Subcutaneous implantable pleural port catheter in the management of malignant pleural effusions in young patients with solid tumors: A new option in the armamentarium of symptomatic treatment

Pediatr Blood Cancer. 2021 Aug;68(8):e29109. doi: 10.1002/pbc.29109. Epub 2021 May 28.

Abstract

The contribution of subcutaneous implantable pleural port catheter (SIPP) for malignant pleural effusions (MPE) management in young patients with cancer, in a palliative care setting is not well explored. This monocentric series analyzed 38 patients, median age 18 years (range 3-25) with significant pleural effusion. SIPP were considered efficient for eight of 12 evaluable patients (67%) and allowed MPE outpatient management in five cases. SIPPs are safe and efficient device to manage MPE patients with solid tumors, in the palliative care setting. This original tool could help health care providers for thoracic symptom management in alternative to iterative pleural punctures.

Keywords: children; malignant pleural effusion; outpatient; palliative care; solid tumor; subcutaneous implantable pleural port.

MeSH terms

  • Adolescent
  • Adult
  • Catheters, Indwelling
  • Central Venous Catheters*
  • Child
  • Child, Preschool
  • Drainage
  • Humans
  • Pleural Effusion*
  • Pleural Effusion, Malignant* / therapy
  • Pleurodesis
  • Young Adult