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CT guided transthoracic catheter drainage of intrapulmonary abscess

Mahira Yunus1

  • 1Department of Radiology, Al-Noor Hospital, Makkah, Saudi Arabia.

JPMA. the Journal of the Pakistan Medical Association
|October 10, 2009
PubMed

Insights

Computed tomography (CT)-guided percutaneous drainage is an effective treatment for lung abscesses, offering a lower complication rate than surgical resection. This minimally invasive procedure should be the primary choice for patients unresponsive to medical therapy.

Area of Science:

  • Radiology
  • Interventional Radiology
  • Pulmonology

Background:

  • Lung abscesses are potentially serious infections requiring effective treatment.
  • Surgical resection has historically been used but carries significant morbidity.
  • Percutaneous drainage offers a less invasive alternative.

Purpose of the Study:

  • To evaluate the efficacy of CT-guided transthoracic catheter drainage for intrapulmonary abscess.
  • To assess the success rate and complication profile of this procedure.

Main Methods:

  • A prospective study involving 19 patients with lung abscesses.
  • CT-guided percutaneous catheter placement using the Seldinger technique.
  • Monitoring for complications and treatment outcomes.

Main Results:

  • Eight patients (42.1%) had complete resolution without complications.
  • Pneumothorax was the most common complication (26.3%), mostly mild and self-resolving.
  • Two patients required surgery due to residual cavities (associated with CCAM) or bronchopleural fistula.
  • No mortality was observed.

Conclusions:

  • CT guidance ensures precise catheter placement for safe and effective lung abscess drainage.
  • Percutaneous catheter drainage demonstrates lower morbidity and mortality compared to surgical resection.
  • CT-guided drainage is recommended as a first-line therapy for medically refractory lung abscesses.
Abstract

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