Cardiovascular and Interventional Radiological Society of Europe
OnlineCIRSE Academy coursesNon-Vascular Intervention - online coursesImage-guided drainage of fluid collections – online course

Image-guided drainage of fluid collections – online course


Please note that this course is no longer CME accredited.

Authors: M. Burgmans and J. Schäfer

Reviewers: F. Deschamps, M. Deutschmann, D. Filippiadis and C. Nice

This course corresponds to chapter Image-guided aspiration and drainage of collections including abscesses in the European Curriculum and Syllabus for Interventional Radiology.



Image-guided percutaneous drainage is defined as the placement of a catheter with the use of image guidance to provide continuous drainage of a fluid collection, using access pathways that may be either transcutaneous or transorificial (e.g., transrectal, transvaginal, peroral). It is a groundbreaking medical innovation of the 20th century; in the past, an abdominal or intra-thoracic abscess could be a potentially life-threatening condition and may have required invasive surgical treatment. Nowadays, such an abscess rarely poses a major threat to a patient, as minimally invasive percutaneous drainage is feasible in the vast majority of cases. Percutaneous drainage is considered a relatively easy procedure that is part of daily practice and performed by both general and interventional radiologists. The technical success rate of percutaneous drainage is high, and severe complications are rare. Yet, good knowledge of the anatomy, indications and contraindications, equipment and technique is essential for everyone performing these procedures. This course allows you to gain basic knowledge about percutaneous image-guided drainage of fluid collections and provides tips and tricks that may allow you to safely perform more challenging cases.


Learning objectives

  • To identify the safest and most expeditious route for drainage of collections in various anatomic locations throughout the chest, abdomen and pelvis.
  • To describe the indications and contra-indications of image-guided drainage of fluid collections.
  • To understand the therapeutic value of percutaneous drainage in a comprehensive clinical setting.
  • To assess appropriate laboratory investigations and clinical findings that indicate infection of a collection.
  • To identify cases that may be less suitable for percutaneous drainage, such as multiloculated collections, organized hematoma and pancreatic necrosis.
  • To be familiar with the techniques, equipment and materials that are used for the purpose of percutaneous drainage.
  • To recognize and appropriately manage procedural complications.
  • To understand when percutaneous drainage catheters can be removed and demonstrate experience in their removal.


Further information

This course covers a basic level of IR knowledge and is designed for trainees, students or young consultants aiming to acquire essential knowledge or prepare for the EBIR exam. Thereby, it is tailored to the European Curriculum and Syllabus for Interventional Radiology and corresponds to chapter Image-guided aspiration and drainage of collections including abscesses.

The format of the course is interactive and easy to use, including texts, graphics, videos and a quiz to support your learning. The course duration is around one hour.

The enrolment period of this course is linked to the validity of the All-Access Pass.

Release date: February 2020