ACR Appropriateness Criteria on percutaneous catheter drainage of infected fluid collections.
Abnormal fluid collections occur throughout the body and represent a wide range of pathologies, including abscesses, pseudocysts, cysts, lymphoceles, seromas, bilomas, hematomas, urinomas, and infected neoplasms. Appropriate management often depends on clinical presentation, location, type of collection, early response to treatment, and the presence of complicating factors such as fistulas, septations, and increased viscosity. Physicians should carefully review clinical and imaging findings and make evidence-based recommendations for the best treatment, which may include antibiotics, needle aspiration, percutaneous drainage, endoscopic drainage, or surgical drainage. This paper addresses percutaneous catheter drainage and alternative treatment options for the management of fluid collections and is the result of evidence-based consensus by the ACR Appropriateness Criteria Expert Panel on Interventional Radiology.
Lorenz
Jonathan M
JM
University of Chicago Hospital, Department of Radiology, Chicago, Illinois 60637, USA. jlorenz@radiology.bsd.uchicago.edu
Funaki
Brian S
BS
Ray
Charles E
CE
Brown
Daniel B
DB
Gemery
John M
JM
Greene
Frederick L
FL
Kinney
Thomas B
TB
Kostelic
Jon K
JK
Millward
Steven F
SF
Nemcek
Albert A
AA
Owens
Charles A
CA
Reinhart
Robert D
RD
Rockey
Don C
DC
Silberzweig
James E
JE
Vatakencherry
George
G
D001826:Body Fluids; D002404:Catheterization / Q000592:standards*; D003141:Communicable Diseases / Q000628:therapy*; D004322:Drainage / Q000592:standards*; D006801:Humans; D017410:Practice Guidelines as Topic; D014481:United States