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Related Experiment Videos

Postprocedure sepsis in imaging-guided percutaneous hepatic abscess drainage: how often does it occur?

John Thomas1, Shannon R Turner, Rendon C Nelson

  • 1Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC 27710, USA. thoma120@mc.duke.edu

AJR. American Journal of Roentgenology
|April 25, 2006
PubMed
Summary

Percutaneous drainage of hepatic abscesses carries a 26% risk of postprocedure sepsis. Awareness of this risk is crucial for interventional radiologists and physicians managing patients with liver abscesses.

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Area of Science:

  • Hepatology
  • Infectious Diseases
  • Interventional Radiology

Background:

  • Hepatic abscesses require drainage, often percutaneously.
  • Sepsis is a potential complication following invasive procedures.

Purpose of the Study:

  • To determine the incidence of sepsis after percutaneous drainage of hepatic abscesses.
  • To inform clinicians about the risks associated with this procedure.

Main Methods:

  • Retrospective review of 33 patients with hepatic abscesses treated between 1995 and 2000.
  • Analysis of clinical data, imaging, and procedural details.
  • Independent review by two radiologists.

Main Results:

  • 26% of patients who had a drainage catheter placed developed sepsis.

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  • Abscesses treated with needle aspiration alone did not result in postprocedure sepsis.
  • Two patients died from sepsis weeks after the procedure.

    • Conclusions:

    • Percutaneous drainage catheter placement for hepatic abscesses poses a significant risk of postprocedure sepsis (26%).
    • Interventional radiologists and referring physicians must be aware of this risk, even if it appears unpredictable.