Approaches to the Difficult Drainage and Biopsy

Shaunagh McDermott; Diane A. Levis; Ronald S. Arellano

doi:10.1055/s-0032-1330059

Seminars in Interventional Radiology, Inhaltsverzeichnis

Semin intervent Radiol 2012; 29(04): 256-263
DOI: 10.1055/s-0032-1330059

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Approaches to the Difficult Drainage and Biopsy

Shaunagh McDermott

¹Division of Abdominal Imaging and Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts

,

Diane A. Levis

¹Division of Abdominal Imaging and Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts

,

Ronald S. Arellano

¹Division of Abdominal Imaging and Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts

› Institutsangaben

Abstract

Percutaneous abscess drainage and percutaneous biopsy are effective and widely used techniques in the diagnosis and treatment of patients with abdominal or pelvic abscesses and lesions. Some abscesses and lesions can initially appear unsuitable for percutaneous access for a variety of reasons. This article reviews the circumstances in which collections or lesions may appear undrainable or inaccessible to percutaneous biopsy, and it describes techniques for overcoming these circumstances.

Keywords

percutaneous abscess drainage - computed tomography - ultrasound - pancreatitis - Crohn disease

Volltext

Referenzen

References
1 vanSonnenberg E, Wittich GR, Goodacre BW, Casola G, D'Agostino HB. Percutaneous abscess drainage: update. World J Surg 2001; 25 (3) 362-369 ; discussion 370–372
2 Daly B, Krebs TL, Wong-You-Cheong JJ, Wang SS. Percutaneous abdominal and pelvic interventional procedures using CT fluoroscopy guidance. AJR Am J Roentgenol 1999; 173 (3) 637-644
3 Yueh N, Halvorsen Jr RA, Letourneau JG, Crass JR. Gantry tilt technique for CT-guided biopsy and drainage. J Comput Assist Tomogr 1989; 13 (1) 182-184
4 Harisinghani MG, Gervais DA, Hahn PF , et al. CT-guided transgluteal drainage of deep pelvic abscesses: indications, technique, procedure-related complications, and clinical outcome. Radiographics 2002; 22 (6) 1353-1367
5 Arellano RS, Gervais DA, Mueller PR. CT-guided drainage of abdominal abscesses: hydrodissection to create access routes for percutaneous drainage. AJR Am J Roentgenol 2011; 196 (1) 189-191
6 Chen EA, Neeman Z, Lee FT, Kam A, Wood B. Thermal protection with 5% dextrose solution blanket during radiofrequency ablation. Cardiovasc Intervent Radiol 2006; 29 (6) 1093-1096
7 Farrell MA, Charboneau JW, Callstrom MR, Reading CC, Engen DE, Blute ML. Paranephric water instillation: a technique to prevent bowel injury during percutaneous renal radiofrequency ablation. AJR Am J Roentgenol 2003; 181 (5) 1315-1317
8 Maher MM, Gervais DA, Kalra MK , et al. The inaccessible or undrainable abscess: how to drain it. Radiographics 2004; 24 (3) 717-735
9 Mueller PR, Ferrucci Jr JT, Simeone JF , et al. Lesser sac abscesses and fluid collections: drainage by transhepatic approach. Radiology 1985; 155 (3) 615-618
10 Yamakado K, Takaki H, Nakatsuka A , et al. Percutaneous transhepatic drainage of inaccessible abdominal abscesses following abdominal surgery under real-time CT-fluoroscopic guidance. Cardiovasc Intervent Radiol 2010; 33 (1) 161-163
11 Ciftci TT, Akinci D, Akhan O. Percutaneous transhepatic drainage of inaccessible postoperative abdominal abscesses. AJR Am J Roentgenol 2012; 198 (2) 477-481
