[Percutaneous CT-guided catheter drainage of intrathoracic fluid accumulations].
To verify the value of percutaneous CT-guided drainage of thoracic fluid collections we studied the outcome in 39 patients retrospectively. 24 (61.5%) of the fluid collections were located in the pleural space, 10 (25.6%) in the lungs and 5 (12.8%) in the mediastinum. 11 CT-guided drainages after a previous attempt were necessary in 9 patients, because of recurrent (n = 6) or residual (n = 5) fluid collections. 70% of the drainage procedures were done using Seldinger's, 30% using trocar technique, mainly with 8.3-12 F catheters. The mean duration of drainage was 10.7 days. In 28 patients (71.8%) the percutaneous CT-guided drainage was curative. In 9 cases (23.1%) the patient's course was stabilised and surgery could be applied electively. 2 patients (5.1%) died because of their underlying end-stage malignancy. None of the drainage procedures changed the patient's course to the worse. There was only 1 pneumothorax with no need of any treatment; no other complication occurred. Our results suggest that percutaneous CT-guided drainage of thoracic fluid collections is a safe and straightforward alternative to surgical treatment.
Barton
P
P
Universitätsklinik für Radiodiagnostik, Wien.
Schurawitzki
H
H
Karnel
F
F
Klepetko
W
W
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D015505:Chest Tubes / Q000706:statistics & numerical data; D004322:Drainage / Q000295:instrumentation / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000628:therapy*; D016066:Pleural Effusion, Malignant / Q000000981:diagnostic imaging / Q000628:therapy; D012074:Remission Induction; D012189:Retrospective Studies; D014463:Ultrasonography
Perkutane CT-geführte Katheterdrainage intrathorakaler Flüssigkeitsansammlungen.