Safety and effectiveness of ultrasound-guided percutaneous transhepatic biliary drainage: a multicenter experience

Journal of Ultrasound
Francesco GiurazzaItalian College of Interventional Radiology (ICIR) Rising Stars Group

Abstract

Aim of this study is to describe a multicenter experience on percutaneous transhepatic biliary drainage (PTBD) performed with ultrasound-guidance to access the biliary tree, focusing on safety, effectiveness and radiation dose exposure; differences between right- and left-sided approaches have been also evaluated. This is a multicenter prospective single-arm observational study conducted on patients affected by biliary tree stenosis/occlusion with jaundice and endoscopically inaccessible. The procedures have been performed puncturing the biliary system under US guidance and crossing the stenosis/occlusion under fluoroscopy. Beam-on time and X-ray dose have been evaluated. 117 patients affected by biliary tree stenosis/occlusion not manageable with an endoscopic approach have been included in this analysis. The biliary stenosis/occlusion was malignant in 90.8% and benign in 9.2%. Technical success, considered as positioning of a drainage tube into the biliary tree, was 100%. Overall clinical success, considered as decrease in total bilirubin level after a single procedure, was 95.7%. The overall mean number of liver punctures to catheterize the biliary tree was 1.57. The mean total beam-on time was 570.4 s; the mean dose-area pr...Continue Reading

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Citations

Feb 3, 2021·The British Journal of Radiology·Vishnu Prasad PulappadiKumble Seetharama Madhusudhan
May 6, 2021·Journal of Ultrasound·José Manuel López-ÁlvarezDionisio Lorenzo Lorenzo-Villegas
Jun 2, 2021·Physica Medica : PM : an International Journal Devoted to the Applications of Physics to Medicine and Biology : Official Journal of the Italian Association of Biomedical Physics (AIFB)·Lama Hadid-BeurrierJulien Le Roy
Jul 31, 2021·Cardiovascular and Interventional Radiology·Marco DasAdam Hatzidakis

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