SP) Brasil.
authors.forename: Maria Gabriela
authors.initials: MG
authors.lastname: Cavalcanti
authors.affiliation: . Departamento de Cirurgia Torácica, Hospital Santa Marcelina, São Paulo (SP) Brasil.
authors.forename: José Franklin Soares
authors.initials: JF
authors.lastname: Pompa-Filho
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002408:Catheters, Indwelling / Q000009:adverse effects; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016066:Pleural Effusion, Malignant / Q000401:mortality / Q000628:therapy*; D011446:Prospective Studies; D015996:Survival Rate