Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis

  • Authors:
    • Pankaj Gupta
    • Suzanne Koshi
    • Jayanta Samanta
    • Harshal Mandavdhare
    • Vishal Sharma
    • Saroj K Sinha
    • Usha Dutta
    • Rakesh Kochhar
  • View Affiliations

  • Published online on: June 17, 2020     https://doi.org/10.3892/etm.2020.8897
  • Pages: 2311-2316
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Abstract

One of the critical factors for predicting the success of percutaneous catheter drainage (PCD) is the mean CT density of collection. A higher CT density suggests more necrotic solid tissue within the collection. In the present study, a novel technique for PCD of the necrotic pancreatic collection with a higher mean CT density was evaluated. It was a retrospective study of patients with acute pancreatitis (AP) who underwent PCD of pancreatic collections between May 2018 and December 2018. Patients with pancreatic collections having a CT density of >30 Hounsfield Units (HU) were considered for PCD using the kissing catheter technique. This technique involved placing two catheters side‑by‑side through a single cutaneous entry site, as the conventional technique of PCD may not be effective. The technical details, outcomes and complications of this technique were recorded. A total of 10 patients with a mean age of 30 years underwent PCD using this technique. All patients had severe pancreatitis with a mean CT severity index of 9 (range, 8‑10). The mean CT density was 37 HU (range, 32‑56). Successful management with PCD alone was achieved in 8 patients. The other 2 patients underwent surgical necrosectomy. One patient who underwent surgical necrosectomy died. Minor complications occurred in 3 patients. The kissing catheter technique allows for a higher success rate of PCD compared with that of the conventional method of PCD, in collections with a higher mean CT density.

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September-2020
Volume 20 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Gupta P, Koshi S, Samanta J, Mandavdhare H, Sharma V, Sinha SK, Dutta U and Kochhar R: Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis. Exp Ther Med 20: 2311-2316, 2020
APA
Gupta, P., Koshi, S., Samanta, J., Mandavdhare, H., Sharma, V., Sinha, S.K. ... Kochhar, R. (2020). Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis. Experimental and Therapeutic Medicine, 20, 2311-2316. https://doi.org/10.3892/etm.2020.8897
MLA
Gupta, P., Koshi, S., Samanta, J., Mandavdhare, H., Sharma, V., Sinha, S. K., Dutta, U., Kochhar, R."Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis". Experimental and Therapeutic Medicine 20.3 (2020): 2311-2316.
Chicago
Gupta, P., Koshi, S., Samanta, J., Mandavdhare, H., Sharma, V., Sinha, S. K., Dutta, U., Kochhar, R."Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis". Experimental and Therapeutic Medicine 20, no. 3 (2020): 2311-2316. https://doi.org/10.3892/etm.2020.8897