Image-Guided Transvesicular Drainage of Pelvic Fluid Collections: A Safe and Effective Alternative Approach.
To evaluate the safety and efficacy of percutaneous transvesicular drainage of pathologic pelvic fluid collections, a series of 15 patients who underwent 16 transvesicular drainage catheter placements was retrospectively reviewed. All patients had collections suspicious for infection that were posterior to the bladder or superior to the bladder behind loops of bowel, and were otherwise inaccessible. All 15 collections were percutaneously accessed via the bladder with standard drainage catheters. All collections resolved completely with no complications. Percutaneous transvesicular drainage was a safe and effective technique in this series, and can be considered when no direct percutaneous access routes are available.
Department of Radiology, Division of Interventional Radiology, Yale University School of Medicine, 789 Howard Ave., New Haven, CT 06520-8042. Electronic address: raj.ayyagari@yale.edu.
Raj R
RR
Ayyagari
Department of Radiology, Permanente Medical Group, Vacaville, California.
Cliff
C
Yeh
Department of Radiology, Division of Interventional Radiology, Yale University School of Medicine, 789 Howard Ave., New Haven, CT 06520-8042.
Melih
M
Arici
Department of Radiology, Division of Interventional Radiology, Yale University School of Medicine, 789 Howard Ave., New Haven, CT 06520-8042.
Hamid
H
Mojibian
Department of Radiology, Division of Interventional Radiology, Yale University School of Medicine, 789 Howard Ave., New Haven, CT 06520-8042.
Eric
E
Reiner
Department of Radiology, Division of Interventional Radiology, Yale University School of Medicine, 789 Howard Ave., New Haven, CT 06520-8042.
Jeffrey S
JS
Pollak
D000038:Abscess / Q000000981:diagnostic imaging / Q000628:therapy*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D057785:Catheters; D002648:Child; D004322:Drainage / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D010388:Pelvis; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional