Abstract
Objectives
The goal of our study was to determine the usefulness of percutaneous abscess drainage under guidance of computed tomography (CT) fluoroscopy.
Materials and methods
Our subjects were 21 patients (seven women, 14 men; mean age 64 years; age range 30–87 years) who had undergone percutaneous drainage of 26 psoas abscess lesions under CT fluoroscopic guidance between May 2001 and January 2008. Drainage methods involved a needle puncture, insertion of a guidewire, serial dilations, and the exchange of the needle with a drainage tube. The procedures were guided by use of a helical CT scanner that provided real-time fluoroscopic reconstruction.
Results
Percutaneous drainage under real-time CT fluoroscopic guidance was successfully performed in every procedure. Use of real-time CT fluoroscopy allowed rapid assessment of needle, guidewire, and catheter placement. No patient had serious complications related to the drainage procedure. The mean procedure time required to drain one lesion was 35.6 ± 13.6 min. Mean period after the drainage procedure until complete disappearance of the abscess as confirmed by CT was 12.4 ± 10.0 days (range 3–46 days).
Conclusion
CT fluoroscopy is useful in achieving accurate and safe drainage of abnormal psoas fluid collections.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Gruenwald I, Abrahamson J, Cohen O. Psoas abscess: case report and review of the literature. J Urol 1992; 147: 1624–1626.
Cantasdemir M, Kara B, Cebi D, Selcuk ND, Numan F. Computed tomography-guided percutaneous catheter drainage of primary and secondary iliopsoas abscess. Clin Radiol 2003; 58: 811–815.
Mueller PR, Ferrucci JT Jr, Wittenberg J, Simeone JF, Butch RJ. Iliopsoas abscess: treatment by CT-guided percutaneous catheter drainage. AJR Am J Roentgenol 1984; 142: 359–362.
Lambiase RE, Deyoe L, Cronan JJ, Dorfman GS. Percutaneous drainage of 335 consecutive abscesses: results of primary drainage with 1-year follow-up. Radiology 1992; 184: 167–179.
Kato T, Yamagami T, Iida S, Tanaka O, Hirota T, Nishimura T. Percutaneous drainage under real-time computed tomography-fluoroscopy guidance. Hepatogastroenterology 2005; 52: 1048–1052.
Vatandaslar F, Alemdaroglu A. CT-guided percutaneous drainage of psoas abscess. Urology 1987; 29: 450–453.
Garner JP, Meiring PD, Ravi K, Gupta R. Psoas abscess—not as rare as we think. Colorectal Dis 2007; 9: 269–274.
Katada K, Kato R, Anno H, et al. Guidance with real-time CT fluoroscopy: early clinical experience. Radiology 1996; 200: 851–856.
Daly B, Templeton PA. Real-time CT fluoroscopy: evolution of an interventional tool. Radiology 1999; 211: 309–315.
Tanaka T, Inaba Y, Arai Y, Matsueda K, Aramaki T, Dendo S. Mediastinal abscess successfully treated by percutaneous drainage using a unified CT and fluoroscopy system. Br J Radiol 2002; 75: 470–473.
Yamagami T, Nakamura T, Iida S, Kato T, Nishimura T. Management of pneumothorax after percutaneous CT-guided lung biopsy. Chest 2002; 121: 1159–1164.
Kato R, Katada K, Anno H, Suzuki S, Ida Y, Koga S. Radiation dosimetry at CT fluoroscopy: physician’s hand dose and development of needle holders. Radiology 1996; 201: 576–578.
Carlson SK, Bender CE, Classic KL, et al. Benefits and safety of CT fluoroscopy in interventional radiologic procedures. Radiology 2001; 219: 515–520.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yamagami, T., Terayama, K., Yoshimatsu, R. et al. Percutaneous drainage of psoas abscess under real-time computed tomography fluoroscopic guidance. Skeletal Radiol 38, 275–280 (2009). https://doi.org/10.1007/s00256-008-0608-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00256-008-0608-3