Abstract
This chapter focuses on the technical aspects of diagnostic cholangiography and nonvascular interventional procedures on the liver, such as percutaneous transhepatic biliary drainage, biliary stenting, percutaneous transhepatic biliary stone removal, and percutaneous cholecystostomy.
Technique, indications, contraindications, and complications are discussed for each procedure.
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References
Akhan O, Akıncı D, Özmen MN (2002) Percutaneous cholecystostomy. Eur J Radiol 43(3):229–236
Asadi H et al (2016) A review of percutaneous transhepatic biliary drainage at a tertiary referral centre. Clin Radiol 71(12):1312–13e7
Bergman JJ, Rauws EA, Fockens P et al (1997) Randomised trial of endoscopic balloon dilatation versus endoscopic sphincterotomy for removal of bile duct stones. Lancet 349:1124–1129
Bin L, De-Shun W, Pi-Kun C, Yong-Zheng W, Wu-Jie W, Wei W, Hai-Yang C, Dong L, Xiao L, Yancu H, Yu-Liang L (2018) Percutaneous transhepatic extraction and balloon dilation for simultaneous gallbladder stones and common bile duct stones: a novel technique. World J Gastroenterol 24(33):3799–3805
Bonnel D, Liguory CE, Cornud FE, Lefebvre JF (1991) Common bile duct and intrahepatic stones: results of transhepatic electrohydraulic lithotripsy in 50 patients. Radiology 180:345–348
Burhenne HJ (1980) Garland lecture. Percutaneous extraction of retained biliary tract stones: 661 patients. Am J Roentgenol 134(5):889–898
Burke DR et al (2003) Quality improvement guidelines for percutaneous transhepatic cholangiography and biliary drainage. J Vas Intervent Radiol 9(Pt 2):S243
Chandrashekhara SH et al (2016) Current status of percutaneous transhepatic biliary drainage in palliation of malignant obstructive jaundice: a review. Indian J Palliat Care 22(4):378
Clouse ME, Falchuk KR (1985) Percutaneous transhepatic removal of common duct stones: report of ten patients. Gastroenterology 85:815–819
Copelan A, Kapoor BS (2015) Choledocholithiasis: diagnosis and management. Tech Vasc Interv Radiol 18(4):244–255. https://doi.org/10.1053/j.tvir.2015.07.008
Corvino F, Centore L, Soreca E, Corvino A, Farbo V, Bencivenga A (2016) Percutaneous “Y” biliary stent placement in palliative treatment of type 4 malignant hilar stricture. J Gastrointest Oncol 7(2):255–261. https://doi.org/10.3978/j.issn.2078-6891.2015.069
Covey AM, Brown KT (2008) Percutaneous transhepatic biliary drainage. Tech Vasc Interv Radiol 11(1):14–20
Das A, Baliyan V, Gamanagatti S, Gupta AK (2017) Percutaneous biliary intervention: tips and tricks. Trop Gastroenterol 38(2):71–89
Di Sena V, Thuler FP, Macedo EP, Paulo GA, Della Libera E, Ferrari AP (2005) Obstructive jaundice secondary to bile duct involvement with Hodgkin’s disease: a case report. Sao Paulo Med J 123(1):30–32
Ferrucci JT, Mueller PR, Harbin WP (1980) Percutaneous transhepatic biliary drainage: technique, results, and applications. Radiology 135(1):1–13
Fidelman N (2015) Benign biliary strictures: diagnostic evaluation and approaches to percutaneous treatment. Tech Vasc Interv Radiol 18(4):210–217
Freeman ML, Nelson DB, Sherman S et al (1996) Complications after endoscopic biliary sphincterotomy. N Engl J Med 335:909–918
Furuse J, Takada T, Miyazaki M, Miyakawa S, Tsukada K, Nagino M, Kondo S, Saito H, Tsuyuguchi T, Hirata K, Kimura F, Yoshitomi H, Nozawa S, Yoshida M, Wada K, Amano H, Miura F, Japanese Association of Biliary Surgery; Japanese Society of Hepato-Biliary-Pancreatic Surgery; Japan Society of Clinical Oncology (2008) Guidelines for chemotherapy of biliary tract and ampullary carcinomas. J Hepato-Biliary-Pancreat Surg 15(1):55–62. https://doi.org/10.1007/s00534-007-1280-z
