What is a CT-Guided Pigtail?

A CT-guided Pigtail is a minimally invasive procedure that uses a CT scan to insert a small pigtail catheter. This helps drain excess fluids from areas like abscesses, ducts, or organs. It is a safe and precise method to treat fluid buildup without needing major surgery.

How to Prepare for the Procedure

  • Pregnancy: If you are pregnant or think you might be, inform your doctor. CT scans may not be safe during pregnancy. A pregnancy test is recommended if unsure.
  • Breastfeeding: Not advised unless necessary. Pump and store milk in advance. Avoid breastfeeding for 24 to 48 hours post-scan.
  • Clothing: Wear loose, comfortable clothes. Avoid jewellery or metal items.
  • Support: Bring a relative or friend for assistance.
  • Insurance: Confirm your coverage and any out-of-pocket expenses with your provider.

Important Information to Share Before the Scan

  • Medical History: Carry your complete medical file, prescriptions, and allergy list.
  • Kidney Function: A recent Serum Creatinine report, not older than four weeks, is needed if contrast will be used.

Procedure Duration

  • Total Time: About 4 to 5 hours
  • Preparation and Consent: 5 to 10 minutes
  • Scan Time: 15 to 20 minutes
  • Post-Procedure Monitoring: 5 to 10 minutes
  • Injection and Waiting Time: 10 to 15 minutes for medication, 1 to 2 minutes after injection

How is the CT-Guided Pigtail Performed?

Preparation: You will change into a hospital gown and remove all metal items. If needed, contrast is given by mouth or IV.

Scan Procedure:

  • You will lie on a table that moves through a CT scanner shaped like a doughnut.
  • The technician will position you, then monitor from another room using intercom or CCTV.
  • You may need to stay still and hold your breath briefly. The scan lasts about 15 to 20 minutes.

Catheter Insertion: Using real-time CT imaging, the doctor guides a small catheter (pigtail) into position to drain the fluid.

Post-Procedure: You will be monitored briefly to check for any immediate reactions, especially if contrast was used.

Additional Information

  • Appointments: Book in advance. Radiotracer material is prepared based on scheduled patients.
  • Insurance: Confirm coverage in advance, as extra charges may apply.