Post-interventional infectious complications in percutaneous transabdominal lymphatic interventions: an observational...

Area of Science:

• Interventional Radiology
• Lymphatic Interventions
• Infectious Disease

Background:

• Transabdominal lymphatic interventions are performed for conditions like chylothorax and chylous ascites.
• Evaluating post-interventional infectious complications and inflammatory reactions is crucial for patient safety.

Purpose of the Study:

• To assess the incidence of infectious complications and inflammatory responses after transabdominal lymphatic interventions.
• To compare outcomes between patients who received peri-interventional antibiotics and those who did not.

Main Methods:

• Retrospective analysis of 63 lymphatic interventions in 60 patients.
• Evaluation of clinical course and laboratory findings (leucocytes, CRP).
• Comparison of subgroups with and without peri-interventional antibiotics.

Main Results:

• No septic complications directly related to the interventions were observed.
• Leucocyte and CRP levels significantly increased post-intervention, normalizing within 10-15 days.
• Febrile episodes occurred in 13/25 patients receiving antibiotics, primarily pneumonia.

Conclusions:

• Clinically significant infectious complications are rare after transabdominal lymphatic interventions, regardless of antibiotic use.
• Transient elevations in leucocytes and CRP are expected post-intervention.
• Peri-interventional antibiotics did not significantly alter post-interventional inflammatory profiles.