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The Usefulness of Virtual Fluoroscopic Preprocedural Planning During Percutaneous Transhepatic Biliary Drainage

  • Clinical Investigation
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Abstract

Purpose

To retrospectively evaluate the usefulness of virtual fluoroscopic preprocedural planning (VFPP) in the percutaneous transhepatic biliary drainage (PTBD) procedure.

Materials and Methods

Twenty-two patients who were treated by PTBD were included in this study. Twelve patients were treated using PTBD intraoperative referencing coronal computed tomography (CT) images (i.e., coronal CT group), and ten patients were treated using PTBD intraoperative referencing VFPP images (i.e., VFPP group). To analyze the effect of the intraoperative referencing VFPP image, the VFPP group was retrospectively compared with the coronal CT group.

Results

The characteristics of both patient groups were not statistically significantly different. There were no significant differences in the targeted bile duct, diameter and depth of the target bile, breath-holding ability, number of targeted bile duct puncture attempts, change in the targeted bile duct, and exchange of the drainage catheter. However, the X-ray fluoroscopy time and the procedure time were significantly shorter in the VFPP group than in the coronal CT group (196 vs. 334 s, P < 0.05; and 16.0 vs. 27.2 min, P < 0.05).

Conclusion

Intraoperative referencing using the VFPP imaging in PTBD intuitively can be a useful tool for better localization of the guidewire in the bile duct and thereby shorten the X-ray fluoroscopy time and procedure time while minimizing radiation exposure and complications.

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Authors and Affiliations

  1. Department of Radiology (Diagnostic Radiology), Tokushima University Hospital, 2-50-1, Kuramoto-cho, Tokushima City, Tokushima, 770-8503, Japan

    Mitsuhiro Kinoshita & Takayoshi Shinya

  2. Department of Radiology, Tokushima Red Cross Hospital, 103 Irinokuchi Komatsushima-cho, Komatsushima City, Tokushima, 773-8502, Japan

    Ryozo Shirono & Katsuya Takechi

  3. Department of Radiological Technology, Tokushima Red Cross Hospital, 103 Irinokuchi Komatsushima-cho, Komatsushima City, Tokushima, 773-8502, Japan

    Hironobu Yonekura

  4. Department of Radiology and Radiation Oncology, Institute of Biomedical Sciences, Tokushima University Graduate School, 3-18-15, Kuramoto-cho, Tokushima City, Tokushima, 770-8509, Japan

    Seiji Iwamoto & Masafumi Harada

  5. Department of Diagnostic Radiology, Tokushima University Graduate School of Health Science, 3-18-15, Kuramoto-cho, Tokushima City, Tokushima, 770-8509, Japan

    Shoichiro Takao

Authors
  1. Mitsuhiro Kinoshita
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  2. Ryozo Shirono
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  3. Katsuya Takechi
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  4. Hironobu Yonekura
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  5. Seiji Iwamoto
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  6. Takayoshi Shinya
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  7. Shoichiro Takao
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  8. Masafumi Harada
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Correspondence to Mitsuhiro Kinoshita.

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Kinoshita, M., Shirono, R., Takechi, K. et al. The Usefulness of Virtual Fluoroscopic Preprocedural Planning During Percutaneous Transhepatic Biliary Drainage. Cardiovasc Intervent Radiol 40, 894–901 (2017). https://doi.org/10.1007/s00270-017-1581-9

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  • DOI: https://doi.org/10.1007/s00270-017-1581-9

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