TY - JOUR
T1 - Bleeding after percutaneous transhepatic biliary drainage
T2 - Incidence, causes and treatments
AU - Quencer, Keith B.
AU - Tadros, Anthony S.
AU - Marashi, Keyan B.
AU - Cizman, Ziga
AU - Reiner, Eric
AU - O’Hara, Ryan
AU - Oklu, Rahmi
N1 - Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2018/5
Y1 - 2018/5
N2 - 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.
AB - 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.
KW - Arterial-biliary fistula
KW - Iatrogenic hemobilia
KW - Percutaneous transhepatic biliary drainage
KW - Pull-back cholangiogram
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U2 - 10.3390/jcm7050094
DO - 10.3390/jcm7050094
M3 - Review article
AN - SCOPUS:85059096783
SN - 2077-0383
VL - 7
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 5
M1 - 94
ER -