Type:
Educational Exhibit
Keywords:
Obstruction / Occlusion, Multidisciplinary cancer care, Puncture, Complications, Percutaneous, Fluoroscopy, CT, Liver, Interventional non-vascular, Biliary Tract / Gallbladder
Authors:
A. BHARADWAZ; AARHUS, Re/DK
DOI:
10.1594/ecr2013/C-0744
Background
Percutaneous transhepatic biliary drainage (PTBD) continues to be performed widely despite advances in the techniques of endoscopically guided biliary procedures.
It is an effective method for decompressing biliary obstruction or diverting bile in leakage after ERCP has failed or not possible due to technical reasons [1].
Though percutaneous biliary decompression is associated with a low complication rate,
major complications can still occur.
Most common complications associated with PTBD are hemobilia,
fever and catheter dislodgement [2].
Major complications like large local infection,
sepsis and vascular complications can have a significant impact on morbidity and mortality.
However mortality as a result of percutaneous biliary intervention is more often due to hemorrhage than sepsis [3,4].
In this series of 111 consecutive percutaneous biliary interventions from 1st June to 30th November 2012 twelve major complications occurred of which four were vascular complications resulting in death of two patients and contributing to mortality of another patient.
Techniques,
patient related factors and related imaging findings are described and illustrated.