Percutaneous drainage of abscesses and fluid collections: technique, results, and applications
A combination of computed tomography, ultrasonography, and fluoroscopy was utilized to guide percutaneous catheter drainage of 58 abscesses and fluid collections in 51 patients. Cavities were evacuated in 53 cases, with surgery avoided in 44 of these. There were two failures and six recurrences. The mean duration of catheter drainage was seven days. Five complications occurred, including a small bowel fistula and a lacerated mesenteric vessel. Based on this experience, guidelines for drainage are presented, as well as principles for the critical step of access route planning. Double-lumen sump drainage catheters and the irrigation procedure have simplified and improved drainage. Causes and solutions for unsatisfactory results are defined.
- Research Organization:
- Harvard Medical School, Boston MA
- OSTI ID:
- 5798115
- Journal Information:
- Radiology; (United States), Journal Name: Radiology; (United States) Vol. 142:1; ISSN RADLA
- Country of Publication:
- United States
- Language:
- English
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62 RADIOLOGY AND NUCLEAR MEDICINE
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BODY
BODY AREAS
COMPARATIVE EVALUATIONS
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DIAGNOSIS
DIAGNOSTIC TECHNIQUES
MEDICINE
NUCLEAR MEDICINE
PATHOLOGICAL CHANGES
PATIENTS
RADIOLOGY
SURGERY
TOMOGRAPHY
ULTRASONOGRAPHY