Efficacy & Safety of Pigtail Catheter Drainage Versus Need Based Thoracocentesis for Recurrent Hepatic Hydrothorax.
Hepatic Hydrothorax
About this trial
This is an interventional treatment trial for Hepatic Hydrothorax
Eligibility Criteria
Inclusion Criteria: Age 18-75 years CLD with refilling symptomatic hepatic hydrothorax Exclusion Criteria: CTP >12, MELD>25 Tubercular PE, Ischemic cardiac disease If opting for TIPS/ LT Severe HPS Prior or current SBE/ SBP, septic shock Patients on mechanical ventilator Serum Creatinine >2 mg/dl Extrahepatic malignancy Serum Sodium < 120 Post TIPS/ BRTO/ SAE patients Post renal or liver transplantation Lack of informed consent Hepatocellular carcinoma outside milan criteria Non-cirrhotic portal HT Known HIV infection Pregnant women
Sites / Locations
- Institute of Liver & Biliary Sciences
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Large Volume Thoracocentesis
Pigtail Catheter
Group 1 - on-demand therapeutic thoracocentensis
Group 2 - small volume frequent thoracocentesis using PCD