Twenty years of percutaneous treatments for cystic echinococcosis: A preliminary assessment of their use and safety

E. Brunetti, G. Troìa, A. L. Garlaschelli, R. Gulizia, C. Filice

Research output: Contribution to journalArticle

Abstract

Image-guided percutaneous treatments for echinococcal cysts were introduced in the mid-eighties. Today they represent a third therapeutic option, after surgery and benzimidazole derivatives. Two types of percutaneous treatments are available, based on the destruction of the germinal layer or the evacuation of the endocyst. To assess the extent of their use and their safety, a Medline search of the literature on this subject was performed. The number of cysts treated, their anatomical sites, the complications and, length of follow-up (when available), were all examined. The results show that percutaneous treatments for cystic echinococcosis are safe and efficacious in selected anatomical sites, provided basic safety issues are correctly addressed. However, before drawing final conclusions, a more detailed analysis of the literature is needed. Percutaneous treatments could be simplified and made more effective if a scolecidal agent could be found that melts the entire endocyst without causing harm to the biliary epithelium.

Original languageEnglish
Pages (from-to)367-370
Number of pages4
JournalParassitologia
Volume46
Issue number4
Publication statusPublished - Dec 2004

Keywords

  • Cystic echinococcosis
  • Hydatidosis
  • PAIR
  • Percutaneous treatments

ASJC Scopus subject areas

  • Immunology and Microbiology(all)

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