Cargando…
Double-Pigtail Drainage Catheter: A New Design for Efficient Pleural Drainage
Background and Objectives: The novel double-pigtail catheter (DPC) has an additional pigtail coiling at the mid-shaft with multiple centripetal side holes. The present study aimed to investigate the advantages and efficacy of DPC in overcoming the complications of conventional single-pigtail cathete...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10303575/ https://www.ncbi.nlm.nih.gov/pubmed/37374293 http://dx.doi.org/10.3390/medicina59061089 |
_version_ | 1785065309081698304 |
---|---|
author | Cho, Youngjong Lee, Hyoung Nam Shin, Ji Hoon Park, Sung-Joon Lee, Sangjoon Song, Jae-Seok |
author_facet | Cho, Youngjong Lee, Hyoung Nam Shin, Ji Hoon Park, Sung-Joon Lee, Sangjoon Song, Jae-Seok |
author_sort | Cho, Youngjong |
collection | PubMed |
description | Background and Objectives: The novel double-pigtail catheter (DPC) has an additional pigtail coiling at the mid-shaft with multiple centripetal side holes. The present study aimed to investigate the advantages and efficacy of DPC in overcoming the complications of conventional single-pigtail catheters (SPC) used to drain pleural effusion. Materials and Methods: Between July 2018 and December 2019, 382 pleural effusion drainage procedures were reviewed retrospectively (DPC, n = 156; SPC without multiple side holes, n = 110; SPC with multiple side holes (SPC + M), n = 116). All patients showed shifting pleural effusions in the decubitus view of the chest radiography. All catheters were 10.2 Fr in diameter. One interventional radiologist performed all procedures and used the same anchoring technique. Complications (dysfunctional retraction, complete dislodgement, blockage, and atraumatic pneumothorax) were compared among the catheters using chi-square and Fisher’s exact tests. Clinical success was defined as an improvement in pleural effusion within three days without additional procedures. Survival analysis was performed to calculate the indwelling time. Results: The dysfunctional retraction rate of DPC was significantly lower than that of the other catheters (p < 0.001). Complete dislodgement did not occur in any of the DPC cases. The clinical success rate of DPC (90.1%) was the highest. The estimated indwelling times were nine (95% confidence interval (CI): 7.3–10.7), eight (95% CI: 6.6–9.4), and seven (95% CI: 6.3–7.7) days for SPC, SPC + M, and DPC, respectively, with DPC showing a significant difference (p < 0.05). Conclusions: DPC had a lower dysfunctional retraction rate compared to conventional drainage catheters. Furthermore, DPC was efficient for pleural effusion drainage with a shorter indwelling time. |
format | Online Article Text |
id | pubmed-10303575 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103035752023-06-29 Double-Pigtail Drainage Catheter: A New Design for Efficient Pleural Drainage Cho, Youngjong Lee, Hyoung Nam Shin, Ji Hoon Park, Sung-Joon Lee, Sangjoon Song, Jae-Seok Medicina (Kaunas) Article Background and Objectives: The novel double-pigtail catheter (DPC) has an additional pigtail coiling at the mid-shaft with multiple centripetal side holes. The present study aimed to investigate the advantages and efficacy of DPC in overcoming the complications of conventional single-pigtail catheters (SPC) used to drain pleural effusion. Materials and Methods: Between July 2018 and December 2019, 382 pleural effusion drainage procedures were reviewed retrospectively (DPC, n = 156; SPC without multiple side holes, n = 110; SPC with multiple side holes (SPC + M), n = 116). All patients showed shifting pleural effusions in the decubitus view of the chest radiography. All catheters were 10.2 Fr in diameter. One interventional radiologist performed all procedures and used the same anchoring technique. Complications (dysfunctional retraction, complete dislodgement, blockage, and atraumatic pneumothorax) were compared among the catheters using chi-square and Fisher’s exact tests. Clinical success was defined as an improvement in pleural effusion within three days without additional procedures. Survival analysis was performed to calculate the indwelling time. Results: The dysfunctional retraction rate of DPC was significantly lower than that of the other catheters (p < 0.001). Complete dislodgement did not occur in any of the DPC cases. The clinical success rate of DPC (90.1%) was the highest. The estimated indwelling times were nine (95% confidence interval (CI): 7.3–10.7), eight (95% CI: 6.6–9.4), and seven (95% CI: 6.3–7.7) days for SPC, SPC + M, and DPC, respectively, with DPC showing a significant difference (p < 0.05). Conclusions: DPC had a lower dysfunctional retraction rate compared to conventional drainage catheters. Furthermore, DPC was efficient for pleural effusion drainage with a shorter indwelling time. MDPI 2023-06-05 /pmc/articles/PMC10303575/ /pubmed/37374293 http://dx.doi.org/10.3390/medicina59061089 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Cho, Youngjong Lee, Hyoung Nam Shin, Ji Hoon Park, Sung-Joon Lee, Sangjoon Song, Jae-Seok Double-Pigtail Drainage Catheter: A New Design for Efficient Pleural Drainage |
title | Double-Pigtail Drainage Catheter: A New Design for Efficient Pleural Drainage |
title_full | Double-Pigtail Drainage Catheter: A New Design for Efficient Pleural Drainage |
title_fullStr | Double-Pigtail Drainage Catheter: A New Design for Efficient Pleural Drainage |
title_full_unstemmed | Double-Pigtail Drainage Catheter: A New Design for Efficient Pleural Drainage |
title_short | Double-Pigtail Drainage Catheter: A New Design for Efficient Pleural Drainage |
title_sort | double-pigtail drainage catheter: a new design for efficient pleural drainage |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10303575/ https://www.ncbi.nlm.nih.gov/pubmed/37374293 http://dx.doi.org/10.3390/medicina59061089 |
work_keys_str_mv | AT choyoungjong doublepigtaildrainagecatheteranewdesignforefficientpleuraldrainage AT leehyoungnam doublepigtaildrainagecatheteranewdesignforefficientpleuraldrainage AT shinjihoon doublepigtaildrainagecatheteranewdesignforefficientpleuraldrainage AT parksungjoon doublepigtaildrainagecatheteranewdesignforefficientpleuraldrainage AT leesangjoon doublepigtaildrainagecatheteranewdesignforefficientpleuraldrainage AT songjaeseok doublepigtaildrainagecatheteranewdesignforefficientpleuraldrainage |