Investigation Of The Efficacy And Safety Of An Ultrasonography-Guided Percutaneous Pigtail Drainage Catheter

İsmail Dilek; Erbil Arık; Görkem Atasoy; Emre Utkan Büyükceran; Salih Kür; Halil Özer

Makale detayları

Investigation Of The Efficacy And Safety Of An Ultrasonography-Guided Percutaneous Pigtail Drainage Catheter

Yazarlar:

İsmail Dilek | Erbil Arık | Görkem Atasoy | Emre Utkan Büyükceran | Salih Kür | Halil Özer

Yayıncı:

Selcuk University

Ana Başlıklar:

Göğüs Hastalıkları | Radyoloji ve Organ Görüntüleme

Dergi:

Genel Tıp Dergisi Vol.34 Issue 6, pp.796-801

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001333462

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 ABSTRACT BackgroundAims: This study aimed to evaluate the effectiveness, reliability, and complications of percutaneous pigtail catheter drainage guided by ultrasound USG in the treatment of pleural effusion. Methods: This retrospective study analyzed patients aged 18 years and older treated with percutaneous pigtail catheter placement under USG guidance between January 1, 2019, and January 1, 2023. Clinical, laboratory, and radiological characteristics of the patients, etiological causes of pleural fluid, biochemical properties of the pleural fluid, and success rates of percutaneous pigtail catheter drainage were analyzed. Results: A total of 77 patients were included in the study. 59.7 of the patients were male. Exudative effusion was detected in 61 of the patients, with a mean age of 52.8  17.7 years in this group. Most effusions in both exudative and transudative groups were on the right side, observed in 55.3 and 56.6 of cases, respectively. Bilateral pleural effusion was present in 2.12 of the exudative group and 23.3 of the transudative group. The mean pleural fluid depth was 58 mm in the exudative group and 54 mm in the transudative group. The mean drainage duration was 6.5 days in the exudative group and 4.5 days in the transudative group. Comorbidities such as hypertension 76.6, diabetes mellitus 53.3, and coronary artery disease 36.6 were more prevalent in the transudative group. Metastasis 32 and lung cancer 26 were the most common causes of exudative effusions, while heart failure 46.6 and liver failure 30 were predominant causes of transudative effusions. The success rate of percutaneous pigtail catheter drainage was 90.5 in exudative effusions and 93 in transudative effusions. Conclusions: Our study concludes that percutaneous pigtail catheter drainage guided by USG is an effective and reliable method with high success rates and low complication rates for the treatment of both exudative and transudative pleural effusions.

 ABSTRACT BackgroundAims: This study aimed to evaluate the effectiveness, reliability, and complications of percutaneous pigtail catheter drainage guided by ultrasound USG in the treatment of pleural effusion. Methods: This retrospective study analyzed patients aged 18 years and older treated with percutaneous pigtail catheter placement under USG guidance between January 1, 2019, and January 1, 2023. Clinical, laboratory, and radiological characteristics of the patients, etiological causes of pleural fluid, biochemical properties of the pleural fluid, and success rates of percutaneous pigtail catheter drainage were analyzed. Results: A total of 77 patients were included in the study. 59.7 of the patients were male. Exudative effusion was detected in 61 of the patients, with a mean age of 52.8  17.7 years in this group. Most effusions in both exudative and transudative groups were on the right side, observed in 55.3 and 56.6 of cases, respectively. Bilateral pleural effusion was present in 2.12 of the exudative group and 23.3 of the transudative group. The mean pleural fluid depth was 58 mm in the exudative group and 54 mm in the transudative group. The mean drainage duration was 6.5 days in the exudative group and 4.5 days in the transudative group. Comorbidities such as hypertension 76.6, diabetes mellitus 53.3, and coronary artery disease 36.6 were more prevalent in the transudative group. Metastasis 32 and lung cancer 26 were the most common causes of exudative effusions, while heart failure 46.6 and liver failure 30 were predominant causes of transudative effusions. The success rate of percutaneous pigtail catheter drainage was 90.5 in exudative effusions and 93 in transudative effusions. Conclusions: Our study concludes that percutaneous pigtail catheter drainage guided by USG is an effective and reliable method with high success rates and low complication rates for the treatment of both exudative and transudative pleural effusions.

 ABSTRACT BackgroundAims: This study aimed to evaluate the effectiveness, reliability, and complications of percutaneous pigtail catheter drainage guided by ultrasound USG in the treatment of pleural effusion. Methods: This retrospective study analyzed patients aged 18 years and older treated with percutaneous pigtail catheter placement under USG guidance between January 1, 2019, and January 1, 2023. Clinical, laboratory, and radiological characteristics of the patients, etiological causes of pleural fluid, biochemical properties of the pleural fluid, and success rates of percutaneous pigtail catheter drainage were analyzed. Results: A total of 77 patients were included in the study. 59.7 of the patients were male. Exudative effusion was detected in 61 of the patients, with a mean age of 52.8  17.7 years in this group. Most effusions in both exudative and transudative groups were on the right side, observed in 55.3 and 56.6 of cases, respectively. Bilateral pleural effusion was present in 2.12 of the exudative group and 23.3 of the transudative group. The mean pleural fluid depth was 58 mm in the exudative group and 54 mm in the transudative group. The mean drainage duration was 6.5 days in the exudative group and 4.5 days in the transudative group. Comorbidities such as hypertension 76.6, diabetes mellitus 53.3, and coronary artery disease 36.6 were more prevalent in the transudative group. Metastasis 32 and lung cancer 26 were the most common causes of exudative effusions, while heart failure 46.6 and liver failure 30 were predominant causes of transudative effusions. The success rate of percutaneous pigtail catheter drainage was 90.5 in exudative effusions and 93 in transudative effusions. Conclusions: Our study concludes that percutaneous pigtail catheter drainage guided by USG is an effective and reliable method with high success rates and low complication rates for the treatment of both exudative and transudative pleural effusions.

