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. 2019 Jul;25(4):380-383.
doi: 10.1097/MCP.0000000000000587.

Outpatient talc administration via indwelling pleural catheters for malignant effusions

Alexandra Dipper  1 , Rahul Bhatnagar  2 , Nick Maskell  2
Affiliations

Outpatient talc administration via indwelling pleural catheters for malignant effusions

Alexandra Dipper et al. Curr Opin Pulm Med. 2019 Jul.

Abstract

Purpose of review: Malignant pleural effusion is a common cause of breathlessness and signifies advanced disease. Common options for definitive pleural intervention include insertion of an indwelling pleural catheter (IPC) or talc pleurodesis.

Recent findings: Administration of graded talc through an IPC offers an increased chance of pleurodesis compared with IPC drainage alone and is not associated with a significant risk of adverse events.

Summary: In patients where an ambulatory treatment pathway is preferred, the increased chance of pleurodesis with talc administration via IPC can result in a faster time to device removal and may be associated with better quality of life and symptom scores.

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