Percutaneous catheter-directed debridement of infected pancreatic necrosis

Results in 20 patients

Ana Echenique, Danny Sleeman, Jose Yrizarry, Thomas Scagnelli, Jorge J. Guerra, Victor Casillas, Henry Huson, Edward Russell

Research output: Contribution to journalArticle

113 Citations (Scopus)

Abstract

PURPOSE: To evaluate the usefulness of transcatheter debridement of infected pancreatic necrosis. MATERIALS AND METHODS: Transcatheter debridement was performed on 20 patients who ranged in age from 20 to 78 years during the 8-year study period. All patients had infected pancreatic necrosis and were hemodynamically stable. Necrosis was defined as nonenhancing pancreatic tissue, as seen on contrast-enhanced computed tomography (CT). Infection was suspected clinically and documented by cultures of the pancreatic fluid at its initial drainage. Debridement was performed in multiple sessions in close succession (duration, 30-120 minutes; mean, 60 minutes) via large-bore catheters with enlarged side holes. Debris was removed with use of suction catheters, stone baskets, and copious amounts of lavage fluid. RESULTS: All patients underwent successful catheter debridement. Success was determined by clinical course, as well as lesion appearance, at fluoroscopy and CT. Patients underwent 7-32 (average, 17) episodes of debridement and stayed 0-36 days (average, 9 days) in the intensive care unit, 13-118 days (average, 42 days) on the regular floor, and spent 0-98 days (average, 32 days) with the catheters as an outpatient. No deaths occurred. CONCLUSION: Percutaneous catheter-directed debridement is a safe and effective treatment and it can be used as the primary means of treatment for the hemodynamically stable patient with infected pancreatic necrosis.

Original languageEnglish
Pages (from-to)565-571
Number of pages7
JournalJournal of Vascular and Interventional Radiology
Volume9
Issue number4
StatePublished - Jul 27 1998

Fingerprint

Debridement
Necrosis
Catheters
Tomography
Therapeutic Irrigation
Fluoroscopy
Suction
Intensive Care Units
Drainage
Outpatients
Therapeutics
Infection

Keywords

  • Debridement, percutaneous
  • Pancreas, infection
  • Pancreatitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Percutaneous catheter-directed debridement of infected pancreatic necrosis : Results in 20 patients. / Echenique, Ana; Sleeman, Danny; Yrizarry, Jose; Scagnelli, Thomas; Guerra, Jorge J.; Casillas, Victor; Huson, Henry; Russell, Edward.

In: Journal of Vascular and Interventional Radiology, Vol. 9, No. 4, 27.07.1998, p. 565-571.

Research output: Contribution to journalArticle

Echenique, A, Sleeman, D, Yrizarry, J, Scagnelli, T, Guerra, JJ, Casillas, V, Huson, H & Russell, E 1998, 'Percutaneous catheter-directed debridement of infected pancreatic necrosis: Results in 20 patients', Journal of Vascular and Interventional Radiology, vol. 9, no. 4, pp. 565-571.
Echenique, Ana ; Sleeman, Danny ; Yrizarry, Jose ; Scagnelli, Thomas ; Guerra, Jorge J. ; Casillas, Victor ; Huson, Henry ; Russell, Edward. / Percutaneous catheter-directed debridement of infected pancreatic necrosis : Results in 20 patients. In: Journal of Vascular and Interventional Radiology. 1998 ; Vol. 9, No. 4. pp. 565-571.
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