Bleeding after percutaneous transhepatic biliary drainage: Incidence, causes and treatments

Keith B. Quencer, Anthony S. Tadros, Keyan B. Marashi, Ziga Cizman, Eric Reiner, Ryan O’Hara, Rahmi Oklu

Research output: Contribution to journalReview articlepeer-review

Abstract

Of all procedures in interventional radiology, percutaneous transhepatic biliary drainage (PTBD) is amongst the most technically challenging. Successful placement requires a high level of assorted skills. While this procedure can be life-saving, it can also lead to significant iatrogenic harm, often manifesting as bleeding. Readers of this article will come to understand the pathophysiology and anatomy underlying post-PTBD bleeding, its incidence, its varied clinical manifestations and its initial management. Additionally, a structured approach to its treatment emphasizing endovascular and percutaneous methods is given.

Original languageEnglish (US)
Article number94
JournalJournal of Clinical Medicine
Volume7
Issue number5
DOIs
StatePublished - May 2018

Keywords

  • Arterial-biliary fistula
  • Iatrogenic hemobilia
  • Percutaneous transhepatic biliary drainage
  • Pull-back cholangiogram

ASJC Scopus subject areas

  • Medicine(all)

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