Immediate transbiliary embolization of a biliary-hepatic artery fistula encountered during access for percutaneous biliary drainage
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The authors describe a case in which a biliary-hepatic artery fistula was created by a glidewire perforation during percutaneous transhepatic biliary drainage and was successfully treated by embolization via the transbiliary tract. Great caution should be exercised to avoid perforation when a Terumo hydrophilic glidewire is used during biliary intervention.
Key wordsBile ducts, injury Percutaneous drainage Interventional procedure Fistula, therapeutic blockage
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- 1.Mueller PR, vanSonnenberg E, Ferrucci JT Jr (1982) Percutaneous biliary drainage: Technical and catheter-related problems in 200 procedures. AJR 138:17–23Google Scholar
- 2.Hamlin JA, Friedman M, Stein MG, Bray JF (1986) Percutaneous biliary drainage: Complications of 118 consecutive catheterizations. Radiology 158:199–202Google Scholar
- 3.Hoevels J, Nilsson U (1980) Intrahepatic vascular lesions following nonsurgical percutaneous transhepatic bile duct intubation. Gastrointest Radiol 5:127–135Google Scholar
- 4.Mitchell SE, Shuman LS, Kaufman SL, Chang R, Kadir S, Kinnison ML, White RI Jr (1985) Biliary catheter drainage complicated by hemobilia: Treatment by balloon embolotherapy. Radiology 157:645–652Google Scholar
- 5.Rankin RN, Vellet DA (1991) Portobiliary fistula: Occurrence and treatment. Can Assoc Radiol J 42:55–59Google Scholar
- 6.Monden M, Okamura J, Kobayashi N, Shibata N, Horikawa S, Fujimoto T, Kosaki G, Kuroda C, Uchida H (1980) Hemobilia after percutaneous transhepatic biliary drainage. Arch Surg 115:161–164Google Scholar
- 7.Rosen RJ, Rothberg M (1988) Transhepatic embolization of heatic artery pseudoaneurysm following biliary drainage. Radiology 166:545–546Google Scholar
- 8.Takayasu K, Muramatsu Y, Moriyama N, Ohtsu T, Catapia FC (1988) Plastic-coated guide wire for hepatic arteriography. Radiology 166:545–546Google Scholar