OBJECTIVE: To evaluate the usefulness of intracavitary-applied contrast-enhanced ultrasound (ICCEUS) with BR1 in ultrasound-guided puncture and drainage of abdominal and pelvic abscesses. MATERIAL AND METHODS: A total of 71 consecutive patients received ICCEUS after placement of a drainage catheter or a needle in abdominal or pelvic abscesses. Portions of 0.1 ml of BR1 and 20 ml of saline were injected through the drainage catheter or needle. Ultrasound recordings were evaluated to answer the following questions: correct placement of the catheter by showing enhancement in the cavity and the drain - ICCEUS findings suggesting incomplete enhancement in all abscess cavities - enhancement in non-abscess structures. RESULTS: About 52% of patients had liver, 14% of patients had intraperitoneal, 11% had subphrenic, 14% had retroperitoneal, 6% had splenic, and 4% had pelvic abscesses. The majority of the patients received drain placement with 10-F using trocar technique. Enhancement in the drain or needle was seen in all patients. In 2% of patients, during the initial approach, a dislodgment of the catheter from the abscess cavity was diagnosed. Due to non-enhancing abscess compartments, in 36% of the patients more than one drainage treatment was necessary at the time of the first approach. In 14% of the patients communication with surrounding structures was diagnosed. Additional treatment resulted in 4% of cases. CONCLUSION: ICCEUS was helpful in all patients to confirm correct placement of drain or puncture needle. In 40% of patients, as a consequence of ICCEUS, additional therapy was scheduled, either additional drainage or abscess puncture, endoscopic retrograde drainage of the biliary or pancreatic duct or thoracic intervention.
OBJECTIVE: To evaluate the usefulness of intracavitary-applied contrast-enhanced ultrasound (ICCEUS) with BR1 in ultrasound-guided puncture and drainage of abdominal and pelvic abscesses. MATERIAL AND METHODS: A total of 71 consecutive patients received ICCEUS after placement of a drainage catheter or a needle in abdominal or pelvic abscesses. Portions of 0.1 ml of BR1 and 20 ml of saline were injected through the drainage catheter or needle. Ultrasound recordings were evaluated to answer the following questions: correct placement of the catheter by showing enhancement in the cavity and the drain - ICCEUS findings suggesting incomplete enhancement in all abscess cavities - enhancement in non-abscess structures. RESULTS: About 52% of patients had liver, 14% of patients had intraperitoneal, 11% had subphrenic, 14% had retroperitoneal, 6% had splenic, and 4% had pelvic abscesses. The majority of the patients received drain placement with 10-F using trocar technique. Enhancement in the drain or needle was seen in all patients. In 2% of patients, during the initial approach, a dislodgment of the catheter from the abscess cavity was diagnosed. Due to non-enhancing abscess compartments, in 36% of the patients more than one drainage treatment was necessary at the time of the first approach. In 14% of the patients communication with surrounding structures was diagnosed. Additional treatment resulted in 4% of cases. CONCLUSION: ICCEUS was helpful in all patients to confirm correct placement of drain or puncture needle. In 40% of patients, as a consequence of ICCEUS, additional therapy was scheduled, either additional drainage or abscess puncture, endoscopic retrograde drainage of the biliary or pancreatic duct or thoracic intervention.
Authors: Guido Michels; Rudolf Horn; Andreas Helfen; Andreas Hagendorff; Christian Jung; Beatrice Hoffmann; Natalie Jaspers; Horst Kinkel; Clemens-Alexander Greim; Fabian Knebel; Johann Bauersachs; Hans-Jörg Busch; Daniel Kiefl; Alexander O Spiel; Gernot Marx; Christoph F Dietrich Journal: Med Klin Intensivmed Notfmed Date: 2022-02 Impact factor: 0.840
Authors: Christoph F Dietrich; Michalakis Averkiou; Michael Bachmann Nielsen; Richard G Barr; Peter N Burns; Fabrizio Calliada; Vito Cantisani; Byung Choi; Maria C Chammas; Dirk-André Clevert; Michel Claudon; Jean-Michel Correas; Xin-Wu Cui; David Cosgrove; Mirko D'Onofrio; Yi Dong; JohnR Eisenbrey; Teresa Fontanilla; Odd Helge Gilja; Andre Ignee; Christian Jenssen; Yuko Kono; Masatoshi Kudo; Nathalie Lassau; Andrej Lyshchik; Maria Franca Meloni; Fuminori Moriyasu; Christian Nolsøe; Fabio Piscaglia; Maija Radzina; Adrian Saftoiu; Paul S Sidhu; Ioan Sporea; Dagmar Schreiber-Dietrich; Claude B Sirlin; Maria Stanczak; Hans-Peter Weskott; Stephanie R Wilson; Juergen Karl Willmann; Tae Kyoung Kim; Hyun-Jung Jang; Alexandar Vezeridis; Sue Westerway Journal: Ultrasound Int Open Date: 2018-02-07
Authors: Nathan S S Atkinson; Robert V Bryant; Yi Dong; Christian Maaser; Torsten Kucharzik; Giovanni Maconi; Anil K Asthana; Michael Blaivas; Adrian Goudie; Odd Helge Gilja; Dieter Nuernberg; Dagmar Schreiber-Dietrich; Christoph F Dietrich Journal: World J Gastroenterol Date: 2017-10-14 Impact factor: 5.742
Authors: Christoph F Dietrich; Yi Dong; Christian Jenssen; Valentina Ciaravino; Michael Hocke; Wen-Ping Wang; Eike Burmester; Kathleen Moeller; Nathan Ss Atkinson; Paola Capelli; Mirko D'Onofrio Journal: World J Gastroenterol Date: 2017-08-14 Impact factor: 5.742