Justified Concern or Exaggerated Fear: The Risk of Anaphylaxis in Percutaneous Treatment of Cystic Echinococcosis—A Systematic Literature Review
Publication Date
June 14, 2011
Journal
PLOS Neglected Tropical Diseases
Authors
Andreas Neumayr, Giuliana Troia, Chiara De Bernardis, Francesca Tamarozzi, et al
Volume
5
Issue
6
Pages
e1154
DOI
https://dx.plos.org/10.1371/journal.pntd.0001154
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0001154
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/21695106
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3114754
Europe PMC
http://europepmc.org/abstract/MED/21695106
Web of Science
000292139600010
Scopus
79959818636
Mendeley
http://www.mendeley.com/research/justified-concern-exaggerated-fear-risk-anaphylaxis-percutaneous-treatment-cystic-echinococcosisa-sy
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Mendeley | Further Information

{"title"=>"Justified concern or exaggerated fear: The risk of anaphylaxis in percutaneous treatment of cystic echinococcosis-a systematic literature review", "type"=>"generic", "authors"=>[{"first_name"=>"Andreas", "last_name"=>"Neumayr", "scopus_author_id"=>"42062157600"}, {"first_name"=>"Giuliana", "last_name"=>"Troia", "scopus_author_id"=>"14014367700"}, {"first_name"=>"Chiara", "last_name"=>"de Bernardis", "scopus_author_id"=>"46061903700"}, {"first_name"=>"Francesca", "last_name"=>"Tamarozzi", "scopus_author_id"=>"8527986300"}, {"first_name"=>"Sam", "last_name"=>"Goblirsch", "scopus_author_id"=>"35759035400"}, {"first_name"=>"Luca", "last_name"=>"Piccoli", "scopus_author_id"=>"36245673400"}, {"first_name"=>"Christoph", "last_name"=>"Hatz", "scopus_author_id"=>"7005583701"}, {"first_name"=>"Carlo", "last_name"=>"Filice", "scopus_author_id"=>"7003451220"}, {"first_name"=>"Enrico", "last_name"=>"Brunetti", "scopus_author_id"=>"7003794243"}], "year"=>2011, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"pmid"=>"21695106", "sgr"=>"79959818636", "doi"=>"10.1371/journal.pntd.0001154", "scopus"=>"2-s2.0-79959818636", "pui"=>"362058198", "isbn"=>"1935-2735 (Electronic)\\r1935-2727 (Linking)", "issn"=>"19352727"}, "id"=>"6861ea03-3616-3882-b8c8-08a15913e8da", "abstract"=>"Percutaneous treatment (PT) emerged in the mid-1980s as an alternative to surgery for selected cases of abdominal cystic echinococcosis (CE). Despite its efficacy and widespread use, the puncture of echinococcal cysts is still far from being universally accepted. One of the main reasons for this reluctance is the perceived risk of anaphylaxis linked to PTs. To quantify the risk of anaphylactic reactions and lethal anaphylaxis with PT, we systematically searched MEDLINE for publications on PT of CE and reviewed the PT-related complications. After including 124 publications published between 1980 and 2010, we collected a total number of 5943 PT procedures on 5517 hepatic and non-hepatic echinococcal cysts. Overall, two cases of lethal anaphylaxis and 99 reversible anaphylactic reactions were reported. Lethal anaphylaxis occurred in 0.03% of PT procedures, corresponding to 0.04% of treated cysts, while reversible allergic reactions complicated 1.7% of PTs, corresponding to 1.8% of treated echinococcal cysts. Analysis of the literature shows that lethal anaphylaxis related to percutaneous treatment of CE is an extremely rare event and is observed no more frequently than drug-related anaphylactic side effects.", "link"=>"http://www.mendeley.com/research/justified-concern-exaggerated-fear-risk-anaphylaxis-percutaneous-treatment-cystic-echinococcosisa-sy", "reader_count"=>22, "reader_count_by_academic_status"=>{"Librarian"=>1, "Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>5, "Student > Master"=>9, "Other"=>1}, "reader_count_by_user_role"=>{"Librarian"=>1, "Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Student > Postgraduate"=>5, "Student > Master"=>9, "Other"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Medicine and Dentistry"=>16, "Agricultural and Biological Sciences"=>2, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Social Sciences"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>16}, "Social Sciences"=>{"Social Sciences"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Unspecified"=>{"Unspecified"=>1}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}}, "reader_count_by_country"=>{"Ecuador"=>1, "United Kingdom"=>1}, "group_count"=>3}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/766439"], "description"=>"<p>Flow chart of search and selection of eligible publications.</p>", "links"=>[], "tags"=>["Infectious diseases"], "article_id"=>436811, "categories"=>["Infectious Diseases"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001154.g001", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Flow_chart_of_search_and_selection_of_eligible_publications_/436811", "title"=>"Flow chart of search and selection of eligible publications.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-06-14 01:53:31"}
