{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T05:57:28Z","timestamp":1759384648190,"version":"3.32.0"},"reference-count":24,"publisher":"Termedia Sp. z.o.o.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol J Radiol"],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>Recurrent malignant ascites is a\u00a0common and challenging condition in cancer patients, often lacking a\u00a0standar\u00addized treatment protocol. Small-scale studies in the literature have been insufficient to establish a\u00a0treatment standard. The aim of our study was to investigate the effectiveness and safety of pigtail peritoneal catheter application in the treatment of malignant ascites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>We conducted a\u00a0retrospective analysis of patients who had pigtail catheters inserted between January 2017 and December 2022. The study focused on the success rate of the procedure, catheter dwell time, complication rates, and the factors influencing these outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A\u00a0total of 196 patients, 102 of whom were female, with malignant ascites were included in the study. The median age was 65.5 years. The procedure had a\u00a0100% success rate, with no procedure-related deaths or major complications. The overall minor complication rate, including bleeding, minor cellulitis, leakage, and blockage, was 52%. Patients with comorbidities experienced statistically significantly more complications (p &lt; 0.05). The median catheter dwell time was 31 days (range: 3-181 days).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pigtail peritoneal catheters provide effective and safe minimally invasive fluid drainage for the treatment of malignant ascites. The most critical factors for preventing procedure-related complications and ensuring procedural success include proper indication, correct timing, procedural expertise, and the involvement of well-trained patients and caregivers.<\/jats:p><\/jats:sec>","DOI":"10.5114\/pjr\/194651","type":"journal-article","created":{"date-parts":[[2024,12,29]],"date-time":"2024-12-29T12:37:27Z","timestamp":1735475847000},"page":"561-565","source":"Crossref","is-referenced-by-count":1,"title":["A\u00a0safe and effective treatment for refractory malignant ascites: the use of pigtail catheters"],"prefix":"10.5114","volume":"89","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4275-2414","authenticated-orcid":true,"given":"Akif","family":"Do\u011fan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6mer","family":"Ayd\u0131ner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2024,12,10]]},"reference":[{"key":"ref-1343658","doi-asserted-by":"crossref","unstructured":"Hodge C, Badgwell BD. Palliation of malignant ascites. J Surg Oncol 2019; 120: 67-73.","DOI":"10.1002\/jso.25453"},{"key":"ref-1343659","doi-asserted-by":"crossref","unstructured":"Cavazzoni E, Bugiantella W, Graziosi L, Franceschini MS, Donini A. Malignant ascites: pathophysiology and treatment. Int J Clin Oncol 2013; 18: 1-9.","DOI":"10.1007\/s10147-012-0396-6"},{"key":"ref-1343660","doi-asserted-by":"crossref","unstructured":"Becker G, Galandi D, Blum HE. Malignant ascites: systematic review and guideline for treatment. Eur J Cancer 2006; 42: 589-597.","DOI":"10.1016\/j.ejca.2005.11.018"},{"key":"ref-1343661","doi-asserted-by":"crossref","unstructured":"Chan KP, Badiei A, Tan CP, Fitzgerald DB, Stanley C, Fysh ET, et al. Use of indwelling pleural\/peritoneal catheter in the management of malignant ascites: a retrospective study of 48 patients. Intern Med J 2020; 50: 705-711.","DOI":"10.1111\/imj.14642"},{"key":"ref-1343662","doi-asserted-by":"crossref","unstructured":"Wong F. Management of refractory ascites. Clin Mol Hepatol 2023; 29: 16-32.","DOI":"10.3350\/cmh.2022.0104"},{"key":"ref-1343663","doi-asserted-by":"crossref","unstructured":"Maleux G, Indesteege I, Laenen A, Verslype C, Vergote I, Prenen H. Tenckhoff tunneled peritoneal catheter placement in the palliative treatment of malignant ascites: technical results and overall clinical outcome. Radiol Oncol 2016; 50: 197-203.","DOI":"10.1515\/raon-2016-0002"},{"key":"ref-1343664","doi-asserted-by":"crossref","unstructured":"de Mestier L, Volet J, Scaglia E, Msika S, Kianmanesh R, Bouch\u00e9 O. Is palliative laparoscopic hyperthermic intraperitoneal chemotherapy effective in patients with malignant hemorrhagic ascites? 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Tunneled peritoneal catheter placement under sonographic and fluoroscopic guidance in the palliative treatment of malignant ascites. Am J Roentgenol 2001; 177: 615-618.","DOI":"10.2214\/ajr.177.3.1770615"},{"key":"ref-1343669","doi-asserted-by":"crossref","unstructured":"Sacks D, McClenny TE, Cardella JF, Lewis CA. Society of Interventional Radiology clinical practice guidelines. J Vasc Interv Radiol 2003; 14 (9 Pt 2): S199-S202.","DOI":"10.1097\/01.RVI.0000094584.83406.3e"},{"key":"ref-1343670","doi-asserted-by":"crossref","unstructured":"T\u00fcrk Y, Devecio\u011flu \u0130, Y\u0131ld\u0131zhan \u0130, Arslan BC, Ar\u0131ba\u015f BK. Tunneled uncuffed pigtail drainage catheter placement in patients with refractory ascites or pleural effusion: a single-center experience. Cardiovasc Intervent Radiol 2022; 45: 1735-1741.","DOI":"10.1007\/s00270-022-03248-2"},{"key":"ref-1343671","doi-asserted-by":"crossref","unstructured":"White MA, Agle SC, Padia RK, Zervos EE. 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