Journal de radiologie · 2004
[Value of the transgluteal approach under CT-guidance for percutaneous interventional image guided procedures].
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Aubé C, Haghbin H, Lebigot J, Pessaux P, Ridereau-Zins C, Arnaud J P, Caron C
Аннотация
PURPOSE: To assess the CT-guided transgluteal approach for percutaneous interventional image guided procedures.
MATERIALS AND METHODS: CT guided transgluteal approach through the greater sciatic foramen was used for diagnostic procedure (CT guided needle biopsy of presacral masses n=5) or percutaneous treatment (aspiration n=4, and drainage n=10) in 19 patients, mean age 58 years (age range 20-86).
RESULTS: No technical failure occurred. A histological diagnostic was obtained in all diagnostic procedures. The success rate for therapeutic procedures was 87% and allowed to postpone surgery in 2 cases. In 2 patients a small pelvic hematoma occurred after catheter placement, but remained without consequence. Recurrences of collection occurred in 2 cases, one treated medically and the other surgically. Two patients suffered from transient deep pelvic pain, which resolved after catheter removal.
CONCLUSION: CT-guided percutaneous transgluteal procedures may be successfully performed in patients who cannot undergo trans-perineal, trans-rectal or trans-vaginal approach and is a safe and effective diagnostic and therapeutic option.
MATERIALS AND METHODS: CT guided transgluteal approach through the greater sciatic foramen was used for diagnostic procedure (CT guided needle biopsy of presacral masses n=5) or percutaneous treatment (aspiration n=4, and drainage n=10) in 19 patients, mean age 58 years (age range 20-86).
RESULTS: No technical failure occurred. A histological diagnostic was obtained in all diagnostic procedures. The success rate for therapeutic procedures was 87% and allowed to postpone surgery in 2 cases. In 2 patients a small pelvic hematoma occurred after catheter placement, but remained without consequence. Recurrences of collection occurred in 2 cases, one treated medically and the other surgically. Two patients suffered from transient deep pelvic pain, which resolved after catheter removal.
CONCLUSION: CT-guided percutaneous transgluteal procedures may be successfully performed in patients who cannot undergo trans-perineal, trans-rectal or trans-vaginal approach and is a safe and effective diagnostic and therapeutic option.
Предметные рубрики MeSH
Abdominal AbscessAdultAgedAged, 80 and overBiopsyColorectal NeoplasmsDiagnosis, DifferentialDrainageFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalPeritoneal NeoplasmsPeritonitisPostoperative ComplicationsRetroperitoneal NeoplasmsRetrospective StudiesSurgery, Computer-AssistedTomography, X-Ray Computed