Gandini G, Righi D, Regge D, Recchia S, Ferraris A, Fronda GR (1990) Percutaneous removal of biliary stones. Cardiovasc Intervent Radiol 13:245–251
Garcarek J et al (2012) Ten years single center experience in percutaneous transhepatic decompression of biliary tree in patients with malignant obstructive jaundice. Adv Clin Exp Med 21(5):621–632
Garcia-Garcia L, Lanciego L (2004) Percutaneous treatment of biliary stones: sphincteroplasty and occlusion balloon for the clearance of bile duct calculi. Am J Roentgenol 182:663–670
Garcia-Vila JH, Redondo-Ibanez M, Diaz-Ramon C (2004) Balloon sphincteroplasty and transpapillary elimination of bile duct stones: 10 years’ experience. Am J Roentgenol 182:1451–1458
Gil S, De La Inglesia P, Verdù JF, De Espana F, Arenas J, Irurzun J (2000) Effectiveness and safety of balloon dilation of the papilla and the use of an occlusion balloon for clearance of the bile duct calculi. Am J Roentgenol 174:1455–1460
Ginat D, Saad WEA (2008) Cholecystostomy and transcholecystic biliary access. Tech Vasc Interv Radiol 11(1):2–13
Gulaya K, Desai SS, Sato K (2016) Percutaneous cholecystostomy: evidence-based current clinical practice. Seminars in interventional radiology, vol 33. Thieme Medical Publishers, New York
Gwon DI, Shim HJ, Kwak BK (2008) Retrievable biliary stent-graft in the treatment of benign biliary strictures. J Vasc Interv Radiol 19(9):1328–1335. https://doi.org/10.1016/j.jvir.2008.05.017
Gwon DI, Ko GY, Sung KB, Kim JH, Yoon HK (2011) Percutaneous transhepatic treatment of postoperative bile leaks: prospective evaluation of retrievable covered stent. J Vasc Interv Radiol 22(1):75–83. https://doi.org/10.1016/j.jvir.2010.10.004
Gwon DI, Ko GY, Kim JH, Shin JH, Kim KA, Yoon HK, Sung KB (2013) Percutaneous bilateral metallic stent placement using a stent-in-stent deployment technique in patients with malignant hilar biliary obstruction. Am J Roentgenol 200(4):909–914. https://doi.org/10.2214/AJR.12.8780
Harbin WP, Mueller PR, Ferrucci JT (1980) Transhepatic cholangiography: complications and use patterns of the fine-needle technique: a multi-institutional survey. Radiology 135(1):15–22. https://doi.org/10.1148/radiology.135.1.6987704
Hwang MH, Tsai CC, Mo LR, Yang CT, Yeh YH, Yau MP, Yueh SK (1993) Percutaneous choledochoscopic biliary tract stone removal: experience in 645 consecutive patients. Eur J Radiol 17:184–190
Iwasaki M et al (1996) Percutaneous transhepatic biliary drainage for the treatment of obstructive jaundice caused by metastases from nonbiliary and nonpancreatic cancers. Jpn J Clin Oncol 26(6):465–468
Jabłońska B, Lampe P (2009) Iatrogenic bile duct injuries: etiology, diagnosis and management. World J Gastroenterol 15(33):4097
Kapoor BS, Mauri G, Lorenz JM (2018) Management of biliary strictures: state-of-the-art review. Radiology 289(3):590–603. https://doi.org/10.1148/radiol.2018172424
Kessel D, Robertson I (2017) Biliary intervention. Interventional radiology survival guide, 3rd edn. Churchill Livingstone, London, UK
Kim T-H (2006) Safety and effectiveness of moderate sedation for radiologic non-vascular intervention. Korean J Radiol 7(2):125–130
Kullman E, Frozanpor F, Söderlund C, Linder S, Sandström P, Lindhoff-Larsson A, Toth E, Lindell G, Jonas E, Freedman J, Ljungman M, Rudberg C, Ohlin B, Zacharias R, Leijonmarck CE, Teder K, Ringman A, Persson G, Gözen M, Eriksson O (2010) Covered versus uncovered self-expandable nitinol stents in the palliative treatment of malignant distal biliary obstruction: results from a randomized, multicenter study. Gastrointest Endosc 72(5):915–923. https://doi.org/10.1016/j.gie.2010.07.036
