Percutaneous Treatment of Giant Cystic Echinococcosis in Liver: Catheterization Technique in Patients with CE1 and CE3a

Ballı, Ömür; Balli, Gülden; Çakır, Volkan; Gür, Serkan; Pekçevik, Rıdvan; Tavusbay, Cengiz; Akhan, Okan

doi:10.1007/s00270-019-02248-z

Cited by 11 publications

(10 citation statements)

References 32 publications

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“…In this study, they suggested this technique since it is unilaterally safe and effective 24 . Likewise, the modified Seldinger technique is suggested in the percutaneous treatment of CE1 and CE3a cysts in another study using a single technique 25 . Contrary to these, there are also views arguing that one-stage lowprofile trocar technique is safer 26 .…”

Section: Discussionmentioning

confidence: 99%

CE1 ve CE3a karaciğer kist hidatiklerinin perkütan tedavisinde modifiye Seldinger ve trokar yöntemlerinin karşılaştırılması

Turgut

Baran

2020

Cukurova Medical Journal

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Öz Purpose: The aim of this study was to compare the longterm results of the trocar and modified Seldinger techniques used in the percutaneous treatment of type CE1 and CE3a hepatic hydatid cysts. Materials and Methods: The data of the patients with CE1 and CE3a hydatid cysts, treated by the catheterization technique between January 2015 and June 2019 were reviewed retrospectively. Cyst type, cyst size and localization, treatment method applied, duration of catheterization and length of hospital stay were recorded. Follow-up period, cyst size at the last follow-up, and inactivation time were listed using the follow-up ultrasound reports. All of these variables were listed separately in the modified Seldinger and trocar techniques and compared statistically. Results: The data of 126 CE1 and CE3a patients were included in the study. The modified Seldinger technique was used in 36 patients, and the trocar technique was used in 90 patients. The mean follow-up period was 1185.36 ± 426.02 days. The efficacy of the treatment was at the rate of 97.2% in the modified Seldinger technique and 97.7% in the trocar technique. In total, recurrence was seen in 2.3% of the patients. The duration of catheterization and length of hospital stay were found to be significantly lower in the trocar technique compared to the modified Seldinger technique. The inactivation process was faster in the modified Seldinger technique. Conclusion: Both the modified Seldinger and trocar techniques are effective treatment modalities that can be used safely in the treatment of CE1 and CE3a hepatic hydatid cysts. Amaç: Bu çalışmanın amacı, CE1 ve CE3a tipleri karaciğer kist hidatiklerinin perkütan tedavisinde kullanılan trokar ve modifiye Seldinger yöntemlerinin uzun dönem sonuçlarının karşılaştırılması oldu. Gereç ve Yöntem: Ocak 2015 ve Haziran 2019 tarihleri arasında kateterizasyon yöntemi ile tedavi edilmiş olan, CE1 ve CE3a kist hidatik hastalarının verileri geriye dönük olarak tarandı. Kist tipi, kist boyutu, lokalizasyonu, uygulanan tedavi yöntemi, kateterizasyon süresi, hastanede yatış süresi verileri kayıt edildi. Takip ultrasonografi raporları değerlendirilerek takip süresi, kistin son kontroldeki boyutu, inaktivasyon süresi listelendi. Bu değişkenlerin tamamı modifiye Seldinger ve trokar yöntemlerinde ayrı ayrı listelendi ve istatistiksel olarak karşılaştırıldı. Bulgular: Toplamda 126 CE1 ve CE3a hastanın verileri çalışmaya dahil edildi. Tedavide 36 hastada modifiye Seldinger yöntemi, 90 hastada trokar yöntemi uygulandı. Ortalama takip süresi 1185.36 ±426.02 gün oldu. Tedavi etkinliği modifiye Seldinger yönteminde %97.2, trokar yönteminde %97.7 oldu. Toplamda hastaların %2.3'ünde nüks görüldü. Modifiye Seldinger yöntemine kıyasla trokar yönteminde kateterizasyon ve hastanede yatış süresi anlamlı olarak düşük bulundu. Modifiye Seldinger yönteminde inaktivasyon süreci daha hızlı olmuştur. Sonuç: Modifiye Seldinger ve trokar yöntemlerinin her ikiside CE1 ve CE3a karaciğer kist hidatik tedavisinde güvenle kullanılabilicek etkin tedavi yöntemler...

