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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 3/2013

01-06-2013 | Letter to the Editor

Secure Transhepatic Biliary Access can be Recovered by Skewering a Displaced Looped Biliary Drainage Catheter

Authors: Matthew Budak, Ian A. Zealley

Published in: CardioVascular and Interventional Radiology | Issue 3/2013

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Excerpt

Displacement of drainage catheter position is a frequent complication of percutaneous biliary drainage that has been attributed to respiratory motion of the liver [1]. One of the most challenging situations occurs when retrograde migration of the catheter results in the formation of a loop of catheter between the liver edge and the abdominal wall [1]. This scenario presents interventional radiologists with a technical challenge. Ideally the goal is to reestablish secure transhepatic biliary access using the established tract. However, access to the biliary tree is easily lost during maneuvers intended to regain a secure guidewire position. …
Literature
1.
Maher MM, Kealey S, McNamara A et al (2002) Management of visceral interventional radiology catheters: a troubleshooting guide for interventional radiologists. Radiographics 22(2):305–322PubMed
2.
Saad WE, Wallace MJ, Wojak JC et al (2010) Quality improvement guidelines for percutaneous transhepatic cholangiography, biliary drainage, and percutaneous cholecystostomy. J Vasc Interv Radiol 21(6):789–795PubMedCrossRef
3.
Saad WE (2008) Transhepatic techniques for accessing the biliary tract. Tech Vasc Interv Radiol 11(1):21–42PubMedCrossRef
Metadata
Title
Secure Transhepatic Biliary Access can be Recovered by Skewering a Displaced Looped Biliary Drainage Catheter
Authors
Matthew Budak
Ian A. Zealley
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 3/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-012-0385-1

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