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

Year 2024, Volume: 34 Issue: 6, 796 - 801, 31.12.2024

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

https://doi.org/10.54005/geneltip.1513587

Abstract

ABSTRACT
Background/Aims: 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.

Keywords

Pleural effusion, Ultrasonography, Pigtail catheter, Pleural drainage

Ethical Statement

Our article has been formatted in accordance with your journal's publication policies and ethical standards.

Supporting Institution

This research received no specific grant from any funding agency in the public, commercial, or not-forprofit sectors.

Ultrasonografi Kılavuzluğunda Perkütan Pigtail Drenaj Kateterinin Etkinlik Ve Güvenilirliğinin Araştırılması

Abstract

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 %59.7’si erkekti. Hastaların %61’inde 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.

Keywords

Plevral efüzyon, Ultrasonografi, Pigtail kateter, Plevral drenaj

Ethical Statement

Makalemiz derginizin yayın politikaları ve etik kurallarına uygun olacak şekilde formatlamıştır.

Supporting Institution

Bu araştırma, kamu, ticari veya kâr amacı gütmeyen sektörlerdeki herhangi bir fon kuruluşundan özel bir destek veya hibe almamıştır.

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