Mediastinal abscess successfully treated by percutaneous drainage using a unified CT and fluoroscopy system

We report two patients with mediastinal abscess developing after surgery for oesophageal cancer who were treated by percutaneous drainage using a unified CT and angiography system, which allows both CT and fluoroscopy to be conducted with the patient on the same bed. Fine needle puncture is performe...

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Bibliographic Details
Published in:British journal of radiology 2002-05, Vol.75 (893), p.470-473
Main Authors: TANAKA, T, INABA, Y, ARAI, Y, MATSUEDA, K, ARAMAKI, T, MD, DENDO, S
Format: Article
Language:English
Subjects:
Abscess - diagnostic imaging
Abscess - surgery
Aged
Aged, 80 and over
Biological and medical sciences
Drainage - methods
Fluoroscopy - methods
Humans
Male
Mediastinal Diseases - diagnostic imaging
Mediastinal Diseases - surgery
Medical sciences
Middle Aged
Miscellaneous
Radiography, Interventional - methods
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Tomography, X-Ray Computed - methods
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Summary:We report two patients with mediastinal abscess developing after surgery for oesophageal cancer who were treated by percutaneous drainage using a unified CT and angiography system, which allows both CT and fluoroscopy to be conducted with the patient on the same bed. Fine needle puncture is performed under CT guidance and this needle is used as a tandem for insertion of the drainage needle under fluoroscopic guidance, making safe puncture possible whilst confirming the position of the needle tip. Moreover, contrast medium can be injected from the drainage tube, allowing the extent of the abscess cavity to be determined by fluoroscopy and CT, thereby making accurate drainage possible.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr.75.893.750470