Cholecystostomy as an Exclusive Access to Remove Cystic, Common Hepatic, and Common Bile Duct Stones

Michell, Hans; Johnston, Gregory; Chopra, Prajna; Scriver, Geoffrey; Bhave, Anant D.; Shields, Joseph T; Morris, Christopher S.

doi:10.2214/ajr.19.22469

Cited by 5 publications

(2 citation statements)

References 40 publications

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“…18,19 Other studies have demonstrated percutaneous cholecystostomy to be a safe and effective method of biliary access for stone removal and stenting of malignant strictures within the cystic duct or common bile duct. 18,[20][21][22]…”

Section: Role Of Imagingmentioning

confidence: 99%

“…In a case series of 21 patients who were determined to be high-risk surgical candidates or had failed ERCP, Michell et al described techniques to remove stones within the biliary tree via the existing percutaneous cholecystostomy with balloon sphincterotomy and compliant balloons to push stones out of the cystic and common bile duct. 20 Additionally, the authors described the use of a basket to remove common bile duct stones. Another, much larger case series with 114 patients published by Jung et al describes the use of a basket to extract stones from the cystic or common bile ducts via existing percutaneous cholecystostomy.…”

Section: Percutaneous Management Of Cholelithiasismentioning

confidence: 99%

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Gallbladder: Role of Interventional Radiology

Antalek

Riaz

Nemcek

2021

Semin intervent Radiol

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Percutaneous cholecystostomy is an established procedure for the management of patients with acute cholecystitis and with significant medical comorbidities that would make laparoscopic cholecystectomy excessively risky. In this review, we will explore the role of percutaneous cholecystostomy in the management of acute cholecystitis as well as other applications in the management of biliary pathology. The indications, grading, technical considerations, and postprocedure management in the setting of acute cholecystitis are discussed. In addition, we will discuss the potential role of percutaneous cholecystostomy in the management of gallstones and biliary strictures, in establishing internal biliary drainage, and in a joint setting with other clinicians such as gastroenterologists in the management of complex biliary pathology.

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