  • {"files"=>["https://ndownloader.figshare.com/files/766670"], "description"=>"<p>*“no complications were observed except…fever and urticaria”, no figures given (Zerem et al., 2005 [10 cases of percutaneous treated spleen hydatid cysts]).</p>†<p>“Persisting drainage of serous fluid … was treated by keeping the drainage catheter in place until cessation of drainage (range 2–30 d)” (Men et al., 1999).</p>‡<p>Parenchymal liver laceration with active arterial haemorrhage from a branch of the right hepatic artery and the need for endovascular and surgical intervention (Loutfi et al., 2008).</p>§<p>Due to the usage of hypertonic saline as scolecidal agent (Haddad et al., 2000).</p>", "links"=>[], "tags"=>["reversible", "complications", "percutaneous", "hydatid"], "article_id"=>437037, "categories"=>["Infectious Diseases"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001154.t006", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Overall_reversible_complications_due_to_percutaneous_treatment_of_hydatid_cysts_/437037", "title"=>"Overall reversible complications due to percutaneous treatment of hydatid cysts.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-14 01:57:17"}
  • {"files"=>["https://ndownloader.figshare.com/files/766704"], "description"=>"*<p>“liver, peritoneum, spleen, kidney, muscle and bone”.</p>†<p>hepatic and abdominal hydatid cysts.</p>‡<p>no location specified.</p><p>§“abdomen, thorax, spine and bone”.</p>#<p>abdominal hydatid cysts and “other locations”.</p>", "links"=>[], "tags"=>["hydatid", "cysts"], "article_id"=>437072, "categories"=>["Infectious Diseases"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001154.t001", "stats"=>{"downloads"=>1, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Percutaneous_treatment_of_hydatid_cysts_of_various_locations_/437072", "title"=>"Percutaneous treatment of hydatid cysts of various locations.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-14 01:57:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/384736", "https://ndownloader.figshare.com/files/384751", "https://ndownloader.figshare.com/files/384771"], "description"=>"<div><p>Percutaneous treatment (PT) emerged in the mid-1980s as an alternative to surgery for selected cases of abdominal cystic echinococcosis (CE). Despite its efficacy and widespread use, the puncture of echinococcal cysts is still far from being universally accepted. One of the main reasons for this reluctance is the perceived risk of anaphylaxis linked to PTs. To quantify the risk of anaphylactic reactions and lethal anaphylaxis with PT, we systematically searched MEDLINE for publications on PT of CE and reviewed the PT-related complications. After including 124 publications published between 1980 and 2010, we collected a total number of 5943 PT procedures on 5517 hepatic and non-hepatic echinococcal cysts. Overall, two cases of lethal anaphylaxis and 99 reversible anaphylactic reactions were reported. Lethal anaphylaxis occurred in 0.03% of PT procedures, corresponding to 0.04% of treated cysts, while reversible allergic reactions complicated 1.7% of PTs, corresponding to 1.8% of treated echinococcal cysts. Analysis of the literature shows that lethal anaphylaxis related to percutaneous treatment of CE is an extremely rare event and is observed no more frequently than drug-related anaphylactic side effects.</p> </div>", "links"=>[], "tags"=>["justified", "exaggerated", "anaphylaxis", "percutaneous", "cystic", "systematic"], "article_id"=>135955, "categories"=>["Cancer"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001154.s001", "https://dx.doi.org/10.1371/journal.pntd.0001154.s002", "https://dx.doi.org/10.1371/journal.pntd.0001154.s003"], "stats"=>{"downloads"=>27, "page_views"=>20, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Justified_Concern_or_Exaggerated_Fear_The_Risk_of_Anaphylaxis_in_Percutaneous_Treatment_of_Cystic_Echinococcosis_A_Systematic_Literature_Review/135955", "title"=>"Justified Concern or Exaggerated Fear: The Risk of Anaphylaxis in Percutaneous Treatment of Cystic Echinococcosis—A Systematic Literature Review", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2011-06-14 01:39:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/766551"], "description"=>"<p>*“no complications were observed except…fever and urticaria”, no figures given (Zerem et al., 2005 [10 cases of percutaneous treated spleen hydatid cysts]).