title: Successful percutaneous treatment of extrahepatic cystic echinococcosis through PAIR and single puncture catheter techniques.
abstract: OBJECTIVE
  To demonstrate the successful percutaneous treatment of extrahepatic cystic echinococcosis as an alternative to surgical procedures.
  
  
  METHODS
  A total of 27 extrahepatic hydatid cysts in 12 patients, the spleen in 8 patients, muscles and soft tissues in 3 patients each and right adrenal gland in 1 patient were treated with PAIR (puncture, aspiration, injection, respiration) or single puncture catheterization methods. As a scolicidal and sclerosing agent, alcohol was used in all patients.
  
  
  RESULTS
  Of 27 extrahepatic lesions of hydatid cysts, 24 (88.9%) were Gharbi type 1 (WHO CE 1), and 3 (11.1%) were Gharbi type 2 (WHO CE 3A). Of hydatid cystic lesions, 20 with PAIR and 7 with single puncture catheterization methods were treated. No major complications developed in any patients. Abscesses were detected in two patients (16.6%). Mean total hospital stay was calculated between 1 and 14 days (mean 2.3 days). Follow-up periods ranged between 10 and 62 months (mean 22.3 months).
  
  
  CONCLUSIONS
  Percutaneous treatment for extrahepatic hydatid cystic lesions is an important alternative to surgical procedures because of the high therapeutic success rate, lower rate of complications and shorter hospital stays.
authors.affiliation: Department of Radiology, Konya Training and Research Hospital, Haci Saban Mah. Meram Yeniyol Caddesi No: 97 Meram, 42090, Konya, Turkey. arslanserdar10@gmail.com.
authors.forename: Serdar
authors.identifier: http://orcid.org/0000-0001-7984-4326
authors.initials: S
authors.lastname: Arslan
authors.affiliation: Department of Radiology, Konya Training and Research Hospital, Haci Saban Mah. Meram Yeniyol Caddesi No: 97 Meram, 42090, Konya, Turkey.
authors.forename: Suleyman
authors.initials: S
authors.lastname: Bakdik
authors.affiliation: Department of Radiology, Konya Training and Research Hospital, Haci Saban Mah. Meram Yeniyol Caddesi No: 97 Meram, 42090, Konya, Turkey.
authors.forename: Fatih
authors.initials: F
authors.lastname: Oncu
authors.affiliation: Department of Radiology, Konya Training and Research Hospital, Haci Saban Mah. Meram Yeniyol Caddesi No: 97 Meram, 42090, Konya, Turkey.
authors.forename: Ismet
authors.initials: I
authors.lastname: Tolu
authors.affiliation: Department of Radiology, Konya Training and Research Hospital, Haci Saban Mah. Meram Yeniyol Caddesi No: 97 Meram, 42090, Konya, Turkey.|Department of General Surgery, Konya Training and Research Hospital, Haci Saban Mah. Meram Yeniyol Caddesi No: 97 Meram, 42090, Konya, Turkey.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Eryilmaz
mesh_terms: D000293:Adolescent; D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging* / Q000469:parasitology* / Q000628:therapy*; D000328:Adult; D000368:Aged; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D002404:Catheterization; D002648:Child; D003287:Contrast Media; D004443:Echinococcosis / Q000000981:diagnostic imaging* / Q000628:therapy*; D000431:Ethanol / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000000981:diagnostic imaging* / Q000469:parasitology*; D011677:Punctures; D012189:Retrospective Studies; D013158:Splenic Diseases / Q000000981:diagnostic imaging* / Q000469:parasitology* / Q000628:therapy*; D013396:Suction; D016896:Treatment Outcome
chemical_list: D000871:Anthelmintics; D003287:Contrast Media; D000431:Ethanol; D015766:Albendazole
keywords: Catheterization; Cystic echinococcosis; Hydatid cyst; Interventional radiology