Keywords:
Performed at one institution, Observational, Retrospective, Inflammation, Calcifications / Calculi, Drainage, Ultrasound, Fluoroscopy, Interventional non-vascular, Biliary Tract / Gallbladder, Abdomen, Abdominal Viscera
Authors:
S. Schiro', A. Andreone, I. Paladini, E. Epifani, C. Marcato, N. Sverzellati; Parma/IT
DOI:
10.26044/ecr2020/C-10134
Results
A total of 80 (23% female; age [±SD] 78 [±1.5years]) moderate and high risk (TG18 grade II-III) patients who underwent a PC were included.
PC procedure was technically successful in 100% 80/80 patients.
No major complications were recorded.
In total 13/80 16% of patients deceased. Of these 2 (15%) underwent urgent CH.
All the PC were performed under US-guidance and a pig tail catheter (8-10F) was inserted through the liver parenchyma using transhepatic approach [4]. Figure 3 shows correct catheter insertion in the gallbladder using Seldinger technique and transhepatic approach.
In 65% 52/80 patients PC was effective and led to a complete resolution of acute symptoms, in 35% 28/80 patients a CH was performed.
No differences regarding age, sex and imaging characteristics prior-PC were found between the two groups (Table 2).
Patients in the PC group showed a statistically significant decrease of CRP values (coefficient [95% C.I.]-69.3 [-128, -9.93]; p=0.023) and WBC values (-3.93 [-7.43, -0.42]; p=0.028) compared to the PC+CH group, respectively (Table 3).