Transhepatic techniques for accessing the biliary tract

Techniques in Vascular and Interventional Radiology
Wael E A Saad

Abstract

Gaining access to the biliary tract by minimal invasive image-guided techniques is the forefront procedure for interventionalists to manage biliary disease. The technical know how and learned maneuvers are the fundamental skill sets of an interventional radiologist. This article details the technical maneuvers that can be utilized to gain access to the biliary tract with a needle and/or catheter/wire combinations. These techniques include (1) fluoroscopic-guided needle localization from a percutaneous transhepatic approach, (2) different types of wire access/entry into the biliary system, (3) the use of intrabiliary snares as targets for secondary/additional biliary access, (4) recannulating transhepatic biliary tracts after inadvertent discontinuation of percutaneous biliary drains, and (5) ultrasound-guided left-sided biliary duct access.

References

Dec 19, 2001·Techniques in Vascular and Interventional Radiology·A C Venbrux, F A Osterman
Dec 19, 2001·Techniques in Vascular and Interventional Radiology·A B WinickA C Venbrux
Sep 23, 2006·Journal of Vascular and Interventional Radiology : JVIR·Wael E A SaadDavid L Waldman

❮ Previous
Next ❯

Citations

Jan 17, 2013·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Colin M ThompsonChristine O Menias
Nov 29, 2015·Techniques in Vascular and Interventional Radiology·Christopher M Sutter, Robert K Ryu
Mar 3, 2017·Journal of Clinical Ultrasound : JCU·Andrej WagnerGernot W Wolkersdörfer
Aug 10, 2016·Abdominal Radiology·Christina A LeBedisJorge A Soto
Nov 29, 2012·The Cancer Journal·Daniel B Brown, Govindarajan Narayanan
Apr 25, 2012·Cardiovascular and Interventional Radiology·Matthew Budak, Ian A Zealley
Jan 23, 2020·Seminars in Ultrasound, CT, and MR·Daniel HynesBertrand Janne d'Othée

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.