Percutaneous transhepatic biliary drainage
Citation, DOI, disclosures and article data
At the time the article was created Ian Bickle had no recorded disclosures.
View Ian Bickle's current disclosuresAt the time the article was last revised Yahya Baba had no financial relationships to ineligible companies to disclose.
View Yahya Baba's current disclosures- Percutaneous transhepatic cholangial drainage (PTCD)
Percutaneous transhepatic biliary drainage, also known as percutaneous transhepatic cholangial drainage (PTCD), is an interventional radiology procedure undertaken for those with biliary obstruction.
It is commonly undertaken as part of palliative biliary stent insertion. Rarely, it is used in the treatment of benign strictures.
Indications
-
malignant obstruction
ampullary and pancreatic malignancies when retrograde access via endoscopic retrograde cholangiopancreatography (ERCP) is not amenable
-
benign obstruction
-
iatrogenic strictures
previous anastomosis (e.g. post-liver transplant)
diathermy burns
hemostasis clips
-
Precautions
If a stent is present in the biliary ducts, the drainage catheter should not be placed in the pigtail conformation as the small wire retaining the shape may get attached to the stent, preventing it's removal.
References
- 1. Sugawara S, Sone M, Morita S et al. Radiologic Assessment for Endoscopic US-Guided Biliary Drainage. Radiographics. 2020;40(3):667-83. doi:10.1148/rg.2020190158 - Pubmed
Incoming Links
Related articles: Interventional procedures
-
interventional
- procedure overview
- neck
- thyroid gland
- breast
- chest
- hepatobiliary
- splenic interventions
- gastrointestinal
- urogenital
- bladder
- kidney
- prostate
- musculoskeletal
-
arthrogram
- MR arthrogram
- CT arthrogram
- anesthetic arthrogram
- bone biopsy (CT-guided)
- upper limb
- lower limb
-
hip
- hip joint injection (technique)
- greater trochanteric bursa injection
- gluteus minimus/medius tendon calcific tendinopathy barbotage
- iliopsoas tendon bursa injection
- lateral cutaneous femoral nerve of the thigh injection
- piriformis injection
- common hamstrings origin injections
-
knee
- common peroneal (fibular) nerve injection
- knee joint injection
- patella tendon microtenotomy
- quadriceps tendon microtenotomy
- tibial nerve injection
-
ankle
- achilles hydrodilation & microtenotomy
- ankle joint injection
- extensor tendon sheath injection
- flexor tendon sheath injection
- os trigonum injection
- peroneal tendon sheath injection
- subtalar joint injection
- tibial nerve injection
-
foot
- calcaneocuboid joint injection
- metatarsophalangeal joint (MTPJ) injection
- naviculocuneiform joint injection
- plantar fascia microtenotomy
- subtalar joint injection
- talonavicular joint injection
- tarsometatarsal joint (TMTJ) injection
-
hip
- spine
-
arthrogram
- vascular
Unable to process the form. Check for errors and try again.