Percutaneous Debridement of Infected Pancreatic Necrosis with Nitinol Snares

Shonnard, Keith M.; McCarter, Dale L.; Lyon, Robert D.

doi:10.1016/s1051-0443(97)70555-4

Cited by 14 publications

(9 citation statements)

References 5 publications

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“…Frequent evaluation and repositioning of the catheters coupled with regular CTs are prerequisites for maintenance of drainage 49 . Necrosum may be debrided by lavage, 50,52,63 Dormia stone retrieval basket, 52,65,68 suction catheter, 52 nitinol snare 59 or aspiration of the drainage catheter to the point of occluding the side holes, cleaning the catheter and then repositioning it in the cavity 59 . Specific details of managing patients by percutaneous drainage are outlined in a review article 69 .…”

Section: Percutaneous Drainagementioning

confidence: 99%

“…Specific details of managing patients by percutaneous drainage are outlined in a review article 69 . Shonnard also suggested debridement under vision with the use of an endoscope but felt this would entail a higher cost 59 . Anatomical complications related directly to drain placement are rare but include colonic puncture in 2% 28 or inadvertent transgastric placement (personal observation).…”

Section: Percutaneous Drainagementioning

confidence: 99%

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Infected pancreatic necrosis: minimizing the cut

Wysocki

McKay

Carter

2010

ANZ Journal of Surgery

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The challenge for the pancreatologist managing patients with infected pancreatic necrosis is to devise a treatment algorithm that enables recovery but at the same time limits the morbidity and mortality. The current gold standard remains open necrosectomy. Recent literature contains scattered reports of endoscopic, radiologic, laparoscopic, percutaneous and lumbotomy approaches to managing patients with this condition. This literature review addresses the role of techniques that aim to minimize the physiological insult to the patient with infected pancreatic necrosis.

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Section: Percutaneous Drainagementioning

confidence: 99%

Section: Percutaneous Drainagementioning

confidence: 99%

Infected pancreatic necrosis: minimizing the cut

Wysocki

McKay

Carter

2010

ANZ Journal of Surgery

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“…Techniques that have been implemented for percutaneous necrosectomy include percutaneous baskets, snares, or forceps to remove debris through large (up to 30 F) tracts, [10][11][12][13] similar to what interventional radiologists and urologists use for percutaneous stone management in the kidneys. 14 …”

Section: Indications For Percutaneous Drainagementioning

confidence: 99%

Interventional Radiology for Necrotizing Pancreatitis

Mamlouk

vanSonnenberg

2011

Journal of Gastrointestinal Surgery

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Necrotic pancreatitis is a complex clinical entity that requires collaboration of care from surgeons, gastroenterologists, and interventional radiologists. CT scans play a pivotal role in the diagnosis of pancreatic necrosis, while image-guided percutaneous pancreatic drainage is a safe and effective treatment method in certain cases. The diagnostic criteria for pancreatic necrosis, indications for pancreatic drainage, technique, and efficacy are discussed in this article.

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“…At least two collection catheters have to be placed in the most appropriate positions to obtain a combined washout (Fig. Clinical success rates have generally varied between 40 and 60%, but they require refinement and evaluation in larger patient populations before they can be widely used in clinical practice (Shonnard et al 1997;Carter et al 2000;Maher et al 2004;Shankar et al 2004). The Trocar technique is the best, initially using 8 to 10 F catheters.…”

Section: Infected Pancreatic Necrosismentioning

confidence: 99%

Emergency Radiology

Marinček¹,

Dondelinger

2007

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Why write a book on emergency radiology? In many countries, hospital emergency departments have become a major part of the healthcare safety net. In the last decade economically-driven structural changes in health care delivery have caused a dramatic increase in emergency department visits. In response to capacity and staffing pressures, hospitals are developing and implementing a variety of strategies designed to improve patient flow and reduce overcrowding in the emergency department. Several factors are considered critical for success, such as having the right multidisciplinary teams in place and optimizing the use of imaging tests. For a critical care physician it is paramount to obtain the images quickly and for them to be interpreted accurately. To accomplish this, the emergency radiology division should be located adjacent to or within the emergency department. High quality emergency radiology services combine state-of-the art equipment and unsurpassable expertise available 24 hours a day. The demands for radiologists with specific knowledge in diagnostic and interventional emergency radiology is continuously increasing. The emergency radiology services should be equipped with sophisticated imaging (especially Multidetector Computed Tomography, MDCT) and information technologies (Picture Archiving and Communication System, PACS). The rapid development of MDCT technology has dramatically changed CT applications. In many imaging centers the volume of MDCT scans is growing at least 10% annually while the number of radiographic studies decline. There is an increasing trend towards the use of MDCT to evaluate traumatic injuries and non-traumatic emergencies. The use of workstations for reporting and for further image reconstruction becomes standard practice. On the occasion of the European Congress of Radiology (ECR) 2003 and 2004 a Categorical Course on "Emergency Radiology" has been organized to assess current developments and concepts in this rapidly growing field. Numerous radiologists, all outstanding and internationally renowned experts in their field, have made superb contributions in an ECR syllabus. These authors have now made a second effort and updated their contributions for this book. The chapters in the book mirror the topics presented in the ECR course, encompassing imaging approaches as well as interventional aspects. A separate section is devoted to pediatric emergencies. We would like to express our thanks and appreciation to all contributers for their excellent written material. This comprehensive work would not have been accomplished without their enthusiasm. We hope this book will be a "Go-To" reference to general radiologists who have to deal with traumatic and nontraumatic emergencies. Similarly, it should serve as reference for emergency medicine physicians. Finally, radiology residents should find this book useful when covering the emergency department.

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Percutaneous Debridement of Infected Pancreatic Necrosis with Nitinol Snares

Cited by 14 publications

References 5 publications

Infected pancreatic necrosis: minimizing the cut

Infected pancreatic necrosis: minimizing the cut

Interventional Radiology for Necrotizing Pancreatitis

Emergency Radiology

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