CT-guided drainage

Hashimoto et al. (1995) reported 56 cases of pyogenic liver abscesses 39 and 10 patients underwent CT-guided drainage or simple aspiration without drainage, respectively. Six patients were treated with open operative drainage, while one patient with advanced cancer only received antibiotics. Five of 39 patients had to undergo operation after primary percutaneous drainage (87% success rate). Overall mortality rate was 12.5% (7/56). 

Thanos L etal. (2002) Percutaneous CT-guided drainage of splenic abscess. AJR Am J Roentgenol 179 629-632... 

Percutaneous drainage was initially attempted by A. F. S Mac-Fadzen et al. in 1953. It was later introduced into clinical routine by IR. Haaga et al. (1976) (s. tab. 7.2) using the CT-guided method. An improved technique was applied by S.G. Gerzof et al. (1981) and proved very successful in the treatment of liver abscesses. 

Cantasdemir et al. (2003) reported their experience with CT-guided percutaneous drainage in 21 patients with iliopsoas abscesses, which were technically successful in 21/22 cases. Nineteen and three procedures were performed with the Trocar and Seldinger tech-... 

Barton P etal. (1992) [Percutaneous CT-guided catheter drainage of intrathoracic fluid accmnulations.] (In German) Rofo 156 47-52... 

Segal D et al. (2007) Acute necrotizing pancreatitis role of CT-guided percutaneous catheter drainage. Abdom Imaging 32 351-361... 

Fig. 37.13a,b. Patient (prone position) with a fever showing a presacral fluid collection 10 days after abdominoperineal rectum resection (a). An 8-French drainage catheter was inserted using the Seldinger technique, b Guide wire being introduced through an 18-G sheath under CT fluoroscopy... 

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