Leng JJ, Zhang N, Dong JH (2014) Percutaneous transhepatic and endoscopic biliary drainage for malignant biliary tract obstruction: a meta-analysis. World J Surg Oncol 12(1):272
Li M, Li K, Qi X, Wu W, Zheng L, He C, Yin Z, Fan D, Zhang Z, Han G (2016) Percutaneous transhepatic biliary stent implantation for obstructive jaundice of perihilar cholangiocarcinoma: a prospective study on predictors of stent patency and survival in 92 patients. J Vasc Interv Radiol 27(7):1047.e2–1055.e2. https://doi.org/10.1016/j.jvir.2016.02.035
Li YL, Wong KH, Chiu KW et al (2018) Percutaneous cholecystostomy for high-risk patients with acute cholangitis. Medicine (Baltimore) 97(19):e0735
Little MW et al (2013) Percutaneous cholecystostomy: the radiologist’s role in treating acute cholecystitis. Clin Radiol 68(7):654–660
Maillard M, Novellas S, Baudin G, Evesque L, Bellmann L, Gugenheim J, Chevallier P (2012) Placement of metallic biliary endoprostheses in complex hilar tumours. Diagn Interv Imaging 93(10):767–774. https://doi.org/10.1016/j.diii.2012.05.014
Mauri G, Michelozzi C, Melchiorre F, Poretti D, Tramarin M, Pedicini V, Solbiati L, Cornalba G, Sconfienza LM (2013) Biodegradable biliary stent implantation in the treatment of benign bilioplastic-refractory biliary strictures: preliminary experience. Eur Radiol 23(12):3304–3310. https://doi.org/10.1007/s00330-013-2947-2
Mauro MA, Murphy KPJ, Thomson KR, Venbrux AC, Zollikofer CL (2008) Image-guided interventions, vol 2. Saunders Elsevier, Amsterdam, pp 1423–1457
Morgan RA, Adam A (1998) “Percutaneous management of biliary obstruction.” Hepatobiliary and Pancreatic Radiology Imaging and Intervention. Thieme, New York, pp 677–709
Mueller PR, Van Sonnenberg E, Ferrucci JT Jr (1982) Percutaneous biliary drainage: technical and catheter-related problems in 200 procedures. Am J Roentgenol 138(1):17–23
Mukai T, Yasuda I, Nakashima M, Doi S, Iwashita T, Iwata K, Kato T, Tomita E, Moriwaki H (2013) Metallic stents are more efficacious than plastic stents in unresectable malignant hilar biliary strictures: a randomized controlled trial. J Hepatobiliary Pancreat Sci 20(2):214–222. https://doi.org/10.1007/s00534-012-0508-8
Ng S, Tan KA, Anil G (2015) The role of interventional radiology in complications associated with liver transplantation. Clin Radiol 70(12):1323–1335. https://doi.org/10.1016/j.crad.2015.07.005
Nimura Y et al (2000) Aggressive preoperative management and extended surgery for hilar cholangiocarcinoma: Nagoya experience. J Hepato-Biliary-Pancreat Surg 7(2):155–162
Páramo M, García-Barquín P, Carrillo M, Millor Muruzábal M, Vivas I, Bilbao JI (2017) Treatment of benign biliary leaks with transhepatic placement of coated self-expanding metallic stents. Australas Radiol 59(1):47–55. https://doi.org/10.1016/j.rx.2016.09.004
Park JH, Choi BI, Han MC, Sung KB, Choo IW, Kim CW (1987) Percutaneous removal of residual intrahepatic stones. Radiology 163:619–623
Park JM et al (2018) Percutaneous cholecystostomy for biliary decompression in patients with cholangitis and pancreatitis. J Int Med Res 46(10):4120–4128
Pomerantz BJ (2009) Biliary tract interventions. Tech Vasc Interv Radiol 12(2):162–170
Radder RW (1980) Ultrasonically guided percutaneous catheter drainage for gallbladder empyema. Diagn Imaging 49(6):330–333
Saad WE (2008) Percutaneous management of postoperative anastomotic biliary strictures. Tech Vasc Interv Radiol 11(2):143–153. https://doi.org/10.1053/j.tvir.2008.07.008
Saad WEA et al (2010) Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol 21(6):789–795
