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Bleeding after Percutaneous Transhepatic Biliary Drainage: Incidence, Causes and Treatments

1
Division of Interventional Radiology, University of Utah Department of Radiology, Salt Lake City, UT 84108, USA
2
Department of Radiology, University of California-San Diego, San Diego, CA 92093, USA
3
University of Tennessee-West Cancer Center, Memphis, TN 38139, USA
4
Department of Vascular and Interventional Radiology, Minimally Invasive Therapeutics Laboratory, Mayo Clinic, Phoenix, AZ 85054, USA
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2018, 7(5), 94; https://doi.org/10.3390/jcm7050094
Received: 30 March 2018 / Revised: 19 April 2018 / Accepted: 23 April 2018 / Published: 1 May 2018
(This article belongs to the Special Issue Image Guided Interventions and Emerging Technologies)
Of all procedures in interventional radiology, percutaneous transhepatic biliary drainage (PTBD) is amongst the most technically challenging. Successful placement requires a high level of assorted skills. While this procedure can be life-saving, it can also lead to significant iatrogenic harm, often manifesting as bleeding. Readers of this article will come to understand the pathophysiology and anatomy underlying post-PTBD bleeding, its incidence, its varied clinical manifestations and its initial management. Additionally, a structured approach to its treatment emphasizing endovascular and percutaneous methods is given. View Full-Text
Keywords: percutaneous transhepatic biliary drainage; iatrogenic hemobilia; pull-back cholangiogram; arterial-biliary fistula percutaneous transhepatic biliary drainage; iatrogenic hemobilia; pull-back cholangiogram; arterial-biliary fistula
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Quencer, K.B.; Tadros, A.S.; Marashi, K.B.; Cizman, Z.; Reiner, E.; O’Hara, R.; Oklu, R. Bleeding after Percutaneous Transhepatic Biliary Drainage: Incidence, Causes and Treatments. J. Clin. Med. 2018, 7, 94.

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