 ÖZET Amaç: Bu çalışmada plevral efüzyon tedavisinde USG kılavuzluğunda perkütan pigtail drenaj kateterinin etkinliği, güvenilirliği ve komplikasyonlarının değerlendirilmesi amaçlanmıştır. Materyal ve Metod: Bu çalışma 01.01.2019 ile 01.01.2023 tarihleri arasında USG kılavuzluğunda perkütan pigtail drenaj kateteri yerleştirilerek tedavi edilen 18 yaş ve üzeri hastalar analiz edilerek retrospektif olarak yapılmıştır. Hastaların klinik,laboratuar ve radyolojik özellikleri, plevral sıvının etyolojik nedenleri, plevral sıvının biyokimyasal özellikleri, perkütan pigtail drenaj kateter tedavisinin başarı yüzdesi analiz edilmiştir. Bulgular: Çalışmada 77 hasta analiz edildi. Hastaların 59.7si erkekti. Hastaların 61inde eksüdatif efüzyon tespit edildi ve eksüdatif efüzyonu olan hastaların yaş ortalaması 52.8  17.7 idi. Hem eksüdatif hem de transüdatif grupta efüzyonların çoğu sağ tarafta olup eksüdatif grupta 55.3, transüdatif grupta 56.6 hastada efüzyonlar sağ tarafta izlenmiştir. Eksüdatif grupta 2.12, transüdatif grupta 23.3 hastada bilateral plevral efüzyon izlendi. Ortalama plevral sıvı derinlikleri eksüdatif grupta 58 mm, transüdatif grupta 54 mm olarak hesaplandı. Ortalama drenaj süresi eksüdatif grupta 6,5 gün, transüdatif grupta 4,5 gün idi. Komorbid hastalıklardan hipertansiyon 76.6, diabetes mellitus 53.3 ve koroner arter hastalığı 36.6 transüdatif grupta daha fazla görüldü. Eksüdatif efüzyonların en sık nedeni metastaz 32 ve akciğer kanseri 26, transüdatif efüzyonların en sık nedeni kalp 46.6 ve karaciğer 30 yetersizliği idi. Perkütan pigtail drenaj kateterinin başarı yüzdesi eksüdatif efüzyonalarda 90.5, transüdatif efüzyonlarda 93 olarak saptandı. Sonuç: Çalışmamızda hem eksüdatif hem de transüdatif plevral efüzyonların tedavisinde, USG kılavuzluğunda yerleştirilen pigtail kateter drenajının yüksek başarı ve düşük komplikasyon oranları ile etkin ve güvenilir bir yöntem olduğu sonucuna varılmıştır.

Makale detayları

Investigation Of The Efficacy And Safety Of An Ultrasonography-Guided Percutaneous Pigtail Drainage Catheter

Yazarlar:

İsmail Dilek | Erbil Arık | Görkem Atasoy | Emre Utkan Büyükceran | Salih Kür | Halil Özer

Yayıncı:

Selcuk University

Ana Başlıklar:

Göğüs Hastalıkları | Radyoloji ve Organ Görüntüleme

Dergi:

Genel Tıp Dergisi Vol.34 Issue 6, pp.796-801

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001333462

pISSN:

2602-3741

Pleural effusion

Ultrasonography

Pigtail catheter

Pleural drainagePlevral efüzyon

Ultrasonografi

Pigtail kateter

Plevral drenaj

Sayı

Makale detayları

Yazarlar: İsmail Dilek | Erbil Arık | Görkem Atasoy | Emre Utkan Büyükceran | Salih Kür | Halil Özer

Yayıncı: Selcuk University

Ana Başlıklar: Göğüs Hastalıkları | Radyoloji ve Organ Görüntüleme

Dergi: Genel Tıp Dergisi Vol.34 Issue 6, pp.796-801

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001333462

pISSN: 2602-3741

Sayı

Yazarlar:

İsmail Dilek | Erbil Arık | Görkem Atasoy | Emre Utkan Büyükceran | Salih Kür | Halil Özer

Yayıncı:

Selcuk University

Ana Başlıklar:

Göğüs Hastalıkları | Radyoloji ve Organ Görüntüleme

Dergi:

Genel Tıp Dergisi Vol.34 Issue 6, pp.796-801

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001333462

pISSN:

2602-3741