Independent and supervised drainage of symptomatic ascites with a central venous catheter

The study investigates whether a special type of catheter can help patients with fluid accumulation in the abdomen manage symptoms more easily and improve their quality of life.

Ascites, or fluid accumulation in the abdomen, is a complication of advanced cancer and may cause bloating, pain, nausea, difficulty breathing and reduced quality of life. Usually, the fluid is removed through repeated procedures in hospital, which can be burdensome for patients.

In this study, a thin catheter is inserted into the abdominal cavity and allows the fluid to be drained as needed, including at home. In this way, we aim to reduce the number of procedures and improve patients’ well-being.

Purpose of the study

To determine whether drainage of ascites using a central venous catheter is safe, feasible and effective, and whether it improves the patient’s quality of life.

Study procedure

If the patient decides to participate, a physician inserts a catheter to drain fluid from the abdomen. The catheter enables controlled drainage of fluid in the home environment, either independently or with the help of relatives or community nursing services.

Participation also includes completion of short questionnaires about well-being, nutrition and satisfaction with treatment — before catheter placement and again approximately 10 to 14 days later.

Treatment otherwise follows established guidelines and the study does not replace standard care.

Who can take part?

Adult cancer patients with symptomatic ascites, meaning fluid accumulation in the abdomen.

How to apply?

The patient will be informed about the possibility of participation by a physician. Before inclusion, the patient receives all necessary information and signs an informed consent form.

Participation in the study is voluntary and may be withdrawn at any time without affecting further treatment.

The study does not pose a significant additional risk, as it is based on a procedure already used in clinical practice. By participating, patients contribute to the development of more patient-friendly and effective ways of relieving disease-related symptoms.