Opacification of nondilated bile ducts through the gallbladder as an aid to percutaneous transhepatic biliary drainage
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Date
2018-04
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Publisher
Elsevier
Abstract
Purpose: The purpose of this study was to retrospectively assess the potential of percutaneous transhepatic biliary drainage (PTBD) in patients with nondilated bile ducts (NDBD) using a transgallbladder opacification of the bile ducts. Patients and methods: Eight patients with NDBD (7 men, 1 women; median age, 65 years; Q1-Q3, 35-69 years; range, 22-77 years) who underwent PTBD after opacification of the bile ducts through the gallbladder were evaluated. Opacification of NDBD was performed using a retrograde injection of contrast material through the gallbladder. The opacified peripheral NDBD was punctured percutaneously and a drainage catheter was introduced under fluoroscopy guidance. The success and safety of the procedure were assessed. Results: PTBD could be achieved in 6/8 patients (75%) and no significant complications were observed. The biliary tree opacification was attempted but could not be achieved due to biliary sludge that obstructed the cystic duct in 2/8 patients (25%). Two minor complications in two different patients were observed consisting of transient hemobilia and chills. Conclusion: Opacification of the bile ducts using a transgallbladder approach appears to be a safe and successful procedure for PTBD in patients with NDBD. (C) 2017 Editions francaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.
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Keywords
Radiology, nuclear medicine & medical imaging, Interventional imaging, Nondilated biliary duct (NDBD), Percutaneous transhepatic biliary drainage (PTBD), Cholangiography, Complications, Management, Leaks
Citation
Öztürk, K. vd. (2018). ''Opacification of nondilated bile ducts through the gallbladder as an aid to percutaneous transhepatic biliary drainage''. Diagnostic and Interventional Imaging, 99(4), 231-236.