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(Radiology. 1999;210:277-281.)
© RSNA, 1999

Technical Developments

Malignant Pleural Effusions: Treatment with Small-Bore-Catheter Thoracostomy and Talc Pleurodesis

Edith M. Marom, MD1, Edward F. Patz, Jr, MD1, Jeremy J. Erasmus, MD1, H. Page McAdams, MD1, Philip C. Goodman, MD1 and James E. Herndon, PhD1

1 Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710.

Thirty-two patients with a known primary malignancy and a symptomatic malignant pleural effusion underwent small-bore-catheter thoracostomy and talc pleurodesis. Twenty-three patients (72%) had a complete response; four (12%), a partial response; and five (16%), no response. Symptoms in all those who responded were clinically improved. Complications included fever in 13 patients (41%) and moderate shortness of breath, chest pain, or both in six (19%). Small-bore-catheter thoracostomy and talc pleurodesis was successful in treating malignant pleural effusions.

Index terms: Pleura, fluid, 66.76 • Pleura, interventional procedure, 66.1269 • Talc




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