Saves the questions and what to expect into your notes, next to the visit they belong to.
Keep this study
Lead
Abramson Cancer Center at Penn Medicine
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Refractory malignant ascites defined as ascites requiring more than one paracentesis to control patient symptoms despite medical therapy with diuretics and a. peritoneal fluid with cytology positive for malignant cells OR
Known malignancy with imaging findings of peritoneal carcinomatosis .
Eastern Cooperative Oncology Group (ECOG) performance score 3
Age greater than or equal to 18
Capable of giving informed consent
You may not be if
Life expectancy less than one month
Coagulopathy defined as international normalized ration (INR) \>2 which cannot be corrected with fresh frozen plasma
Platelet count \<50,000/microliter, which cannot be corrected with platelet transfusion
Active skin infections at sites where PVS would be inserted
Presence of infectious peritonitis or bacteremia
Neutropenia
American Heart Association Class D congestive heart failure (ie New York Heart Association Class IV)
Stage 5 CKD (ie GFR \< 15 mL/min)
Severe hypoalbuminemia defined as \< 2.2 g/dL
Loculated or hemorrhagic ascites
History of bleeding gastroesophageal varices
Inability to provide informed consent
Unable to participate in neuropsychological tests / questionnaires
Pregnant or nursing women
Anasarca
Clareo Health | Palliative Care Outcomes in the Management of Malignant Ascites by Interventional Radiology
