Bleeding after Percutaneous Transhepatic Biliary Drainage: Incidence, Causes and Treatments.

Autor: Quencer KB; Division of Interventional Radiology, University of Utah Department of Radiology, Salt Lake City, UT 84108, USA. kbquencer@gmail.com., Tadros AS; Department of Radiology, University of California-San Diego, San Diego, CA 92093, USA. anthonytadros@gmail.com., Marashi KB; Division of Interventional Radiology, University of Utah Department of Radiology, Salt Lake City, UT 84108, USA. Keyan.Marashi@hsc.utah.edu., Cizman Z; Division of Interventional Radiology, University of Utah Department of Radiology, Salt Lake City, UT 84108, USA. Ziga.Cizman@hsc.utah.edu., Reiner E; University of Tennessee-West Cancer Center, Memphis, TN 38139, USA. ericreiner@snet.net., O'Hara R; Division of Interventional Radiology, University of Utah Department of Radiology, Salt Lake City, UT 84108, USA. Ryan.OHara@hsc.utah.edu., Oklu R; Department of Vascular and Interventional Radiology, Minimally Invasive Therapeutics Laboratory, Mayo Clinic, Phoenix, AZ 85054, USA. Oklu.Rahmi@mayo.edu.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2018 May 01; Vol. 7 (5). Date of Electronic Publication: 2018 May 01.
DOI: 10.3390/jcm7050094
Abstrakt: Of all procedures in interventional radiology, percutaneous transhepatic biliary drainage (PTBD) is amongst the most technically challenging. Successful placement requires a high level of assorted skills. While this procedure can be life-saving, it can also lead to significant iatrogenic harm, often manifesting as bleeding. Readers of this article will come to understand the pathophysiology and anatomy underlying post-PTBD bleeding, its incidence, its varied clinical manifestations and its initial management. Additionally, a structured approach to its treatment emphasizing endovascular and percutaneous methods is given.
Databáze: MEDLINE
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