Renal Cystic Echinococcosis: Long-Term Outcomes of Percutaneous Treatment
| Autor: | Devrim Akinci, Aynur Azizova, Veysel Ayyildiz, Turkmen Ciftci, Emre Ünal, Okan Akhan |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Percutaneous Technical success Punctures Suction World health Catheterization 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Echinococcosis Recurrence medicine Long term outcomes Humans Volume reduction Radiology Nuclear Medicine and imaging Cyst Adverse effect Retrospective Studies Cystic echinococcosis business.industry Kidney Diseases Cystic Length of Stay medicine.disease Surgery Treatment Outcome 030220 oncology & carcinogenesis Drainage Female Cardiology and Cardiovascular Medicine business |
| Popis: | Purpose To evaluate the long-term outcomes of percutaneous treatment of renal cystic echinococcosis (CE) stratified by cyst stages according to the World Health Organization (WHO) classification. Materials and Methods Between January 1997 and February 2019, 34 patients with renal CE (18 women; mean age, 38 years) were treated with 3 different percutaneous techniques. According to the World Health Organization classification, the cysts were classified as CE1, CE2, CE3a, and CE3b. Puncture, aspiration, injection, reaspiration (PAIR) or standard catheterization was used for the dimension-based treatment of CE1 and CE3a cysts. Modified catheterization (MoCaT) was used to treat all CE2 and CE3b cysts. Technical and clinical success, complications, and reduction in cyst cavities were evaluated. Results The technical success rate was 100%. PAIR, standard catheterization, and MoCaT were used to treat 12, 9, and 13 cysts, respectively. The only severe adverse event was a bacterial superinfection that occured in the cyst cavity of a patient (3%) treated with MoCaT. Four patients (12%) experienced mild/moderate periprocedural allergic adverse events and were managed conservatively. The mean length of hospital stay was 1, 5, and 7 days for patients treated with PAIR, standard catheterization, and MoCaT, respectively. The clinical success rate was 97%. In 1 of 34 cysts (3%), recurrence was detected and the cyst was successfully re-treated. During the 10.5-year follow-up period, 95% volume reduction was achieved. The median final cyst volume was 10 mL. Conclusions Renal CE can be successfully treated with minimum adverse events and recurrence rates using appropriate percutaneous techniques selected according to their stages as classified according to WHO. |
| Databáze: | OpenAIRE |
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