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PleurX Catheter Placement

A PleurX Catheter or indwelling chest tube can be used to drain a persistent fluid build up in the chest.  

Indications for PleurX Catheter:

  • Non-Malignant Effusions:

    It's also used for recurrent, symptomatic non-malignant effusions, such as those caused by congestive heart failure, hepatic hydrothorax, or other conditions that cause respiratory distress or impact quality of life. 

  • Post-Lung Transplant Effusions and Infections:

    In rare cases, the PleurX catheter may be considered for post-lung transplant chronic effusions or pleural infections, but should be used as a last resort. 

  • Recurrent Effusions After Thoracentesis:

    If a pleural effusion returns after fluid removal through thoracentesis, the PleurX catheter can be considered for ongoing drainage and symptom relief. 

  • Trapped Lung:

    In patients with a trapped lung (where the lung is unable to expand due to fluid), the PleurX catheter can help relieve symptoms and allow for continued expansion. 

  • Failure of Previous Pleurodesis:

    If a patient has undergone pleurodesis (a procedure to prevent fluid buildup) without success, the PleurX catheter can be used for drainage and symptom management. 

  • Rapid Reaccumulation of Fluid:

    When pleural fluid rapidly reaccumulates, causing respiratory distress, the PleurX catheter can provide ongoing drainage to relieve symptoms. 

  • Malignant Pleural Effusions:

    The PleurX catheter is a common treatment option for malignant pleural effusions (MPEs) associated with shortness of breath or other symptoms, especially when medical management or pleurodesis has been unsuccessful. 

Nurse Taking Notes

Pleurex Catheter Drainage

Drainage System

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