Do hepatic artery infusion pumps cause recurrent pleural effusions?

A rare cause of recurrent massive pericardial and pleural effusions.

Hepatic artery infusion for recurrent or chemoresistant hepatic malignancy.

351 Background: Previously treated hepatic colorectal metastases (CRC) and advanced hepatocellular cancer (HCC) are tumor challenges frequently unresponsive to systemic chemotherapy (CT). We reviewed survival outcome in chemoresistant/high-risk patients following hepatic artery infusion (HAI) in 21 CRC pts, 10 HCC pts, and 6 miscellaneous metastatic cancers. METHODS Patient groups: 21 CRC pts...

Pleuroperitoneal shunt for recurrent malignant pleural effusions.

The therapeutic options available for the management of malignant pleural effusions associated with a restricting malignant cortex remain unsatisfactory. The efficacy of pleuroperitoneal shunts was evaluated in 16 patients with recurrent malignant effusions. There were no operative deaths; one patient died on the third postoperative day as a result of lymphangitis carcinomatosa. The median hosp...

Hepatic Artery Infusion Chemotherapy

Hepatic artery chemotherapy was given to 36 patients, using totally implantable devices consisting of a port and external pump. Twenty-seven patients had inoperable liver metastases of colorectal origin. The infusion system was inserted by laparotomy into the hepatic artery via the gastroduodenal artery. There was no operative mortality. Thirteen infusion systems could not be used for chemother...

Recurrent pleural effusions: an unusual presentation of chronic pancreatitis.

Chronic pancreatitis is a rare cause of recurrent pleural effusion. Here is a case of recurrent massive left pleural effusions due to pancreaticopleural fistula (PPF) secondary to asymptomatic chronic pancreatitis. Pleural fluid analysis was inconclusive. Diagnosis was made by CT chest and abdomen and confirmed by MRCP and MRI. He required surgical intervention although medical management with ...