Internalization of a Second Transhepatic Biliary Access with a Captured Microwire Forced-buckle Maneuver: Description, Anatomic Applications, and Results.
Summary of "Internalization of a Second Transhepatic Biliary Access with a Captured Microwire Forced-buckle Maneuver: Description, Anatomic Applications, and Results."
Percutaneous biliary drains are classified into external and internal/external drains. Internal/external drains can drain bile externally and internally (ie, anatomically) into bowel. Internal drainage is usually desired because it is associated with less morbidity. Not infrequently, operators encounter a situation in which one of two transhepatic biliary access tracts has been successfully internalized, and a second access cannot be internalized. The present report describes a technique that internalizes a second percutaneous transhepatic biliary access-relying on an initially successful first internalization-by capturing a microwire from the externalized to the internalized tract and forcing it down into the bowel. The anatomic applications and results of this technique are described.
Affiliation
Department of Radiology, University of Virginia Health System, 1215 Lee St., P.O. Box 800170, Charlottesville, VA 22908.
Journal Details
This article was published in the following journal.
Name: Journal of vascular and interventional radiology : JVIR
ISSN: 1535-7732
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20674391
- DOI: http://dx.doi.org/10.1016/j.jvir.2010.04.025
Medical and Biotech [MESH] Definitions
Sphincterotomy, Transhepatic
Surgery of the smooth muscle sphincter of the hepatopancreatic ampulla to relieve blocked biliary or pancreatic ducts.
Biliary Fistula
Abnormal passage in any organ of the biliary tract or between biliary organs and other organs.
Cholangitis, Sclerosing
Chronic inflammatory disease of the BILIARY TRACT. It is characterized by fibrosis and hardening of the intrahepatic and extrahepatic biliary ductal systems leading to bile duct strictures, CHOLESTASIS, and eventual BILIARY CIRRHOSIS.
Clonorchiasis
Infection of the biliary passages with CLONORCHIS SINENSIS, also called Opisthorchis sinensis. It may lead to inflammation of the biliary tract, proliferation of biliary epithelium, progressive portal fibrosis, and sometimes bile duct carcinoma. Extension to the liver may lead to fatty changes and cirrhosis. (From Dorland, 27th ed)
Biliary Tract Neoplasms
Tumors or cancer in the BILIARY TRACT including the BILE DUCTS and the GALLBLADDER.
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