CT- and ultrasound-guided catheter drainage of empyemas after chest-tube failure.

vanSonnenberg, Eric; Nakamoto, Shu; Müeller, Peter R.; Casola, G; Neff, C C; Friedman, Paul J.; Ferrucci, J T; Simeone, JF

doi:10.1148/radiology.151.2.6709904

Cited by 128 publications

(53 citation statements)

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“…Advantages are familiarity to most operators, real-time control of the procedure, and its wide availability in radiological departments. Fluoroscopy allows adjustment of the tip of a catheter previously inserted into a¯uid collection with ultrasonography (US) or CT control [28]. Opaci®cation of ®stulous tracts is best documented with¯uoroscopy and plain ®lms, in some occasions in combination with CT.…”

Section: Fluoroscopymentioning

confidence: 99%

Imaging guided thoracic interventions

Ghaye¹,

Dondelinger²

2001

Eur Respir J

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Interventional Radiology is a technique based medical specialty, using all available imaging modalities (¯uoroscopy, ultrasound, computed tomography, magnetic resonance, angiography) for guidance of interventional techniques for diagnostic or therapeutic purposes.Actual, percutaneous transthoracic needle biopsy includes core needle biopsy besides ®ne needle aspiration. Any pleural, pulmonary or mediastinal¯uid or gas collection is amenable to percutaneous pulmonary catheter drainage.Treatment of haemoptysis of the bronchial artery or pulmonary artery origin, transcatheter embolization of pulmonary arteriovenous malformations and pseudoaneurysms, angioplasty and stenting of the superior vena caval system and percutaneous foreign body retrieval are well established routine procedures, precluding unnecessary surgery. These techniques are safe and effective in experienced hands.Computed tomography is helpful in pre-and postoperative imaging of patients being considered for endobronchial stenting. Many procedures can be performed on an outpatient basis, thus increasing the cost-effectiveness of radiologically guided interventions in the thorax.

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Section: Fluoroscopymentioning

confidence: 99%

Imaging guided thoracic interventions

Ghaye¹,

Dondelinger²

2001

Eur Respir J

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“…In the case of empyemas, the range is 35-80% [7]. This compares with 72-88% for catheters placed percutaneously under sonographic or CT guidance [3,4,8]. The 86% we achieved in the final year of our study compares favorably with these results.…”

Section: Discussionmentioning

confidence: 48%

Treatment of pleural effusions and pneumothorax with catheters placed percutaneously under imaging guidance

Reinhold

Illescas²,

Atri³

et al. 1989

American Journal of Roentgenology

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“…But the possible complications include bleeding due to injury to the intercostal vessels, and pneumothorax (2, 6). The most significant, although fortunately rare, complication is cardiopulmonary arrest during catheter placement and also transient bacteremia (6,14). In our cases, there were only two complications in the 42 procedures (4.8%).…”

Section: Discussionmentioning

confidence: 53%

Percutaneous Catheter Drainage of Thoracic Fluid: The Usefulness and Safety of Bedside Trocar Placement under Ultrasound Guidance

Lee

2006

J Korean Radiol Soc

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Purpose:The author wanted to evaluate the usefulness and safety of the trocar technique for US-guided bedside catheter placement into thoracic fluid collections, and this technique has generally been reserved for the larger or superficial fluid collections. Materials and Methods: 42 drainage procedures were performed in 38 patients at the bedside. The patients were positioned supine or semi-upright. A drainage catheter system with a stylet and cannula assembly was used and all of the catheters were inserted using the trocar technique. The procedures consisted of drainage of empyema (n=14), malignant effusion (n=13), lung abscess (n=3), massive transudate (n=8), hemothorax (n=2) and chest wall hematoma (n=2). The clinical results were classified as successful (complete & partially successful), failure or undetermined. The medical records and images were retrospectively reviewed to evaluate the success rate, the complications and the procedure time. Results: Technical success was achieved in all of the 42 procedures. With using the trocar technique, all the catheters were placed into even the small collections without significant complications. Drainage was successful in 36 (85.7%) of the 42 procedures. The average volume of thoracic fluid that was aspirated manually at the time of catheter placement was 420 mL (range: 35 to 1470 mL). The procedure time was less than 10 minutes from US-localization to complete catheter placement in all of the procedures. Conclusion: The trocar technique under US guidance can be an efficient and safe alternative to the Seldinger or guide-wire exchange technique for bedside catheter placement in the critically ill or hemodynamically unstable patients.

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CT- and ultrasound-guided catheter drainage of empyemas after chest-tube failure.

Cited by 128 publications

References 0 publications

Imaging guided thoracic interventions

Imaging guided thoracic interventions

Treatment of pleural effusions and pneumothorax with catheters placed percutaneously under imaging guidance

Percutaneous Catheter Drainage of Thoracic Fluid: The Usefulness and Safety of Bedside Trocar Placement under Ultrasound Guidance

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