Transhepatic cholangiography: complicatons and use patterns of the fine-needle technique: a multi-institutional survey

Radiology
W P HarbinJ T Ferrucci

Abstract

A multi-institutional survey of complications and use patterns of fine-needle transhepatic cholangiography (FNTC) was conducted, and the results were compared with those of transhepatic cholangiography using a large, sheathed needle and endoscopic retrograde cholangiopancreatography. Data were based on 2,006 procedures, including 293 from the authors' institution. The overall incidence of serious complications with FNTC was 3.4% (sepsis 1.40%, bile leakage 1.45%, intraperitoneal hemorrhage 0.35%, death 0.20%). The overall success rate was 97.8%; it was 99% when 12-14 needle passes were made, compared with only 95.5% when no more than 6 were made. It is concluded that 6 passes are not enough to exclude obstruction. One third of the patients with bile leakage had inadvertent puncture of the extrahepatic biliary tract. The pathogenesis of sepsis following FNTC is discussed and related to the author's recommendation of routine prior administration of ampicillin and gentamicin.

Citations

Dec 1, 2004·Seminars in Interventional Radiology·Alexander J Towbin, Richard B Towbin
Mar 14, 2014·Current Treatment Options in Gastroenterology·Nikhil A KumtaMichel Kahaleh
Apr 6, 2013·Gut and Liver·Savreet SarkariaMichel Kahaleh
Jul 1, 1996·Journal of Computer Assisted Tomography·F ReganT H Magnuson
May 23, 2002·Journal of Computer Assisted Tomography·Ann Simpson FulcherJohn Marshall Ham
Jun 17, 1998·Journal of Magnetic Resonance Imaging : JMRI·Y Takehara
Jan 1, 1995·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·J LaubenbergerM Langer
Apr 24, 2007·Journal of Clinical Gastroenterology·Jukka PalmJyrki Mäkelä
Jan 1, 1996·Scandinavian Journal of Gastroenterology. Supplement·F Burcharth, A Kruse
Dec 1, 1990·Chest·R J Pisani, F A Zeller
Jan 19, 2011·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Murad AljiffryMichele Molinari
Apr 8, 2011·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Takamitsu KomakiMasatoshi Kudo
Mar 24, 2010·Journal of Vascular and Interventional Radiology : JVIR·Wael E A SaadJohn F Cardella
Nov 10, 2009·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Vanessa M Shami, Michel Kahaleh
Nov 1, 1989·Gastrointestinal Endoscopy·J H SiegelW Pullano
Feb 1, 1996·Gastrointestinal Endoscopy·M Canto
Feb 1, 1996·Gastrointestinal Endoscopy·M J WiersemaP K Frederick
Oct 22, 2013·Clinical Endoscopy·Prashant KediaMichel Kahaleh
Jun 30, 2007·Seminars in Roentgenology·Alexander P S Kirkham, Stephen G F Ho
Jul 21, 2007·Gastrointestinal Endoscopy Clinics of North America·Vanessa M Shami, Michel Kahaleh
Apr 5, 2001·Journal of Vascular and Interventional Radiology : JVIR·J M LorenzJ D Rosenblum
Sep 25, 2004·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Gregg A MillerFergus V Coakley
May 24, 2007·Journal of Magnetic Resonance Imaging : JMRI·Mary T KitazonoFergus V Coakley
May 19, 2000·Clinical Radiology·S H KimY I Kim
Oct 20, 1999·Seminars in Ultrasound, CT, and MR·A S Fulcher, M A Turner
Oct 6, 2004·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·V MacchiD Miotto
Jul 1, 1982·Current Problems in Surgery·R K Tompkins, H A Pitt
Jul 1, 1980·Current Problems in Diagnostic Radiology·F A MettlerJ H Christie
Mar 1, 1988·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·D FenyvesJ Côté
Jul 4, 2006·Gastrointestinal Endoscopy·Michel KahalehPaul Yeaton
Jul 1, 1982·American Journal of Surgery·M J ThomasL W Way
Oct 9, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Payal SaxenaMouen A Khashab
Dec 22, 1999·The American Journal of Gastroenterology·M M LerchM Zeitz
Jan 1, 1982·The British Journal of Radiology·A G VallonP B Cotton
Jun 3, 1999·Radiology·A S Fulcher, M A Turner
Jun 20, 2001·The British Journal of Surgery·M H GreenN V Jamieson
Feb 27, 2001·AJR. American Journal of Roentgenology·J M LorenzT Van Ha

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