bmedj Balıkesir Medical Journal 2564-6664 Balıkesir Üniversitesi 10.33716/bmedj.1778866 Emergency Medicine Acil Tıp Malign Plevral Efüzyonda Kalıcı Tünelli Kateter Uygulanma Sonrası Spontan Plörodezisi Etkileyen Risk Faktörleri Risk Factors Affecting Spontaneous Pleurodesis After Indwelling Tunneled Catheter Application in Malignant Pleural Effusion https://orcid.org/0000-0002-7570-4200 Fındık Meliha BALIKESİR ÜNİVERSİTESİ, TIP FAKÜLTESİ 04 30 2026 10 1 57 58 09 05 2025 03 02 2026 Copyright © 2017, Balıkesir Medical Journal 2017 Balıkesir Medical Journal

Bu editöre mektup, Hıdır Esme’nin (2025) Balıkesir Tıp Dergisi’nde (Cilt 9, Sayı 2, 2025) yayımlanan “Malign Plevral Efüzyonda Kalıcı Tünelli Kateter Uygulamasından Sonra Spontan Plörodezis Risk Faktörleri” başlıklı makalesine yanıt olarak yazılmıştır. Mektupta bulgular acil tıp bakış açısıyla ele alınmış ve acil servisin erken tanı ile zamanında yönlendirmedeki kritik rolü vurgulanmıştır.

This letter to the editor is written in response to Hıdır Esme’s (2025) article published in the Balıkesir Medical Journal (Vol. 9, Issue 2, 2025) titled “Risk Factors Affecting Spontaneous Pleurodesis After Indwelling Tunneled Catheter Application in Malignant Pleural Effusion.” It discusses the findings from an emergency medicine perspective, emphasizing the critical role of the emergency department in early diagnosis and timely referral.

 malignant pleural effusion; tunneled catheter; pleurodesis; emergency department malign plevral efüzyon; tünelli kateter; plörodezis; acil servis Baguneid, A., Wijayaratne, T., Aujayeb, A., & Panchal, R. (2025). The Evolution of the Indwelling Pleural Catheter. Pulmonary Therapy. https://doi.org/10.1007/s41030-025-00300-7 Clive, A. O., Kahan, B. C., Hooper, C. E., Bhatnagar, R., Morley, A. J., Zahan-Evans, N., Bintcliffe, O. J., Boshuizen, R. C., Fysh, E. T. H., Tobin, C. L., Medford, A. R. L., Harvey, J. E., Van Den Heuvel, M. M., Lee, Y. C. G., & Maskell, N. A. (2014). Predicting survival in malignant pleural effusion: Development and validation of the LENT prognostic score. Thorax, 69(12), 1098–1104. https://doi.org/10.1136/thoraxjnl-2014-205285 Esme, H. (2025). Risk Factors Affecting Spontaneous Pleurodesis After Indwelling Tunneled Catheter Application in Malignant Pleural Effusion. Balıkesir Medical Journal, 9(2), 77–81. https://doi.org/10.33716/bmedj.1621439 Lin, J., Chaddha, U., Urrutia-Royo, B., Ravikumar, N., Bhavani, S. V., Katsis, J., Ferguson, M. K., & Murgu, S. (2025). The Impact of Video-assisted Thoracoscopic Versus Percutaneous Tunneled Pleural Catheter Techniques on Pleurodesis Outcomes: A Retrospective, Single-center Study. Journal of Bronchology and Interventional Pulmonology, 32(2). https://doi.org/10.1097/LBR.0000000000001007 Szymczyk, A., Płaza, D., & Siemiński, M. (2025). Ultrasound-Guided Pigtail Catheter Drainage of Pleural Effusion in the Emergency Department: Effectiveness, Safety, and Clinical Implications. Journal of Clinical Medicine, 14(16), 5704. https://doi.org/10.3390/jcm14165704