Cystic Duct Embolization with Chemical Gallbladder Ablation for the Treatment of Acute Calculous Cholecystitis in High-Risk Patients: A Prospective Single-Center Study

Journal of Vascular and Interventional Radiology : JVIR
Eli AtarGil N Bachar

Abstract

To demonstrate the feasibility of cystic duct embolization and chemical gallbladder ablation as an alternative to cholecystectomy in high-risk patients with calculous cholecystitis who were not candidates for surgery. This prospective study included 10 patients with acute cholecystitis (7 males and 3 females) aged 70-91 years (average age, 81.6 years) between 2013 and 2019. A cholecystostomy catheter was inserted during the acute phase, followed by cystic duct coil embolization performed via the existing drainage tube tract. Once asymptomatic, 3% aethoxysklerol was injected into the gallbladder, and the drain was removed upon sonographic confirmation that the gallbladder remained contracted. Each phase of the procedure was performed with an interval of 2-3 weeks. Clinical, cholangiographic, and sonographic data were collected before and after drain removal at 1-month follow-up. Cystic duct embolization was technically successful in all patients, with no immediate post-procedure complications. Gallbladder ablation performed in 10 patients was technically successful in all of them (median follow-up, 11 months). One patient required repeat ablation at 14 months, and the prolonged biliary excretions of 1 other patient ceased only a...Continue Reading

References

Sep 1, 1990·Radiology·C D BeckerH J Burhenne
Jul 1, 1985·Investigative Radiology·G I GetrajdmanE C Martin
Jul 1, 1995·Journal of Vascular and Interventional Radiology : JVIR·M C Soulen, K L Sullivan
Sep 1, 1994·Journal of Vascular and Interventional Radiology : JVIR·M C SoulenK L Sullivan
Feb 10, 1994·The New England Journal of Medicine·C A SteinerE P Steinberg
May 1, 1993·Investigative Radiology·L S KannegieterS K Teplick
Jan 1, 1996·World Journal of Surgery·C K KumH Troidl
Aug 19, 2004·Acta Anaesthesiologica Scandinavica·J LaurilaT I Ala-Kokko
Jan 26, 2007·Journal of Hepato-biliary-pancreatic Surgery·Masahiko HirotaChristos Dervenis
Aug 22, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Boris KirshteinLeonid Lantsberg
Apr 29, 2009·World Journal of Gastroenterology : WJG·Tae-Hoon LeeSun-Joo Kim
Jul 11, 2009·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Anders WinbladhPer Sandström
Sep 22, 2009·Journal of Vascular and Interventional Radiology : JVIR·Jong Hyeog LeeSeung Moon Jung
May 19, 2010·Archives of Surgery·Jason T WisemanShimul A Shah
Jun 12, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Pandanaboyana SanjayAfshin Alijani
Nov 15, 2014·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Torben HornFrank Viborg Mortensen
Feb 23, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Donna Marie L AlvinoPeter J Fagenholz
Jun 13, 2017·World Journal of Gastrointestinal Surgery·Carlos Augusto GomesSamuel de Fádel Guimarães
Aug 2, 2017·Journal of Vascular and Interventional Radiology : JVIR·Omid KhalilzadehBoris Nikolic
Sep 10, 2017·Journal of Hepato-biliary-pancreatic Sciences·Yasuhisa MoriMasakazu Yamamoto
Feb 6, 2018·Journal of Vascular and Interventional Radiology : JVIR·Hugh C J McGregorMiles Conrad
Apr 21, 2019·Journal of Vascular and Interventional Radiology : JVIR·Hugh McGregorCharles Hennemeyer

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Jul 23, 2021·Journal of Vascular and Interventional Radiology : JVIR·Nariman NezamiBill S Majdalany

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