CT- and ultrasound-guided catheter drainage of empyemas after chest-tube failure
| Autor: | Peter R. Mueller, P J Friedman, Joseph F. Simeone, Eric vanSonnenberg, Giovanna Casola, S K Nakamoto, Joseph T. Ferrucci, C C Neff |
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| Rok vydání: | 1984 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Punctures Catheterization Catheter drainage Humans Medicine Radiology Nuclear Medicine and imaging Esophagus Empyema Aged Ultrasonography business.industry Abdominal Abscess Middle Aged bacterial infections and mycoses medicine.disease Surgery Chest tube Catheter medicine.anatomical_structure Bacteremia Drainage Female Radiology Intubation Tomography X-Ray Computed business Complication |
| Zdroj: | Radiology. 151:349-353 |
| ISSN: | 1527-1315 0033-8419 |
| Popis: | CT- and ultrasound-guided catheters were used to locate and drain empyemas in 17 patients, most of whom had failed to improve with conventional chest-tube drainage due to a poorly positioned tube. Fifteen patients (88.2%) were treated successfully, averting surgery or further drainage, and bacteremia in 1 patient was the only complication. Previously unrecognized communications with the bronchi, esophagus, and subphrenic space were demonstrated, and intracavitary tumor biopsy and instillation of a sclerosing agent were performed in several patients. Compared to the tubes used to drain abdominal abscesses, empyema catheters need less irrigation; dionosil is often the preferred contrast agent, the catheter can be withdrawn in one step, and a residual fibrotic or tumor cavity may persist after pus has been evacuated. |
| Databáze: | OpenAIRE |
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