EURORAD ESR

Case 10023

Reintervention in percutaneous biliary drainage

Author(s)
Leder NI1, Grubelić Crnčević M1, Slavica M1, Kavur L1, Leder M2, Blašković D1, Popić Ramač J1, Vidjak V1

1. Clinical Department of Diagnostic and Interventional Radiology, Clinical Hospital
"Merkur", Zagreb, Croatia
2. Department of Radiology, Clinical Hospital "Sveti duh", Zagreb, Croatia

Email:nikola.leder@gmail.com
 
Patient
female, 75 year(s)
 
 
  • Figure 1
    PTBD

    Percutaneous biliography for placement of drainage catheter.

     
    Area of Interest: Interventional non-vascular; Imaging Technique: Fluoroscopy; Procedure: Cholangiography; Contrast agent-other; Drainage; Special Focus: Dilatation; Obstruction / Occlusion;
     
     
  • Figure 2
    PTBD 2

    Percutaneous biliography for placement of drainage catheter.

     
    Area of Interest: Interventional non-vascular; Imaging Technique: Fluoroscopy; Procedure: Cholangiography; Contrast agent-other; Drainage; Special Focus: Dilatation; Obstruction / Occlusion;
     
     
  • Figure 3
    Reintervention: PTBD + Embolisation

    Second procedure showing percutaneous biliography for placement of second drainage catheter. The drainage catheter was placed in the right main hepatic duct through the left lobe. Fistular canal visible with another...

     
    Area of Interest: Interventional non-vascular; Imaging Technique: Fluoroscopy; Procedure: Cholangiography; Contrast agent-other; Drainage; Special Focus: Fistula; Obstruction / Occlusion;
     
     
  • Figure 4
    Reintervention: PTBD + Embolisation 2

    After successful embolisation of the fistular canal. Liquid embolisation material was used because we were only able to place the catheter for some 5 mm into the fistular canal.

     
    Area of Interest: Interventional non-vascular; Imaging Technique: Fluoroscopy; Procedure: Cholangiography; Contrast agent-other; Embolisation; Special Focus: Fistula; Obstruction / Occlusion;
     
     
  • Figure 5
    Early after the procedure

    Visible is the placed drainage catheter, fixated to the skin. Below it the embolised canal of the previous stent. Patient is clearly still jaundiced.

     
    Area of Interest: Abdomen; Imaging Technique: Image manipulation / Reconstruction; Procedure: Drainage; Special Focus: Fistula; Obstruction / Occlusion;
     
     
Percutaneous biliography for placement of drainage catheter.
 
Percutaneous biliography for placement of drainage catheter.
 
Second procedure showing percutaneous biliography for placement of second drainage catheter. The drainage catheter was placed in the right main hepatic duct through the left lobe. Fistular canal visible with another catheter ready for embolisation.
 
After successful embolisation of the fistular canal. Liquid embolisation material was used because we were only able to place the catheter for some 5 mm into the fistular canal.
 
Visible is the placed drainage catheter, fixated to the skin. Below it the embolised canal of the previous stent. Patient is clearly still jaundiced.
 
 
 
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