Department of Radiology, Faculty of Medicine, Hacettepe University, Sihhiye, Ankara, Turkey.
Curr Opin Infect Dis. 2023 Oct 1;36(5):308-317. doi: 10.1097/QCO.0000000000000956. Epub 2023 Aug 3.
The aim is to review recent literature for percutaneous treatment of liver hydatid cysts (cystic echinococcosis: CE) via different techniques such as PAIR (puncture, aspiration, injection, and reaspiration), standard catheterization, and modified catheterization technique (MoCaT).
PAIR is an established technique and considered to be safe and effective for CE1 and CE3a as it is associated with lower morbidity, mortality, recurrence, and shorter hospital stay as compared with surgery. Standard catheterization is also dedicated for the treatment of CE1 and CE3a. PAIR should be preferred for treatment of liver CE1 and CE3a cysts, since PAIR is associated with lower major complication rates and shorter hospital stay. However, standard catheterization technique is indicated when cysto-biliary fistula develops or any technical difficulty arises during the PAIR. In these cases it is needed to switch PAIR to standard catheterization to complete the procedure.
For CE1 and CE3a cysts, PAIR and standard catheterization are the choice for percutaneous treatments, while MoCaT is a treatment option for CE2 and CE3b cysts.
回顾经皮治疗肝包虫囊肿（囊性包虫病：CE）的最新文献，包括不同技术，如 PAIR（穿刺、抽吸、注射和再抽吸）、标准导管化和改良导管化技术（MoCaT）。
PAIR 是一种成熟的技术，被认为对 CE1 和 CE3a 是安全有效的，因为与手术相比，它的发病率、死亡率、复发率和住院时间更短。标准导管化也专门用于治疗 CE1 和 CE3a。PAIR 应优先用于治疗肝 CE1 和 CE3a 囊肿，因为 PAIR 与较低的主要并发症发生率和较短的住院时间相关。然而，当发生囊胆瘘或 PAIR 过程中出现任何技术困难时，需要将 PAIR 转换为标准导管化以完成该过程。
对于 CE1 和 CE3a 囊肿，PAIR 和标准导管化是经皮治疗的首选，而 MoCaT 是 CE2 和 CE3b 囊肿的治疗选择。