12 Sacks D, Robinson ML. Transgastric percutaneous drainage of pancreatic pseudocysts. AJR Am J Roentgenol 1988; 151 (2) 303-306
13 Sudakoff GS, Lundeen SJ, Otterson MF. Transrectal and transvaginal sonographic intervention of infected pelvic fluid collections: a complete approach. Ultrasound Q 2005; 21 (3) 175-185
14 Varghese JC, O'Neill MJ, Gervais DA, Boland GW, Mueller PR. Transvaginal catheter drainage of tuboovarian abscess using the trocar method: technique and literature review. AJR Am J Roentgenol 2001; 177 (1) 139-144
15 Sacks BA, Vine HS, Bartek S, Palestrant AM. Postoperative abscess drainage in patients with established sinus tracks or drains. Radiology 1982; 142 (2) 537-538
16 Zajko AB, Steed DL, Webster MW, Bron KM. Repositioning catheters in surgically drained abscesses. Am J Surg 1986; 151 (2) 300-304
17 Kim YJ, Han JK, Lee JM , et al. Percutaneous drainage of postoperative abdominal abscess with limited accessibility: preexisting surgical drains as alternative access route. Radiology 2006; 239 (2) 591-598
18 Cheng D, Nagata KT, Yoon HC. Randomized prospective comparison of alteplase versus saline solution for the percutaneous treatment of loculated abdominopelvic abscesses. J Vasc Interv Radiol 2008; 19 (6) 906-911
19 Beland MD, Gervais DA, Levis DA, Hahn PF, Arellano RS, Mueller PR. Complex abdominal and pelvic abscesses: efficacy of adjunctive tissue-type plasminogen activator for drainage. Radiology 2008; 247 (2) 567-573
20 Thoeni RF. The revised Atlanta classification of acute pancreatitis: its importance for the radiologist and its effect on treatment. Radiology 2012; 262 (3) 751-764
21 Neff R. Pancreatic pseudocysts and fluid collections: percutaneous approaches. Surg Clin North Am 2001; 81 (2) 399-403, xii xii.
22 Bharwani N, Patel S, Prabhudesai S, Fotheringham T, Power N. Acute pancreatitis: the role of imaging in diagnosis and management. Clin Radiol 2011; 66 (2) 164-175
23 Mortelé KJ, Girshman J, Szejnfeld D , et al. CT-guided percutaneous catheter drainage of acute necrotizing pancreatitis: clinical experience and observations in patients with sterile and infected necrosis. AJR Am J Roentgenol 2009; 192 (1) 110-116
24 Mueller PR, White EM, Glass-Royal M , et al. Infected abdominal tumors: percutaneous catheter drainage. Radiology 1989; 173 (3) 627-629
25 Gervais DA, Hahn PF, O'Neill MJ, Mueller PR. Percutaneous abscess drainage in Crohn disease: technical success and short- and long-term outcomes during 14 years. Radiology 2002; 222 (3) 645-651
26 Golfieri R, Cappelli A, Giampalma E , et al. CT-guided percutaneous pelvic abscess drainage in Crohn's disease. Tech Coloproctol 2006; 10 (2) 99-105
27 Müller-Wille R, Iesalnieks I, Dornia C , et al. Influence of percutaneous abscess drainage on severe postoperative septic complications in patients with Crohn's disease. Int J Colorectal Dis 2011; 26 (6) 769-774
28 Tan YM, Chung AY, Chow PK , et al. An appraisal of surgical and percutaneous drainage for pyogenic liver abscesses larger than 5 cm. Ann Surg 2005; 241 (3) 485-490
29 Hope WW, Vrochides DV, Newcomb WL, Mayo-Smith WW, Iannitti DA. Optimal treatment of hepatic abscess. Am Surg 2008; 74 (2) 178-182
30 Liu CH, Gervais DA, Hahn PF, Arellano RS, Uppot RN, Mueller PR. Percutaneous hepatic abscess drainage: do multiple abscesses or multiloculated abscesses preclude drainage or affect outcome?. J Vasc Interv Radiol 2009; 20 (8) 1059-1065