TY  - JOUR
TI  - A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience
AB  - PURPOSEWe aimed to demonstrate the success and reliability of a novel puncture, aspiration, injection, and reaspiration (PAIR) technique in liver hydatid cysts.METHODSPercutaneous treatment with ultrasonographic guidance was performed in 493 hepatic hydatid cysts in 374 patients. Patients were treated with a new PAIR technique by single puncture method using a 6F trocar catheter. The results of this novel technique were evaluated with regards to efficacy and safety of the procedure and complication rates. RESULTSOut of 493 cysts, 317 were Gharbi type I (WHO CE 1) and 176 were Gharbi type II (WHO CE 3A). Of all cysts, 13 were referred to surgery because of cystobiliary fistulization. Recurrence was observed in 11 cysts one month later. Therefore, the success rate of the PAIR technique was 97.7% (469/480). Minor complications (fever, urticaria-like reactions, biliary fistula) were seen in 44 treated patients (12%, 44/374); the only major complication was reversible anaphylactic shock which was observed in two patients (0.5%, 2/374). CONCLUSIONThis novel modified PAIR technique may be superior to catheterization by Seldinger technique due to its efficiency, easier application, lower severe complication rate, and lower cost. Further compar-ative studies are required to confirm our observations.
AU  - Kartal, Adil
AU  - Keskin, Suat
AU  - KAYA, Hasan Emin
AU  - ERDEM, Tuba Berra
AU  - BORAZAN, Hale
AU  - GÜLER, İbrahim
AU  - ÖZBEK, Orhan
AU  - ÖZBİNER, Hüseyin
AU  - FEYZİOĞLU, Bahadır
AU  - KÜÇÜKAPAN, Ahmet
AU  - Koç, Osman
AU  - NAYMAN, Alaaddin
AU  - BATUR, Abdussamed
AU  - ERTEKİN, Ersen
AU  - TEMİZÖZ, Osman
PY  - 2016
JO  - Diagnostic and Interventional Radiology
VL  - 22
IS  - 1
SN  - 1305-3612
SP  - 47
EP  - 51
DB  - TRDizin
UR  - http://search/yayin/detay/197905
ER  -