Percutaneous treatment of hepatic cystic echinococcosis: the success of alcohol as a single endocavitary agent in PAIR, catheterization, and modified catheterization techniques

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dc.contributor.authorBakdik, Suleyman
dc.contributor.authorArslan, Serdar
dc.contributor.authorOncu, Fatih
dc.contributor.authorTolu, Ismet
dc.contributor.authorEryilmaz, Mehmet Ali
dc.date.accessioned2024-02-23T13:59:39Z
dc.date.available2024-02-23T13:59:39Z
dc.date.issued2018
dc.departmentNEÜen_US
dc.description.abstractThis retrospective study aims at demonstrating the success rate, effectiveness, and advantages of alcohol as a scolicidal and sclerosing agent for the percutaneous treatment of liver hydatid cysts. A total of 554 liver hydatid cysts obtained from 347 patients admitted between January 2008 and February 2016 were retrospectively investigated. Of these, 435 (78.5%), 91 (16.4%), and 28 (5%) were classified as Gharbi type 1, 2, and 3, respectively. Type 1 and 2 cysts were treated using PAIR (puncture, aspiration, injection, respiration) and single puncture catheterization methods; type 3 lesions were treated using a modified catheterization technique. Alcohol was used as a scolicidal and sclerosing agent in all procedures. After excluding three lesions (0.5%) because of lack of parenchymal support during catheterization, 274 (49.7%), 250 (45.3%), and 27 (4.9%) of 551 lesions were treated with PAIR, single puncture catheterization, and modified catheterization techniques, respectively. Therefore, a 99.5% of technical success rate was obtained. Major complications in 2 patients (0.5%) and minor complications were observed in 36 patients (10.3%). Mean hospital stay was 1.55 +/- 2.3 days (range: 0-23 days). Patients were followed-up for mean 19.6 months (range: 6-83 months), during which recurrences were detected in 19 patients (5.4%). The use of alcohol as a scolicidal and sclerosing agent during the percutaneous treatment of liver hydatid cysts is associated with a high success rate and low rates of recurrence and complications, and should be considered an important alternative to surgical procedures.en_US
dc.identifier.doi10.1007/s11547-017-0820-0
dc.identifier.endpage160en_US
dc.identifier.issn0033-8362
dc.identifier.issn1826-6983
dc.identifier.issue2en_US
dc.identifier.pmid29030721en_US
dc.identifier.scopus2-s2.0-85031417968en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage153en_US
dc.identifier.urihttps://doi.org/10.1007/s11547-017-0820-0
dc.identifier.urihttps://hdl.handle.net/20.500.12452/11249
dc.identifier.volume123en_US
dc.identifier.wosWOS:000423029600009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Italia Srlen_US
dc.relation.ispartofRadiologia Medicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHydatid Cysten_US
dc.subjectPairen_US
dc.subjectCatheterizationen_US
dc.subjectCystic Echinococcosisen_US
dc.subjectInterventional Radiologyen_US
dc.titlePercutaneous treatment of hepatic cystic echinococcosis: the success of alcohol as a single endocavitary agent in PAIR, catheterization, and modified catheterization techniquesen_US
dc.typeArticleen_US

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