Percutaneous transcholecystic approach to the rendezvous procedure when transhepatic access fails
| Autor: | David L. Harshfield, Stephen K. Teplick, Bhaskar Banerjee |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous Common Bile Duct Diseases Punctures medicine Percutaneous cholecystostomy Humans Radiology Nuclear Medicine and imaging Major complication Cholecystostomy Aged Aged 80 and over Cholangiopancreatography Endoscopic Retrograde Biliary drainage Endoscopic retrograde cholangiopancreatography Common bile duct medicine.diagnostic_test Bile duct business.industry Cholestasis Extrahepatic medicine.anatomical_structure Drainage Female Radiology Cardiology and Cardiovascular Medicine Complication business Cholangiography |
| Zdroj: | Journal of vascular and interventional radiology : JVIR. 5(6) |
| ISSN: | 1051-0443 |
| Popis: | Purpose Extrahepatic biliary obstruction can be managed endoscopically or percutaneously. When endoscopic therapy fails, percutaneous drainage with or without endoscopic assistance may be performed. However, transhepatic drainage may itself be unsuccessful. In such patients, a transcholecystic approach combined with endoscopic therapy was used to achieve biliary drainage. Materials and Methods After attempts at transhepatic biliary drainage failed, a percutaneous cholecystostomy was performed in four patients, with subsequent cannulation of the common bile duct, endoprosthesis insertion, or papillotomy. Results The success rate was 100%, with no major complication or procedure-related mortality. Slight bleeding from a sphincterotomy was the only minor complication. Conclusion When percutaneous transhepatic access to the bile duct fails, the transcholecystic route can be safely used with care to successfully achieve biliary drainage. |
| Databáze: | OpenAIRE |
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