Treffer: Technical and clinical outcome of low-milliampere CT fluoroscopy-guided percutaneous drainage placement in abdominal fluid collections after liver transplantation : a 16-year retrospective analysis of 50 consecutive patients

Title:
Technical and clinical outcome of low-milliampere CT fluoroscopy-guided percutaneous drainage placement in abdominal fluid collections after liver transplantation : a 16-year retrospective analysis of 50 consecutive patients
Authors:
Stahl, Robert, Seidensticker, Max, Arbogast, Helmut, Kuppinger, David, Greif, Veronika, Crispin, Alexander, D'Anastasi, Melvin, Pedersen, Vera, Forbrig, Robert, Liebig, Thomas, Rutetzki, Tim, Trumm, Christoph G.
Publisher Information:
MDPI AG
Publication Year:
2024
Collection:
University of Malta: OAR@UM / L-Università ta' Malta
Subject Terms:
Liver -- Transplantation, Diagnosis, Fluoroscopic, Medical radiology -- Data processing, Image processing -- Digital techniques, Radiation -- Dosage
Document Type:
Fachzeitschrift article in journal/newspaper
Language:
English
Relation:
https://www.um.edu.mt/library/oar/handle/123456789/118673
DOI:
10.3390/diagnostics14040353
Availability:
https://www.um.edu.mt/library/oar/handle/123456789/118673
https://doi.org/10.3390/diagnostics14040353
Rights:
info:eu-repo/semantics/openAccess ; The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder.
Accession Number:
edsbas.13B2F0C0
Database:
BASE

Weitere Informationen

Purpose: Evaluation of the effectiveness of CT-guided drainage (CTD) placement in managing symptomatic postoperative fluid collections in liver transplant patients. The assessment included technical success, clinical outcomes, and the occurrence of complications during the peri-interventional period. Methods: Analysis spanned the years 2005 to 2020 and involved 91 drain placement sessions in 50 patients using percutaneous transabdominal or transhepatic access. Criteria for technical success (TS) included (a) achieving adequate drainage of the fluid collection and (b) the absence of peri-interventional complications necessitating minor or prolonged hospitalization. Clinical success (CS) was characterized by (a) a reduction or normalization of inflammatory blood parameters within 30 days after CTD placement and (b) the absence of a need for surgical revision within 60 days after the intervention. Inflammatory markers in terms of C-reactive protein (CRP), leukocyte count and interleukin-6, were evaluated. The dose length product (DLP) for various intervention steps was calculated. Results: The TS rate was 93.4%. CS rates were 64.3% for CRP, 77.8% for leukocytes, and 54.5% for interleukin-6. Median time until successful decrease was 5.0 days for CRP and 3.0 days for leukocytes and interleukin-6. Surgical revision was not necessary in 94.0% of the cases. During the second half of the observation period, there was a trend (p = 0.328) towards a lower DLP for the entire intervention procedure (median: years 2013 to 2020: 623.0 mGy·cm vs. years 2005 to 2012: 811.5 mGy·cm). DLP for the CT fluoroscopy component was significantly (p = 0.001) lower in the later period (median: years 2013 to 2020: 31.0 mGy·cm vs. years 2005 to 2012: 80.5 mGy·cm). Conclusions: The TS rate of CT-guided drainage (CTD) placement was notably high. The CS rate ranged from fair to good. The reduction in radiation exposure over time can be attributed to advancements in CT technology and the growing expertise of interventional radiologists. ...