Saleem A, Leggett CL, Murad MH, Baron TH (2011) Meta-analysis of randomized trials comparing the patency of covered and uncovered self-expandable metal stents for palliation of distal malignant bile duct obstruction. Gastrointest Endosc 74(2):321.e1-3–327.e1-3. https://doi.org/10.1016/j.gie.2011.03.1249
Shawyer A, Goodwin MD, Gibson RN (2013) Interventional biliary radiology: current state-of-the-art and future directions. Imaging Med 5(6):525–538
Shin J, Shim H, Yoon H (2014) A single center study of biliary stone removal through the percutaneous transhepatic biliary drainage route: results of 695 patients. J Vasc Interv Radiol 25(3):S50
Shin JS, Shim HJ, Kwak BK, Yoon HK (2017) Biliary stone removal through the percutaneous transhepatic biliary drainage route, focusing on the balloon sphincteroplasty flushing technique: a single center study with 916 patients. Jpn J Radiol 35(8):440–447
Siiki A, Sand J, Laukkarinen J (2018) A systematic review of biodegradable biliary stents: promising biocompatibility without stent removal. Eur J Gastroenterol Hepatol 30(8):813–818. https://doi.org/10.1097/MEG.0000000000001167
Soderlund C, Linder S (2006) Covered metal versus plastic stents for malignant common bile duct stenosis: a prospective, randomized, controlled trial. Gastrointest Endosc 63(7):986–995
Stokes KR, Falchuk KR, Clouse ME (1989) Biliary duct stones: update on 54 cases after percutaneous transhepatic removal. Radiology 170:999–1001
Sutter CM, Ryu RK (2015) Percutaneous management of malignant biliary obstruction. Tech Vasc Interv Radiol 18(4):218–226. https://doi.org/10.1053/j.tvir.2015.07.005
Thompson CM, Saad NE, Quazi RR, Darcy MD, Picus DD, Menias CO (2013) Management of iatrogenic bile duct injuries: role of the interventional radiologist. Radiographics 33(1):117–134. https://doi.org/10.1148/rg.331125044
Tsetis D, Krokidis Μ, Negru D, Prassopoulos P (2016) Malignant biliary obstruction: the current role of interventional radiology. Ann Gastroenterol 29(1):33–36
Venkatanarasimha N, Damodharan K, Gogna A, Leong S, Too CW, Patel A, Tay KH, Tan BS, Lo R, Irani F (2017) Diagnosis and management of complications from percutaneous biliary tract interventions. Radiographics 37(2):665–680. https://doi.org/10.1148/rg.2017160159
Vienne A, Hobeika E, Gouya H, Lapidus N, Fritsch J, Choury AD, Chryssostalis A, Gaudric M, Pelletier G, Buffet C, Chaussade S, Prat F (2010) Prediction of drainage effectiveness during endoscopic stenting of malignant hilar strictures: the role of liver volume assessment. Gastrointest Endosc 72(4):728–735. https://doi.org/10.1016/j.gie.2010.06.040
Yi R, Gwon DI, Ko GY, Yoon HK, Kim JH, Shin JH, Sung KB (2012) Percutaneous unilateral placement of biliary covered metallic stent in patients with malignant hilar biliary obstruction and contralateral portal vein occlusion. Acta Radiol 53(7):742–749. https://doi.org/10.1258/ar.2012.120185
Yokoe M et al (2018) Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 25(1):41–54
Zhang JX, Wang B, Liu S, Zu QQ, Shi HB (2018) Predictors of recurrent biliary obstruction following percutaneous uncovered metal stent insertion in patients with distal malignant biliary obstruction: an analysis using a competing risk model. Cardiovasc Intervent Radiol 42:276. https://doi.org/10.1007/s00270-018-2107-9
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Rago, A., Zavan, F., Moschi, S., De Vincentis, P., Crimí, F., Quaia, E. (2021). Intrahepatic Biliary Tract Interventional Radiology. In: Quaia, E. (eds) Imaging of the Liver and Intra-hepatic Biliary Tract. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-030-38983-3_9
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