PURPOSE: To evaluate the effectiveness of the Denver Catheter in non-malignant pleural effusions.
METHODS: All patients who underwent a Denver Catheter placement for pleurodesis were evaluated. In addition to general demographic data, time to pleurodesis, and complications, a simple satisfaction questionnaire was also implemented. The satisfaction questionnaire was graded 1 (I was not happy with the procedure and I will never have it again); 2 (I was not happy with the procedure but may have it again); 3 (I was happy with the procedure and may have it again); and 4 (I was very happy with the procedure and will have it again). The subjects were then divided into two groups. Group one included patients with non-malignant effusions, whereas group two included patients with malignant effusions.
RESULTS: A total of 46 subjects were included in the final data analysis. 16 subjects in group one, and 30 in group two. The mean age of group one was 76±13 years compared to 71±13 in group two. There were 57% men and 43% women in group one compared to 45% men and 55% women in group two. The time to pleurodesis was 36±12 days and 101±113 days in group one compared to group two (p<0.0001). The mean satisfaction score was 3.8±0.4 in group one compared to 3.8±0.4 in group two. There was one incidence of site infection in a patient with hepatic hydrothorax. The diagnoses in group one included congestive hart failure (9), hepatic hydrothorax (5), traumatic bloody (1), and exudative effusion (1). In group two the diagnoses included lung cancer (16), breast cancer (8), colon cancer (3), prostate cancer (2), and mesothelioma (1).
CONCLUSION: The Denver catheter was effective in achieving pleurodesis in non-malignant pleural effusions. The complication rate was low and patients’ satisfaction was high.
CLINICAL IMPLICATIONS: The Denver catheter should be considered in treating patients with recurrent non-malignant pleural effusions. It is performed in an outpatient setting, safe, and ensures high patients’satisfaction.
DISCLOSURE: Michael Chalhoub, None.