Abstract
Percutaneous transhepatic biliary access is a routine Interventional Radiology procedure. However, with the advent of advanced imaging and endoscopic techniques, it is less commonly performed. Herein, biliary anatomy, indications, contraindications, pre-procedural preparation, as well as technique and approaches for percutaneous transhepatic cholangiography and drainage, are reviewed. Finally, results and potential complications are presented, with management strategies.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Couinaud C. Le foie. Etudes anatomiques et chirurgicales. Paris: Masson; 1957. p. 530.
Gazelle GS, Lee MJ, Mueller PR. Cholangiographic segmental anatomy of the liver. Radiographics. 1994;14:1005–13.
Castaing D. Surgical anatomy of the biliary tract. HPB (Oxford). 2008;10(2):72–6.
Saad WE, Wallace MJ, Wojak JC, Kundu S, Cardella JF. Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol. 2010;21(6):789–95.
Covey AM, Brown KT. Percutaneous transhepatic biliary drainage. Tech Vasc Interv Rad. 2008;11:14–20.
Clark CD, Picus D, Dunagan WC. Bloodstream infections after interventional procedures in the biliary tract. Radiology. 1994;191(2):495–9.
Sheen-Chen S, Chen W, Eng H, et al. Bacteriology and antimicrobial choice in hepatolithiasis. Am J Infect Control. 2000;28(4):298–301.
Rösch T, Triptrap A, Born P, et al. Bacteriobilia in percutaneous transhepatic biliary drainage: occurrence over time and clinical sequelae. A prospective observational study. Scand J Gastroenterol. 2003;38(11):1162–8.
Venkatesan AM, Kundu S, Sacks D, et al. Practice guideline for adult antibiotic prophylaxis during vascular and interventional radiology procedures. J Vasc Interv Radiol. 2010;21:1611–30.
Mueller PR, Wittenberg KH, Kaufman JA, Lee MJ. Patterns of anesthesia and nursing care for interventional radiology procedures: a national survey of physician practices and preferences. Radiology. 1997;202:339–43.
Lee MJ, Mueller PR, Saini S, et al. Percutaneous dilatation of benign biliary strictures: single session therapy with general anesthesia. Am J Roentgenol. 1991;157:1263.
Saad WEA. Transhepatic techniques for accessing the biliary tract. Tech Vasc Interv Rad. 2008;11:21–42.
Kim HS, Lund GG, Venbrux AC. Advanced percutaneous transhepatic biliary access. Tech Vasc Interv Rad. 2001;3:153–71.
Ginat D, Saad WEA. Cholecystostomy and transcholecystic biliary access. Tech Vasc Interv Rad. 2008;11:2–13.
Mueller PR, Harbin WP, Ferrucci Jr JT, Wittenberg J, vanSonnenberg E. Fine-needle transhepatic cholangiography: reflections after 450 cases. Am J Roentgenol. 1981;136(1):85–90.
Funaki B, Zaleski GX, Straus CA, et al. Percutaneous biliary drainage in patients with nondilated intrahepatic bile ducts. Am J Roentgenol. 1999;173:1541–4.
Jaques PF, Mauro MA, Scatliff JH. The failed transhepatic cholangiogram. Radiology. 1980;134(1):33–5.
Yee ACN, Ho C. Complications of percutaneous biliary drainage: benign vs malignant disease. Am J Roentgenol. 1987;148:1207–9.
Winick AB, Waybill PN, Venbrux AC. Complications of percutaneous transhepatic biliary interventions. Tech Vasc Interv Rad. 2001;3:200–6.
Saad WEA, Davies MG, Darcy MD. Management of bleeding after percutaneous cholangiography or transhepatic biliary drain placement. Tech Vasc Interv Rad. 2008;11:60–71.
Chapman WC, Sharp KW, Weaver F, Sawyers JL. Tumor seeding from percutaneous biliary catheters. Ann Surg. 1989;209:708–13. discussion 713–15.
Inagaki M, Yabuki H, Hashimoto M, Maguchi M, Kino S, Sawa M, Ojima H, Tokusashi Y, Miyokawa N, Kusano M, Kasai S. Metastatic seeding of bile duct carcinoma in the transhepatic catheter tract: report of a case. Surg Today. 1999;29:1260–3.
Sakata J, Shirai Y, Wakai T, Nomura T, Sakata E, Hatakeyama K. Catheter tract implantation metastases associated with percutaneous biliary drainage for extrahepatic cholangiocarcinoma. World J Gastroenterol. 2005;11(44):7024–7.
Shimizu Y, Yasui K, Kato T, Yamamura Y, Hirai T, Kodera Y, Kanemitsu Y, Ito S, Shibata N, Yamao K, Ohhashi K. Implantation metastasis along the percutaneous transhepatic biliary drainage sinus tract. Hepatogastroenterology. 2004;51:365–7.
Tersigni R, Rossi P, Bochicchio O, Cavallini M, Ambrogi C, Bufalini G, Alessandroni L, Arena L, Armeni O, Miraglia F, Stipa S. Tumor extension along percutaneous transhepatic biliary drainage tracts. Eur J Radiol. 1986;6:280–2.
Oleaga JA, Ring EJ, Freiman DB, McLean GK, Rosen RJ. Extension of neoplasm along the tract of a transhepatic tube. Am J Roentgenol. 1980;135:841–2.
Kim WS, Barth KH, Zinner M. Seeding of pancreatic carcinoma along the transhepatic catheter tract. Radiology. 1982;143:427–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Majdalany, B.S., Spain, J. (2016). Percutaneous Biliary Access: Considerations, Techniques, and Complications. In: Hazey, J., Conwell, D., Guy, G. (eds) Multidisciplinary Management of Common Bile Duct Stones. Springer, Cham. https://doi.org/10.1007/978-3-319-22765-8_6
Download citation
DOI: https://doi.org/10.1007/978-3-319-22765-8_6
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-22764-1
Online ISBN: 978-3-319-22765-8
eBook Packages: MedicineMedicine (R0)