A novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experience

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dc.contributor.authorNayman, Alaaddin
dc.contributor.authorGuler, Ibrahim
dc.contributor.authorKeskin, Suat
dc.contributor.authorErdem, Tuba Berra
dc.contributor.authorBorazan, Hale
dc.contributor.authorKucukapan, Ahmet
dc.contributor.authorOzbiner, Huseyin
dc.date.accessioned2020-03-26T19:22:57Z
dc.date.available2020-03-26T19:22:57Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPURPOSE We aimed to demonstrate the success and reliability of a novel puncture, aspiration, injection, and reaspiration (PAIR) technique in liver hydatid cysts. METHODS Percutaneous treatment with ultrasonographic guidance was performed in 493 hepatic hydatid cysts in 374 patients. Patients were treated with a new PAIR technique by single puncture method using a 6F trocar catheter. The results of this novel technique were evaluated with regards to efficacy and safety of the procedure and complication rates. RESULTS Out of 493 cysts, 317 were Gharbi type I (WHO CE 1) and 176 were Gharbi type II (WHO CE 3A). Of all cysts, 13 were referred to surgery because of cystobiliary fistulization. Recurrence was observed in 11 cysts one month later. Therefore, the success rate of the PAIR technique was 97.7% (469/480). Minor complications (fever, urticaria-like reactions, biliary fistula) were seen in 44 treated patients (12%, 44/374); the only major complication was reversible anaphylactic shock which was observed in two patients (0.5%, 2/374). CONCLUSION This novel modified PAIR technique may be superior to catheterization by Seldinger technique due to its efficiency, easier application, lower severe complication rate, and lower cost. Further comparative studies are required to confirm our observations.en_US
dc.identifier.doi10.5152/dir.2015.15011en_US
dc.identifier.endpage51en_US
dc.identifier.issn1305-3825en_US
dc.identifier.issn1305-3612en_US
dc.identifier.issue1en_US
dc.identifier.pmid26574902en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage47en_US
dc.identifier.urihttps://dx.doi.org/10.5152/dir.2015.15011
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33196
dc.identifier.volume22en_US
dc.identifier.wosWOS:000368845900007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAVESen_US
dc.relation.ispartofDIAGNOSTIC AND INTERVENTIONAL RADIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleA novel modified PAIR technique using a trocar catheter for percutaneous treatment of liver hydatid cysts: a six-year experienceen_US
dc.typeArticleen_US

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