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Comparing methods to manage recurrent fluid build up around the lung caused by problems with the heart - what is the best way to measure this and which method do patients prefer?

Not Applicable
Conditions
Recurrent pleural effusion secondary to heart failure
Respiratory
Registration Number
ISRCTN10499680
Lead Sponsor
orth Bristol NHS Trust
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Ongoing
Sex
All
Target Recruitment
18
Inclusion Criteria

1. The presence of a recurrent pleural effusion secondary to heart failure that has not responded to medical therapy
2. Sufficient pleural fluid for IPC insertion
3. Symptomatic breathlessness warranting pleural intervention
4. Pleural infection excluded to satisfaction of treating physician
5. Expected survival >12 weeks
6. Written informed consent to trial participation

Exclusion Criteria

1. Age <18 years
2. Known pleural malignancy
3. Pregnancy, lactation or intention to become pregnant
4. Absolute contraindication to IPC insertion or therapeutic aspiration of pleural fluid
5. Previous attempts at ipsilateral pleurodesis
6. Evidence of extensive lung entrapment on chest x-ray or CT, or significant fluid loculation on ultrasound scan, to a level which would normally be a contraindication to attempted talc pleurodesis or IPC insertion.
7. Inability to give informed consent
8. Patient has no access to a telephone

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The number of participants recruited from those who meet the eligibility criteria: the study will be deemed successful if the absolute number recruited is at least 32, and =50% eligible patients are successfully randomised; Timepoint(s): Randomisation
Secondary Outcome Measures
NameTimeMethod
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