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Section: Discussionmentioning

confidence: 99%

CE1 ve CE3a karaciğer kist hidatiklerinin perkütan tedavisinde modifiye Seldinger ve trokar yöntemlerinin karşılaştırılması

Turgut

Baran

2020

Cukurova Medical Journal

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“…It is important to extend the follow-up period up to 10 years. On follow-up US examinations, the size, volume, content and wall changes of the treated CE cyst should be evaluated [28,30,[32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47]. The healing criteria during the follow-up for the evaluation of the treatment effectiveness are described by an experimental study in sheep [28].…”

Section: Some Tips and Tricks For Modified Catheterization Techniquementioning

confidence: 99%

“…For the giant CE1 and CE3a (means larger than 10 cm in diameter), percutaneous treatment is generally applied by using ‘Catheterization technique’ as it is more easy to perform aspiration and injection steps by Catheterization technique [37,38].…”

Section: Catheterization Technique (Standard Catheterization Technique)mentioning

confidence: 99%

“…These are: aspiration of bile during PAIR procedure with or without demonstrable cystobiliary fistula, occurring any technical problem at any stage of the PAIR technique. (3) For the giant CE1 and CE3a (means larger than 10 cm in diameter), percutaneous treatment is generally applied by using 'Catheterization technique' as it is more easy to perform aspiration and injection steps by Catheterization technique[37,38]. (4) Catheterization technique can be employed in two ways.…”

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confidence: 99%

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Percutaneous treatment of liver hydatid cysts: to PAIR or not to PAIR

Akhan

2023

Current Opinion in Infectious Diseases

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Purpose of review The aim is to review recent literature for percutaneous treatment of liver hydatid cysts (cystic echinococcosis: CE) via different techniques such as PAIR (puncture, aspiration, injection, and reaspiration), standard catheterization, and modified catheterization technique (MoCaT). Recent findings PAIR is an established technique and considered to be safe and effective for CE1 and CE3a as it is associated with lower morbidity, mortality, recurrence, and shorter hospital stay as compared with surgery. Standard catheterization is also dedicated for the treatment of CE1 and CE3a. PAIR should be preferred for treatment of liver CE1 and CE3a cysts, since PAIR is associated with lower major complication rates and shorter hospital stay. However, standard catheterization technique is indicated when cysto-biliary fistula develops or any technical difficulty arises during the PAIR. In these cases it is needed to switch PAIR to standard catheterization to complete the procedure. Summary For CE1 and CE3a cysts, PAIR and standard catheterization are the choice for percutaneous treatments, while MoCaT is a treatment option for CE2 and CE3b cysts.

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“…The treatment of the CE depends on the stage of the cyst, including medical treatment, percutaneous approach recognized as PAIR (puncture, aspiration, injection, and reaspiration), surgical strategy, and watch-and-wait [53]. Medical treatment, PAIR, and catheterization are usually reserved for CE1 and CE3a, whereas modified catheterization and surgery are preferred methods for CE2 and CE3b.…”

Section: Echinococcus Granulosusmentioning

confidence: 99%

Typical imaging finding of hepatic infections: a pictorial essay

et al. 2020

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Hepatic infections are frequent in clinical practice. Although epidemiological, clinical and laboratory data may suggest hepatic infection in certain cases, imaging is nearly always necessary to confirm the diagnosis, assess disease extension and its complications, evaluate the response to treatment, and sometimes to make differential diagnoses such as malignancies. Ultrasound (US) is usually the first-line investigation, while computed tomography (CT) and magnetic resonance imaging (MRI) provide better characterization and a more precise assessment of local extension, especially biliary and vascular. The purpose of this article is to describe the typical features and main complications of common hepatic infections. Familiarity with the radiological features of this entity can help suggest the correct diagnosis and the need for further studies as well as determine appropriate and timely treatment.

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Percutaneous Treatment of Giant Cystic Echinococcosis in Liver: Catheterization Technique in Patients with CE1 and CE3a

Cited by 11 publications

References 32 publications

CE1 ve CE3a karaciğer kist hidatiklerinin perkütan tedavisinde modifiye Seldinger ve trokar yöntemlerinin karşılaştırılması

CE1 ve CE3a karaciğer kist hidatiklerinin perkütan tedavisinde modifiye Seldinger ve trokar yöntemlerinin karşılaştırılması

Percutaneous treatment of liver hydatid cysts: to PAIR or not to PAIR

Typical imaging finding of hepatic infections: a pictorial essay

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