</p>†<p>Percutaneous treatment of a lung hydatid cyst (Gagal et al., 2005).</p>", "links"=>[], "tags"=>["complications", "percutaneous", "extra-hepatic", "hydatid"], "article_id"=>436920, "categories"=>["Infectious Diseases"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001154.t005", "stats"=>{"downloads"=>0, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Reversible_complications_due_to_percutaneous_treatment_of_extra_hepatic_hydatid_cysts_/436920", "title"=>"Reversible complications due to percutaneous treatment of extra-hepatic hydatid cysts.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-14 01:55:20"}
  • {"files"=>["https://ndownloader.figshare.com/files/766742"], "description"=>"<p>*“Persisting drainage of serous fluid … was treated by keeping the drainage catheter in place until cessation of drainage (range 2–30 d) (Men et al., 1999).</p>†<p>Parenchymal liver laceration with active arterial haemorrhage from a branch of the right hepatic artery and the need for endovascular and surgical intervention (Loutfi et al., 2008).</p>‡<p>Due to the usage of hypertonic saline as scolecidal agent (Haddad et al., 2000).</p>", "links"=>[], "tags"=>["complications", "percutaneous", "hydatid"], "article_id"=>437113, "categories"=>["Infectious Diseases"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001154.t003", "stats"=>{"downloads"=>1, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Reversible_complications_due_to_percutaneous_treatment_of_hydatid_liver_cysts_/437113", "title"=>"Reversible complications due to percutaneous treatment of hydatid liver cysts.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-14 01:58:33"}
  • {"files"=>["https://ndownloader.figshare.com/files/766592"], "description"=>"<p>*published data is not specifying complications according to cyst location.</p>†<p>“facial oedema & acute dyspnoea” (Vuitton et al., 2002).</p>‡<p>unclassified reversible anaphylactic reaction (Wang et al., 1994).</p>§<p>(Von Sinner et al. 1995).</p>", "links"=>[], "tags"=>["complications", "percutaneous", "hydatid", "cysts"], "article_id"=>436955, "categories"=>["Infectious Diseases"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001154.t004", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Reversible_complications_due_to_percutaneous_treatment_of_hydatid_cysts_of_various_locations_/436955", "title"=>"Reversible complications due to percutaneous treatment of hydatid cysts of various locations.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-14 01:55:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/766622"], "description"=>"<p>*“no complications were observed except…fever and urticaria”, no figures given (Zerem et al., 2005 [10 cases of percutaneous treated spleen hydatid cysts]).</p>", "links"=>[], "tags"=>["reversible", "anaphylactic", "reactions", "percutaneous", "hydatid"], "article_id"=>436989, "categories"=>["Infectious Diseases"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001154.t007", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Overall_reversible_anaphylactic_reactions_due_to_percutaneous_treatment_of_hydatid_cysts_/436989", "title"=>"Overall reversible anaphylactic reactions due to percutaneous treatment of hydatid cysts.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-14 01:56:29"}
  • {"files"=>["https://ndownloader.figshare.com/files/766786"], "description"=>"<p>*(Men et al.,1999; Giorgio et al., 2009).</p>†<p>(Vishnevskii et al., 1992).</p>‡<p>(Khuroo et al., 1991; Gavrilin et al., 2002).</p>", "links"=>[], "tags"=>["lethal", "complications", "percutaneous", "hydatid"], "article_id"=>437150, "categories"=>["Infectious Diseases"], "users"=>["Andreas Neumayr", "Giuliana Troia", "Chiara de Bernardis", "Francesca Tamarozzi", "Sam Goblirsch", "Luca Piccoli", "Christoph Hatz", "Carlo Filice", "Enrico Brunetti"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0001154.t002", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Overall_lethal_complications_due_to_percutaneous_treatment_of_hydatid_cysts_/437150", "title"=>"Overall lethal complications due to percutaneous treatment of hydatid cysts.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-14 01:59:10"}

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Relative Metric

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