Percutaneous Treatment of Giant Cystic Echinococcosis in Liver: Catheterization Technique in Patients with CE1 and CE3a
- Izmir Katip Celebi University Ataturk Training and Research Hospital, Department of Interventional Radiology (Turkey)
- Izmir Katip Celebi University Ataturk Training and Research Hospital, Department of Surgery (Turkey)
- Hacettepe University, Department of Radiology, Faculty of Medicine (Turkey)
Purpose: This study aimed to evaluate the efficacy, safety, and follow-up results of the percutaneous treatment of cystic echinococcosis (CE) patients with giant hepatic cysts (at least one diameter > 10 cm). Methods: Between January 2013 and 2018, 31 CE patients with 34 giant cysts classified as CE1 or CE3a (Gharbi type 1 or 2) according to the World Health Organization criteria and treated with the catheterization technique were analyzed retrospectively. Results: Thirty-four giant hepatic cysts were treated using the catheterization technique. Technical success was 100%. One procedure was sufficient for 27 of these cysts, while six patients underwent a second procedure due to recurrence, recollection or complications; one did not accept a repeat procedure and decided to refer to surgery due to pain. Ten (29%) major complications developed. The overall clinical success was 97%. The mean follow-up period was 20 months (5–61 months), and the total reduction in the cyst volume was 92%. Conclusion: The catheterization technique is effective in treating giant CE with acceptable complication rates. Level of Evidence: Level 4, Clinical Investigation.
- OSTI ID:
- 22969194
- Journal Information:
- Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 8 Vol. 42; ISSN 0174-1551; ISSN CAIRDG
- Country of Publication:
- United States
- Language:
- English
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