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Percutaneous transhepatic biliary drainage guided by color doppler echography

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Abstract

Percutaneous transhepatic biliary drainage (PTBD) guided by color Doppler echography was performed on nine patients. By color Doppler echography, the segmental and subsegmental branches of both the portal vein and the hepatic artery could be identified and discriminated from the bile ducts because of their color flow mapping. We could select the safe pathway of needle advance, which did not injure the vessels. Thus, complication of bleeding did not occur in any of the patients. Color Doppler echography seems a very useful and safe method for the guidance of PTBD.

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References

  1. Makuuchi M, Bandai Y, Ito T. Ultrasonically guided percutaneous transhepatic bile drainage. Radiology 1980;136:165–169

    Google Scholar 

  2. Sukigara M, Makuuchi M, Kumon M, Omoto R. Ultrasonographic anatomy of the bile duct. J Biliary Tract & Pancreas 1986;7:1213–1218

    Google Scholar 

  3. Ralls PW, Mayekawa DS, Lee KP, Johnson MB, Halls J. The use of color Doppler sonography to distinguish dilated intrahepatic ducts from vascular structures. AJR 1988;152:291–292

    Google Scholar 

  4. Andersson T, Eriksson B, Lindgren G, Wilander E, Oberg K. Percutaneous ultrasonography-guided cutting biopsy from liver metastases of endocrine gastrointestinal tumors. Ann Surg 1987;206:728–732

    Google Scholar 

  5. Berland LL, Lawson TL, Foley WD. Porta hepatis: sonographic discrimination of bile ducts from arteries with pulsed Doppler with new anatomic criteria. AJR 1982;138:833–840

    Google Scholar 

  6. Levy HM, Dobkin GR, Doubilet PM. The utility of image-directed Doppler ultrasound in the evaluation of the “parallel channel” sign. J Clin Ultrasound 1988;16:424–425

    Google Scholar 

  7. McGahan JP, Anderson MW. Pulsed Doppler sonography as an aid in ultrasound-guided aspiration biopsy. Gastrointest Radiol 1987;12:179–284

    Google Scholar 

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Sukigara, M., Taguchi, Y., Watanabe, T. et al. Percutaneous transhepatic biliary drainage guided by color doppler echography. Abdom Imaging 19, 147–149 (1994). https://doi.org/10.1007/BF00203490

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  • DOI: https://doi.org/10.1007/BF00203490

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