Percutaneous biliary intervention: tips and tricks

Das, Abanti

doi:10.7869/tg.403

Cited by 5 publications

(3 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Emergent angiogram and embolization must be performed if the patient is hemodynamically unstable after fluid resuscitation or if bleeding persists despite upsizing the catheter as the source of bleed may be an injured hepatic artery. 31 Cholangitis following PTBD is managed by IV antiobiotic course and connecting the internal-external biliary drainage catheter to the bag to facilitate the drainage of infected bile. 32 The catheter-related complications such as pericatheter biliary leakage can be managed by repositioning the catheter or upsizing the biliary catheter by 2F as mentioned previously.…”

Section: Management Of Complicationsmentioning

confidence: 99%

“…Partially dislodged or kinked catheter may be repositioned/reinserted after manipulation; however, a new PTBD is the only option if the catheter is completely dislodged from the liver surface and the old PTBD tract is not mature. 31…”

Section: Management Of Complicationsmentioning

confidence: 99%

“…Balloon dilation of malignant biliary tract obstructions prior to stent placement should not be done as this can cause hemobilia. 31 For lesions causing isolation of right and left ducts, placement of metallic stents in either a T (►Fig. 6) or Y (►Fig.…”

Section: Biliary Stentingmentioning

confidence: 99%

See 2 more Smart Citations

Percutaneous Transhepatic Biliary Interventions

Yadav

Condati

Mukund

2018

J Clin Interv Radiol ISVIR

View full text Add to dashboard Cite

Biliary tract interventions remain indispensable procedures for treatment of a wide arena of biliary tract pathologies. The increased use of endoscopic retrograde cholangiopancreatography (ERCP) for biliary tract evaluation and intervention has resulted in fewer patients requiring percutaneous transhepatic biliary interventions. However, there remains a subset of patients in whom ERCP is not feasible. Interventional radiologists play an important role in the management of biliary pathologies in such patients who cannot be benefited by endoscopic means. These interventions may at times be challenging; hence, awareness of normal and variant biliary tract anatomy and the variety of biliary tract interventions make the job easy. This article reviews the role of percutaneous transhepatic interventions in the management of a variety of biliary tract diseases, both benign and malignant, general indications and contraindications, preprocedural evaluation, and technical considerations specific to indications.

show abstract

Section: Management Of Complicationsmentioning

confidence: 99%

Section: Management Of Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous Transhepatic Biliary Interventions

Yadav

Condati

Mukund

2018

J Clin Interv Radiol ISVIR

View full text Add to dashboard Cite

show abstract

Intrahepatic Biliary Tract Interventional Radiology

Rago

Zavan

Moschi

et al. 2020

Imaging of the Liver and Intra-Hepatic Biliary Tract

View full text Add to dashboard Cite

Percutaneous transhepatic biliary puncture simulator: a cord network prototype

et al. 2021

View full text Add to dashboard Cite

Background The aim of this study was to present a percutaneous transhepatic biliary puncture simulator that can be used without radiation exposure and that reflects the conventional anatomy of the biliary ducts and its vicinity structures. Methods An anatomically based model of the biliary tree was developed using a cord network fixed to a wooden frame. The skin, ribs, intercostal muscles, and right lower lobe pleura were simulated using foam sponge, plastic tubes, a polystyrene foam panel, and an air pad, respectively. For the puncture, we used a 20-G Chiba needle and a wire with distal double arches; these were used to troll a cord, simulating the successful puncture of a bile duct. A camera was also placed above the model to allow the trainees to train eye-hand coordination while viewing the image on a monitor in real time. The simulator was tested with 60 radiology residents to evaluate the confidence and skills transferability of the training model. Results After receiving an introduction of the system and 5 min of training under tutor surveillance, all participants were able to troll a cord of the biliary simulator by themselves in less than 4 min. Only one participant punctured the simulated pleura. The participants’ evaluations showed positive results, with increased user confidence and skills transferability after the training session. Conclusions This proposed simulator can be an effective tool to improve a trainee’s confidence and competence while achieving procedural and non-procedural interventional radiology skills related to the liver. Trial registration Retrospectively registered

show abstract

Percutaneous biliary intervention: tips and tricks

Cited by 5 publications

References 40 publications

Percutaneous Transhepatic Biliary Interventions

Percutaneous Transhepatic Biliary Interventions

Intrahepatic Biliary Tract Interventional Radiology

Percutaneous transhepatic biliary puncture simulator: a cord network prototype

Contact Info

Product

Resources

About