CT-Guided Percutaneous Drainage Catheter Placement in the Abdomen and Pelvis: Predictors of Outcome and Protocol for Follow-up

摘要: Abstract Purpose To determine predictors of outcomes for patients who undergo computed tomography (CT)-guided percutaneous abdominal or pelvic drainage catheter placement and to identify which benefit from fluoroscopic interrogation (abscessogram). Materials Methods A retrospective review 383 (mean, 52 years old; range 8–89 158 males: 225 females) underwent 442 CT-guided procedures 489 placements fluid collections in the abdomen pelvis January 1, 2015, December 31, 2016 was performed. Variables including underlying disease, location, number drained, exchanges follow-up abscessograms performed, size, fistula detection were analyzed factors associated with formation increased dwell time. Results single abscessogram followed by removal performed 217 catheters (44%). An significantly size (P Conclusions Abscessograms after are useful detect malposition, occluded catheters, fistulae but not necessary all patients. If selectively, particularly an diagnosis Crohn’s disease those at high risk developing fistulae, unnecessary examinations can be avoided, reducing cost, extra hospital visits, radiation dose.