PMID- 34607289
OWN - NLM
STAT- MEDLINE
DCOM- 20211129
LR  - 20211129
IS  - 1872-7727 (Electronic)
IS  - 0720-048X (Linking)
VI  - 144
DP  - 2021 Nov
TI  - Percutaneous catheter drainage of pancreatic associated pathologies: A systematic 
      review and meta-analysis.
PG  - 109978
LID - S0720-048X(21)00459-9 [pii]
LID - 10.1016/j.ejrad.2021.109978 [doi]
AB  - PURPOSE: The main goal of this systematic review was to assess the technical and 
      clinical success, adverse events (AEs), surgery, and overall mortality proportion 
      after percutaneous catheter drainage (PCD) of two pancreatic lesions. METHODS: An 
      extant search in online databases including Scopus, PubMed (Medline), Embase 
      (Elsevier), Web of Science, Cochrane library, and Google Scholar, was conducted 
      to recognize all studies that used PCD intervention in the management of 
      pancreatic necrosis (PN) and pancreatic pseudocysts (PP). Random effects 
      meta-analysis was performed, and Cochrane's Q test and I(2)statistic were 
      utilized to determine heterogeneity. In addition, meta-regression was used to 
      explore the influence of categorical variables on heterogeneity. RESULTS: 
      Thirty-two studies (1398 patients) including PN in 26 (1256 cases, 89.8%) studies 
      and PP in 6 (142 cases, 10.2%) studies were identified. Technical success 
      proportion was 100% (95% confidence interval [CI] 100%-100%, I(2): 0.0%), 
      clinical success 63% (95% CI 55%-71%, I(2): 92.9%), AEs 26% (95% CI 21%-31%, 
      I(2): 78%), surgery after PCD intervention 33% (95% CI 25%-40%, I(2): 92.4%), and 
      overall mortality was 13% (95% CI 9%-17%, I(2): 82.8%). The most common ADs after 
      PCD intervention were development of fistula (106, 42.6%), hemorrhage (44, 
      17.7%), sepsis (40, 16.1%). CONCLUSION: A significant clinical success proportion 
      with low AEs, surgery, and overall mortality proportion after PCD intervention 
      was found, although the results should be interpreted with caution due to the 
      high heterogeneity.
CI  - Copyright (c) 2021 Elsevier B.V. All rights reserved.
FAU - Keshavarz, Pedram
AU  - Keshavarz P
AD  - School of Science and Technology, The University of Georgia, Tbilisi, Georgia; 
      Department of Diagnostic & Interventional Radiology of New Hospitals LTD, 
      Tbilisi, Georgia.
FAU - Azrumelashvili, Tamta
AU  - Azrumelashvili T
AD  - Department of Diagnostic & Interventional Radiology of New Hospitals LTD, 
      Tbilisi, Georgia; Department of Radiology, Tbilisi State Medical University 
      (TSMU), Tbilisi, Georgia.
FAU - Yazdanpanah, Fereshteh
AU  - Yazdanpanah F
AD  - Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal 
      Scientific Education and Research Network (USERN), Tabriz, Iran.
FAU - Nejati, Seyed Faraz
AU  - Nejati SF
AD  - Department of Radiology, Medical Imaging Research Center, Shiraz University of 
      Medical Sciences, Shiraz, Iran.
FAU - Ebrahimian Sadabad, Faranak
AU  - Ebrahimian Sadabad F
AD  - Department of Radiology, Medical Imaging Research Center, Shiraz University of 
      Medical Sciences, Shiraz, Iran.
FAU - Tarjan, Aida
AU  - Tarjan A
AD  - Department of Radiology, Medical Imaging Research Center, Shiraz University of 
      Medical Sciences, Shiraz, Iran.
FAU - Bazyar, Amir
AU  - Bazyar A
AD  - Department of Radiology, Medical Imaging Research Center, Shiraz University of 
      Medical Sciences, Shiraz, Iran.
FAU - Mizandari, Malkhaz
AU  - Mizandari M
AD  - Department of Diagnostic & Interventional Radiology of New Hospitals LTD, 
      Tbilisi, Georgia; Department of Radiology, Tbilisi State Medical University 
      (TSMU), Tbilisi, Georgia. Electronic address: mgmizandari@gmail.com.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20210928
PL  - Ireland
TA  - Eur J Radiol
JT  - European journal of radiology
JID - 8106411
SB  - IM
MH  - Catheters
MH  - Drainage
MH  - Humans
MH  - Pancreas
MH  - *Pancreatic Pseudocyst
MH  - *Pancreatitis, Acute Necrotizing
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Image-guided Procedure
OT  - Pancreatic Necrosis
OT  - Pancreatic Pseudocysts
OT  - Pancreatitis, Acute Necrotizing
OT  - Percutaneous Catheter Drainage
EDAT- 2021/10/05 06:00
MHDA- 2021/11/30 06:00
CRDT- 2021/10/04 20:31
PHST- 2021/07/07 00:00 [received]
PHST- 2021/09/15 00:00 [revised]
PHST- 2021/09/23 00:00 [accepted]
PHST- 2021/10/05 06:00 [pubmed]
PHST- 2021/11/30 06:00 [medline]
PHST- 2021/10/04 20:31 [entrez]
AID - S0720-048X(21)00459-9 [pii]
AID - 10.1016/j.ejrad.2021.109978 [doi]
PST - ppublish
SO  - Eur J Radiol. 2021 Nov;144:109978. doi: 10.1016/j.ejrad.2021.109978. Epub 2021 
      Sep 28.