[Minimally invasive treatment of abscesses by CT-controlled drainage with a basket catheter system].
OBJECTIVE
To examine whether the percutaneous drainage of abscess formations by a new basket catheter system is usefull.


METHODS
58 patients with abscesses in different locations and origins have been treated by an interventional radiologic procedure. On the whole 77 basket-catheters were placed under CT-guidance into abscess formations of different size and localization. 36 patients developed an abscess after surgery, two patients achieved abscess drainage after embolisation of a tumor. In 20 patients the abscess was a complication of a septic infectious disease.


RESULTS
Open surgery was avoided in 41/58 patients of these patients 9/41 received only percutaneous drainage and 32/41 patients suffering from illness were given antibiotic medication according to the resistogram in combination with percutaneous drainage. 17/58 patients required secondary surgery but with a lower risk because of the smaller abscess volume and the better clinical constitution after percutaneous drainage.


CONCLUSIONS
A minimally invasive management of abscesses using a basket-catheter system is successful even in localisations deep inside the body and hard to reach. An irreversible catheter occlusion followed by the implantation of a new catheter system could be avoided in all patients.
Müller
R D
RD
Zentralinstitut für Röntgendiagnostik OZ II, Universitätsklinikum Essen.
Henrich
H
H
Buddenbrock
B
B
Barkhausen
J
J
Erhard
J
J
Langer
R
R
D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D002408:Catheters, Indwelling; D004322:Drainage / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D019060:Minimally Invasive Surgical Procedures; D015641:Radiography, Interventional / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*; D016896:Treatment Outcome