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Percutaneous Treatment of Giant Cystic Echinococcosis in Liver: Catheterization Technique in Patients with CE1 and CE3a

  • Clinical Investigation
  • Non-Vascular Interventions
  • Published:
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Abstract

Purpose

This study aimed to evaluate the efficacy, safety, and follow-up results of the percutaneous treatment of cystic echinococcosis (CE) patients with giant hepatic cysts (at least one diameter > 10 cm).

Methods

Between January 2013 and 2018, 31 CE patients with 34 giant cysts classified as CE1 or CE3a (Gharbi type 1 or 2) according to the World Health Organization criteria and treated with the catheterization technique were analyzed retrospectively.

Results

Thirty-four giant hepatic cysts were treated using the catheterization technique. Technical success was 100%. One procedure was sufficient for 27 of these cysts, while six patients underwent a second procedure due to recurrence, recollection or complications; one did not accept a repeat procedure and decided to refer to surgery due to pain. Ten (29%) major complications developed. The overall clinical success was 97%. The mean follow-up period was 20 months (5–61 months), and the total reduction in the cyst volume was 92%.

Conclusion

The catheterization technique is effective in treating giant CE with acceptable complication rates.

Level of Evidence

Level 4, Clinical Investigation.

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Authors and Affiliations

  1. Department of Interventional Radiology, Izmir Katip Celebi University Ataturk Training and Research Hospital, 35360, Izmir, Turkey

    Omur Balli, Volkan Cakir, Serkan Gur & Ridvan Pekcevik

  2. Department of Surgery, Izmir Katip Celebi University Ataturk Training and Research Hospital, 35360, Izmir, Turkey

    Gulden Balli & Cengiz Tavusbay

  3. Department of Radiology, Faculty of Medicine, Hacettepe University, 06100, Sıhhiye, Ankara, Turkey

    Okan Akhan

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  1. Omur Balli
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Correspondence to Omur Balli.

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Balli, O., Balli, G., Cakir, V. et al. Percutaneous Treatment of Giant Cystic Echinococcosis in Liver: Catheterization Technique in Patients with CE1 and CE3a. Cardiovasc Intervent Radiol 42, 1153–1159 (2019). https://doi.org/10.1007/s00270-019-02248-z

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  • DOI: https://doi.org/10.1007/s00270-019-02248-z

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