1.Tunneled catheter (PleurX) for long-term chest and abdominal drainages from 2012-2017 in a tertiary institution
The Medical Journal of Malaysia 2019;74(4):352-354
The PleurX catheter was developed to facilitate long-term
intermittent drainage of malignant pleural effusion or
ascites. For palliation, it is important that the process of
insertion is safe and that this catheter remains complicationfree so as to improve end-of-life quality. We show that this
catheter can be safely inserted and discuss methods to
reduce infection, which was the most common complication.
Our article hopes to enlighten clinicians, patients and their
caregivers of this device as a treatment option in palliative
patients. Proper case selection and caregiver training are
essential in ensuring a successful outcome.
2.Salvaging the chemoport using catheter-assisted deflection during stenting of the superior vena cava
Martin Weng Chin H&rsquo ; ng ; Bruce Dennien
The Medical Journal of Malaysia 2020;75(6):754-755
Patients with malignancy who develop superior vena cava
(SVC) obstruction may require stenting to relieve their
symptoms. Some of these individuals also have an indwelling chemoport for concomitant chemotherapy. We
present a case where stenting was accomplished after
catheter-assisted deflection of the chemoport catheter
tubing via a single groin access. It can save procedure time
whilst salvaging the device.